- Molina Healthcare (Darlington, SC)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term ... regular outreach and management. + Promotes integration of services for members including behavioral health care and long term services and supports/home and… more
- CVS Health (Columbia, SC)
- …more compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager - Registered Nurse is a key member of our Special ... + Meets regulatory requirements within specified timelines. + The Care Manager RN supports other...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse ( RN ) licensure in… more
- Sharecare (Columbia, SC)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care ...Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license… more
- Advanced Correctional Healthcare (Columbia, SC)
- Registered Nurse -Full Time-7p-7:30a Job Details Job...a higher standard of business services to support medical care and behavioral health care . ... the essential functions. + Timely and accurately assess, plan, and deliver nursing care to patients + Contact practitioner to obtain orders + Administer prescribed… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active,… more
- US Tech Solutions (Columbia, SC)
- …+ Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, etc.). ... members as well. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical… more
- Centene Corporation (Columbia, SC)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... workplace flexibility. **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Highmark Health (Columbia, SC)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Columbia, SC)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...experience **Preferred** + Advanced training and experience in cognitive behavioral therapy (CBT), motivational interviewing or dialectical behavior therapy… more
- Molina Healthcare (Columbia, SC)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care ... achieving and maintaining optimal health status. + May request RN input for member care planning. +...Experience** 1-3 years in case management, disease management, managed care or medical or behavioral health settings.… more
- AmeriHealth Caritas (Columbia, SC)
- **Role Overview** The Care Manager ( RN ) assists...is required + Must hold a current and unrestricted Registered Nurse ( RN ) license in ... coordination services in achieving their optimal level of health through self-management. The Care Manager ( RN ) is responsible for engaging the member,… more
- US Tech Solutions (Columbia, SC)
- …Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of care Referrals, etc.). ... have critical thinking skills. Experience in case management or care coordination and telephonic care experience is...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … more