- Public Consulting Group (Columbia, SC)
- …www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible ... publicly administered Medical Fund on behalf of a state agency. The Case Manager will be charged with helping program recipients, family members, and caretakers… more
- Molina Healthcare (Darlington, SC)
- **JOB DESCRIPTION** Behavioral Health Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the ... state of South Carolina. Case Manager will be required to communicate telephonically and complete Face to Face meetings. You will participate in… more
- Molina Healthcare (Darlington, SC)
- **JOB DESCRIPTION** Case Manager will work in remote and field setting supporting our Medicaid SMI (Severe Mental Illness) Population in the state of South ... Carolina. Case Manager will be required to communicate telephonically and complete Face to Face meetings. You will participate in interdisciplinary care team… more
- Guardian Life (Columbia, SC)
- The **Group Life/Supplemental Health Claims Case Manager II** is responsible for making timely and accurate decisions on assigned claims through proactive ... superior customer service to all internal and external customers. The Claims Case Manager II administers claims within a variety of group sizes ranging from… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, ... Registered Nurse with > 5 years nursing experience. Background in med/surg, previous case management experience preferred but not required. + Description: This is a… more
- CVS Health (Columbia, SC)
- …and/or home healthcare coordination experience **Preferred** **Qualifications** + Certified Case Manager + Excellent analytical and problem-solving skills ... into new markets across the country. **Fundamental Components** + Nurse Care Manager is responsible for assessing, planning, implementing, and coordinating all … more
- Guardian Life (Columbia, SC)
- …and acts as the critical communication link, in conjunction with the assigned Disability Case Manager where applicable, for all parties in FML client absence ... the best at what they do. The FML Leave manager is responsible for proactively managing Leave of Absence...with key partners including Clients, Claimants, Nurse and Disability Case Managers, Risk Management. . Administer claims within a… more
- CVS Health (Columbia, SC)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Cardinal Health (Columbia, SC)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Senior Case Manager supports patient access to therapy through patient ... effective solutions. + Provide guidance and training to junior case managers on best practices in case ...junior case managers on best practices in case management, patient interaction, and navigating internal and external… more
- Sedgwick (Columbia, SC)
- …Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **We are only considering full time employees at this time.** ... **Looking for** **experienced** **Workers Comp RN Field Case Manager Nurses across multiple cities in the country to facilitate progressive medical… more
- Sevita (Florence, SC)
- …join our mission-driven team and experience a career well lived. **Foster Care Case Manager ** $41,500-$43,500 Everybody needs a job but only extraordinary people ... serve. + Coordinate the development, review, and implementation of services, case management, behavior intervention plans, and treatments provided to individuals… more
- Guardian Life (Columbia, SC)
- …with Group Disability claims experience to join our dynamic Appeals Team. The Appeals Case Manager II (ACM 2) is responsible for adjudicating assigned appeals ... insights and learnings with claims colleagues. **Reporting Relationships:** As our Appeals Case Manager II, you will report to our Leader, Appeals Team, who… more
- PruittHealth (Columbia, SC)
- **REGISTERED NURSE CASE MANAGER (RN)** **HOSPICE SERVICES** **Join the PruittHealth Hospice family, where the health and safety of our workforce is our top ... priority!** We're not only committed to your career, we're committed to the health and safety of all our patients and nurses. If you're looking to be a part of a uniquely specialized team of caregivers providing hospice care in the patient's home or care… more
- Cardinal Health (Columbia, SC)
- …supervisor or senior peers on complex and unusual problems **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the healthcare providers through the various process steps in support of their patient's journey to therapy. These steps include… more
- Cardinal Health (Columbia, SC)
- …get life-changing therapies to patients who need them-faster.** **_Responsibilities_** The Case Manager supports patient access to therapy through Reimbursement ... Support Services in accordance with the program business rules and HIPAA regulations. This position is responsible for guiding the patient through the various process steps of their patient journey to therapy. These steps include patient referral intake,… more
- Highmark Health (Columbia, SC)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing a care plan, encouraging behavior… more
- Cardinal Health (Columbia, SC)
- …+ Manage the entire care process with a sense of urgency from benefit investigation/verification to medication delivery, ensuring an exceptional patient experience + ... Conduct benefit verifications and collaborate with various healthcare providers, including physicians, specialty pharmacies, and insurance companies, to ensure seamless coordination of patient care and timely access to necessary services + Assist in obtaining… more
- Public Consulting Group (Columbia, SC)
- …teams responsible for implementing and supporting our services and solutions. The Program Manager is a key advisor and thought partner to clients, playing a ... as needed, but is mostly remote. The portfolio of projects for this Program Manager are within the northeast United States and requires the successful candidate to… more
- Evolent (Columbia, SC)
- …Pacific Coast time during standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus - Preferred + Knowledge and ... experience teaching self-management. - Preferred + Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; fluency in a foreign language is a plus.- Preferred + Strong work ethic built on a… more
- Intermountain Health (Columbia, SC)
- …Nurse (RN). Preferred Qualifications + Bachelor's degree in Nursing. + Certified Case Manager (CCM). Relevant certification as determined at position level. ... + 2 years' nursing experience outpatient care. + 1 year Care Management experience. **Physical Requirements:** Ongoing need for employee to see and read information, labels, monitors, identify equipment and supplies, and be able to assess patient needs. - and… more