NewPatient Care Manager UnitedHealth GroupPatient Care ManagerColumbia, SC$80,712–$121,068 / yearCoordinates and supervises an interdisciplinary team of staff to assure the continuity of high quality care to home health patients assigned to the team's area in accordance with physician prescribed plan of care, and all applicable state and federal laws and regulations. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each other and the communities we serve.
NewProject Manager OR Healthcare Consultant Excelraise, LLCProject Manager OR Healthcare ConsultantColumbia, SC$70–$80 / hourContractorThis position will lead teams that support business-critical operations for MCO enrollment, claims and encounter processing and payment and other support functions. Looking for an IT Healthcare Consultant - Project Manager - Consultant who will be the lead for MMIS Medicaid Systems Operational Management.
NewRegistered Nurse (RN)-Hospital Case Manager, Full-Time, Days Prisma HealthRegistered Nurse (RN)-Hospital Case Manager, Full-Time, DaysColumbia, SCThe Hospital Case Manager (HCM) provides case management service for hospital patients, including, but not limited to, utilization management to ensure efficient, cost-effective patient progression through the continuum of care and discharge to an appropriate level of care. In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a BSN Memorandum of Understanding (MOU) agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within (4) four years of hire date.
Dialysis Clinical Manager Registered Nurse - RN Fresenius Medical CareDialysis Clinical Manager Registered Nurse - RNWest Columbia, SCFacilitate timely workup of patients for access management, dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination of care with the multidisciplinary renal team. Frequently interacts with subordinate supervisors, customers, and/or functional peer group managers, normally involving matters between functional areas, other company divisions or units, or customers.
NewClinic Manager- Physical Therapist- Full Time - Outpatient CORA Physical TherapyClinic Manager- Physical Therapist- Full Time - OutpatientWest Columbia, SCAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
NewManager-Nursing II (NM), Neonatal Intensive Care Unit (NICU), FT, Variable Prisma HealthManager-Nursing II (NM), Neonatal Intensive Care Unit (NICU), FT, VariableColumbia, SCIn collaboration with the Unit Medical Director, develops quality indicators specific to the units' patient population; monitors quality of care using established benchmarks; and involves unit staff in planning and implementing performance improvement as appropriate. In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a Memorandum of Understanding agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within four (4) years.
Manager, FSQA Aspire BakeriesManager, FSQACayce, SC$100,000–$110,000With 13 commercial bakeries across North America and a reputation as an industry leader, Aspire Bakeries is rising together with our people and our customers to be the best all-around bakery solution. We’re looking for hard-working people who will bring integrity, creativity, and a passion for excellence to everything they do - whether that’s on the bakery floor, in the office, or supporting customers.
NewTravel Nurse RN - Cardiovascular Intensive Care Unit - $9,572 per week in West Columbia, SC Prime StaffingTravel Nurse RN - Cardiovascular Intensive Care Unit - $9,572 per week in West Columbia, SCWest Columbia, SC$9,571.60Yes - if they have a compact license Modified 5:00:00 AM Account Manager: Ed Lopez Account Manager Email: COVID-19 Vaccine: Required - No Exemptions Flu Vaccine: Unknown Job Requirements & Qualifications Previous Charge Experience: - Years of Experience: 1 Patient Ratio Experience: Charting System Experience: - Charting System Name: Epic Community Hospital Experience: - LTAC Experience: - Trauma Level I Experience: - Trauma Level II Experience: - Travel Experience Required: - Certifications: ACLS, BLS, PALSSkills: Unit Details Staffing & Scheduling Scheduling Type: - Patient Ratios Days: - Patient Ratios Nights: - Patient Ratios Weekends: - Float Required: - Call Required: - Weekend Coverage: - Number of Weekend Shifts Per Contract: - Pre-Approved Time Off: - Orientation Hours: - Facility & Patient Care Details Patient Age Groups: - Daily Census: 2-5 Number of Visits Per Day: - Number of Rooms: - Number of Beds: - Additional Unit Information Interdisciplinary Support: - Patient Diagnoses: - Special Procedures/Unit Details: 100% Cardiac or CT Surgery. Average number of times called in during evening call is minimal, and weekend call can be none to 2. *Level III trauma facility EMR: Epic ( Highly Preferred)Practice Setting: Hospital Medical CenterRequirements: Board Certification: CRNA State license required: Yes - but will accept compact license Certifications preferred: ACLS, BLS, PALSNo Cardiac Certs required.
NewTravel Nurse RN - Cardiovascular Intensive Care Unit - $1,980 per week in Columbia, SC Prime StaffingTravel Nurse RN - Cardiovascular Intensive Care Unit - $1,980 per week in Columbia, SCColumbia, SC$1,980Modules: Modules are billable, up to 16 hours Modules are completed pre-start and not included in NBO, and completed annually Modules are recorded in transcripts by Prisma Health, time is not entered into timecards Submittal Details: #Tier3 Travel ComplianceExtensions: Effective 2/1/26 (Nursing only, excluding CVOR) Travelers cannot extend for a 4th consecutive contract. Operating Room (including allied and SPT)Cath Lab (including allied)CT / MRI / IR Techs / Echo TechsMLTs, SLPs, PTs, OTs, Dietitians Adult ICUPrisma Health Tuomey (All open positions)Local radius: 60 miles For CRNAs onlyWill consider nurses with 1+ years of recent experience in unit.
NewNurse Manager I, Parkridge Surgery Center, FT, Days Prisma HealthNurse Manager I, Parkridge Surgery Center, FT, DaysColumbia, SCIn collaboration with the Unit Medical Director, develops quality indicators specific to the units' patient population; monitors quality of care using established benchmarks; and involves unit staff in planning and implementing performance improvement as appropriate. In lieu of the BSN requirement above, a nursing diploma or an Associate degree in Nursing may be considered if the applicant signs a Memorandum of Understanding agreeing to enroll in an accredited BSN or MSN program within one year and obtain a BSN or MSN degree within four (4) years.
NewTravel Nurse RN - Long-Term Care - $2,031 per week in Columbia, SC Prime StaffingTravel Nurse RN - Long-Term Care - $2,031 per week in Columbia, SCColumbia, SC$2,031.48Modules: Modules are billable, up to 16 hours Modules are completed pre-start and not included in NBO, and completed annually Modules are recorded in transcripts by Prisma Health, time is not entered into timecards Submittal Details: #Tier3 Travel ComplianceExtensions: Effective 2/1/26 (Nursing only, excluding CVOR) Travelers cannot extend for a 4th consecutive contract. Operating Room (including allied and SPT)Cath Lab (including allied)CT / MRI / IR Techs / Echo TechsMLTs, SLPs, PTs, OTs, Dietitians Adult ICUPrisma Health Tuomey (All open positions)Local radius: 60 miles For CRNAs onlyWill consider nurses with 1+ years of recent experience in unit.
NewPrimary Care Physician Oak Street HealthPrimary Care PhysicianWest Columbia, SCGraduate Internal Medicine or Family Medicine Board Certification (Or board eligible) Active, non-probationary, unrestricted State License Active DEA license US work authorization Preferred Qualifications: Fellowship training in Geriatrics Experience practicing medicine among Geriatric populations Experience operating in a Value-Based Healthcare Model Experience working in a collaborative setting to ensure positive health outcomes Experience in outpatient primary care settings Bilingual proficiency where applicable Anticipated Weekly Hours 40. Responsibilities: Assess and diagnose patients at our local clinics Oversee, direct, and administer primary care Prescribe and administer pharmaceutical treatments and medication Maintain Patient Electronic Medical Record data via canopy and greenway Collaborate with regional and central leadership to meet health quality goals Work with Practice Managers to direct and manage the center care team Other duties as assigned Required Qualifications: Medical Doctor (M.D.) or Doctor of Osteopathy (D.O.)
Caregiver SevitaCaregiverColumbia, SC$15.30Vehicles: May transport individuals into the community; drives safely and according to local laws; ensures proper use of safety equipment including seat belts, lifts and wheelchair ties; reports accidents to appropriate authorities immediately; reports accidents and safety concerns immediately to supervisor or maintenance personnel. Direct Support: Provides direct support or assistance in accordance with individual service or program plans; assists with socialization and behavioral development, personal care, housekeeping, recreational activities, transportation, community orientation, shopping, financial management, citizenship, and other activities of daily living.
Land Acquisitions Manager Lennar HomesLand Acquisitions ManagerColumbia, SCFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Requires the ability to work more than eight hours per day in the confined quarters of a construction trailer, the ability to operate a motor vehicle, read plans, climb stairs and ladders, bend, stoop, reach, lift, move and/or carry equipment which may be in excess of 50 pounds.
Project Manager Lennar HomesProject ManagerColumbia, SCFull timeLennar is one of the nation's leading homebuilders, dedicated to making an impact and creating an extraordinary experience for their Homeowners, Communities, and Associates by building quality homes and providing exceptional customer service, giving back to the communities in which we work and live in, and fostering a culture of opportunity and growth for our Associates throughout their career. Requires the ability to work more than eight hours per day in the confined quarters of a construction trailer, the ability to operate a motor vehicle, read plans, climb stairs and ladders, bend, stoop, reach, lift, move and/or carry equipment which may be in excess of 50 pounds.
NewCare Manager, Registered Nurse - Transition of Care, Physical Health Humana IncCare Manager, Registered Nurse - Transition of Care, Physical HealthSCRemote$71,100–$97,800 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Through our Humana insurance services and our CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it.
NewConcierge Care Manager BlueCross BlueShield of South CarolinaConcierge Care ManagerColumbia, South CarolinaRemoteRequired Licenses and Certificates: Active, unrestricted RN licensure from 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 licensure as a social worker, psychologist, or counselor in state of hire (Behavioral Health positions only). We are committed to working with and providing reasonable accommodations to individuals with disabilities, pregnant individuals, individuals with pregnancy-related conditions, and individuals needing accommodations for sincerely held religious beliefs, provided that those accommodations do not impose an undue hardship on the Company.
NewClinic Manager | Physical Therapist | Outpatient | Full Time CORA Physical TherapyClinic Manager | Physical Therapist | Outpatient | Full TimeLexington, SCAs a Clinic Manager - Physical Therapist (PT) at CORA, you’ll: Make a powerful impact on your local community through inclusive physical therapy treatment. The advertised sign-on bonus (up to $10,000) is available for qualified Clinic Manager - Physical Therapist candidates at select CORA clinic locations.
New(RN) Remote Care Manager - SC based Molina Healthcare Inc(RN) Remote Care Manager - SC basedColumbia, SCRemoteCompletes comprehensive assessments of members per regulated timelines and determines who may qualify for care management based on clinical judgment, changes in member health or psychosocial wellness and triggers identified in assessments. Develops and implements care coordination plan in collaboration with member, caregiver, physician and/or other appropriate health care professionals and member support network to address member needs and goals.
Registered Nurse (RN)-Continuum of Care Mgr, Full-Time, Days Prisma HealthRegistered Nurse (RN)-Continuum of Care Mgr, Full-Time, DaysColumbia, SCBased on assessment and in conjunction with patient/family, Provider and other healthcare team members, participates in the development of an initial Plan of Care and Self-Management Plan that highlight actual and potential opportunities for improving clinical outcomes and/or utilization patterns and decreasing gaps in care. As of July 1, 2018, incumbents without a BSN or MSN will have a grace period of one (1) year to enroll in an accredited BSN or MSN program and four (4) years to obtain a BSN or MSN from an accredited program.
NewField Care Manager Behavioral Health Humana IncField Care Manager Behavioral HealthSCRemote$65,000–$88,600 / yearWork at Home Requirements: To ensure Home or Hybrid Home/Office employees' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL connection is suggested. Individuals must carry vehicle insurance in accordance with their residing state minimum required limits, or $25,000 bodily injury per person/$25,000 bodily injury per event /$10,000 for property damage or whichever is higher.
Care Manager Bright Start AmeriHealth CaritasCare Manager Bright StartColumbia, SCThe Care Manager II develops a plan of care through shared decision making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status, compliance with treatment plans and promote self-management. Serves as the primary point of contact for the care team that includes Members, physicians as well as community supports to guide members in achieving their optimal level of health.
Care Manager II AmeriHealth CaritasCare Manager IIColumbia, SCRemoteThe Care Manager II develops a plan of care through shared decision making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status, compliance with treatment plans and promote self-management. Responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, medically complex, and behavioral health conditions and other health needs.
RN Care Manager - Intermediate ICU (IICU) Lexington Medical CenterRN Care Manager - Intermediate ICU (IICU)West Columbia, SCThus, the continuums of RN characteristics are derived from patient needs and are demonstrated by proficiency in the following: Clinical Judgment - Synthesizes and interprets multiple, sometimes conflicting, sources of data; makes judgment based on an immediate grasp of the whole picture, unless working with new patient populations; uses past experiences to anticipate problems; helps patient and family see the "big picture"; recognizes the limits of clinical judgment and seeks multi-disciplinary collaboration and consultation with others; recognizes and responds to the dynamic situation. Facilitation of Learning - Creatively modifies or develops patient/family education programs; integrates patient/family education throughout delivery of \ care; evaluates patients understanding by observing behavior changes related to learning; is able to collaborate and incorporate all healthcare providers and educational plans into the patient/family educational program; sets patient-driven goals for education; sees patient/family as having choices and consequences that are negotiated in relation to education.
NewRN Patient Care Manager National HealthCare CorpRN Patient Care ManagerWest Columbia, SCJoin our supportive, family-oriented team at NHC HealthCare Lexington, where your skills and heart for care can truly make a difference. Location: NHC HealthCare Lexington, 2993 Sunset Blvd, West Columbia, SC 29169.
Behavioral Health Care Manager, Columbia, FT, Day Prisma HealthBehavioral Health Care Manager, Columbia, FT, DayColumbia, SCResponsible for evidence-based, brief psychiatric interventions with enrolled patients, coordinating and supporting mental health care within the primary care practice, coordinating and facilitating referrals to clinically indicated services outside the practice and working with other mental health providers when such treatment is indicated. Serving as a vital member of the interdisciplinary team, helps manage and/or connect patients to behavioral health care, that involves the patient, patient's primary care provider (PCP), a psychiatric consultant (where needed), and when available, other mental health providers in and out of the primary care practice.
Nurse Manager - Special Care Nursery (SCN) Lexington Medical CenterNurse Manager - Special Care Nursery (SCN)West Columbia, SCAbility to acquire and administer human, financial, material and information resources in a manner that instills staff and customer trust and accomplishes the organization's mission: Proficient in human resource management, developing employees by offering challenging growth opportunities and managing performance by overseeing work, providing feedback and holding employees accountable for unsatisfactory behavior. Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina.
Registered Nurse (RN)-Valued Based Care (VBC)-Post Acute Program Manager, , Full-Time, Days Prisma HealthRegistered Nurse (RN)-Valued Based Care (VBC)-Post Acute Program Manager, , Full-Time, DaysColumbia, South CarolinaDevelops partnerships with post-acute care facilities and other providers participating with inVio Health Network and other post-acute facilities as needed, Community Resources, and Prisma Health Hospital and Physician Leadership with a focus on alignment of clinical, operational, and business activities related to these partnerships through in-depth understanding of level-of-care environments. Develops and utilizes systems to continuously audit, evaluate, and report post-acute composition, performance, and quality improvement to the inVio Health Network Leadership and Committees, Department of Medicine, Mobile Integrated Health, Hospital Care Management, Geriatrics Department, and other appropriate stakeholders utilizing written and verbal articulation of objectives, roles, and initiative outcomes utilizing appropriate data sources.
Manager Clinical Care Experience- Accreditation and Readiness Midlands Market FT, Day Prisma HealthManager Clinical Care Experience- Accreditation and Readiness Midlands Market FT, DayColumbia, SCPrimary role is to ensure the local functional partners for (safety, quality, infection prevention, patient experience and patient advocacy) develop and mature their skills and execute on the Pulse clinical operating system. In lieu of Master's Degree, minimum seven (7) years' experience in a healthcare setting in roles related to safety, quality, infection prevention, patient experience, or patient advocacy required.
NewCase Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseSC$60,522–$129,615 / yearThe Care Manager-Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible for coordinating care for members who often face multiple chronic medical and behavioral health conditions, as well as various social determinants of health (SDoH) needs. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress, advocates for necessary services, and collaborates with the interdisciplinary care team to ensure optimal health outcomes.
Hospice RN Nurse Case Manager Your Health OrganizationHospice RN Nurse Case ManagerColumbia, SCWe are a leading physician group serving South Carolina and Georgia, dedicated to delivering quality healthcare directly to patients in care facilities, homes, clinics, and virtual visits. The Nurse Case Manager will be required to travel to patients’ homes, long-term care facilities, etc. to evaluate patients and initiate telemedicine visits.
Medical Case Manager II CorVel CorpMedical Case Manager IIColumbia, SCRemote$66,941–$101,258 / yearIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel's proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Case Manager Encompass Health Rehabilitation Hospital of ColumbiaCase ManagerColumbia, SCJoin Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.
Nurse Case Manager - Home IV Palmetto Infusion Services LLCNurse Case Manager - Home IVWest Columbia, SCEssential Functions: Provides infusion and other skilled nursing care to patients including, but not limited to: Patient assessment and reassessment; Patient and caregiver education/teaching; Development and revision of the Plan of Care and the Plan of Treatment; Implementation of physician orders; Monitoring patient response; Response to emergency patient needs; Psychosocial support. About the Role: The Nurse Case Manager - Home Infusion (Nurse Case Manager - Home IV) coordinates patient care needs between the home infusion pharmacy, home health agency, hospital, physician office, and managed care providers for patients in the home setting.
RN Case Manager BONUS Crescent HospiceRN Case Manager BONUSColumbia, South Carolina$70,000–$80,000 / yearFull timeAt Crescent Hospice, we look for dedicated professionals who share our belief that true hospice care extends beyond medical needs—it’s about bringing dignity, peace, and human connection to every life we touch. Nurturing Direct Care: As an RN Case Manager, you're not just coordinating care – you're a source of comfort and support for patients, ensuring their comfort and quality of life remain paramount.
Behavioral Health Case Manager II BlueCross BlueShield of South CarolinaBehavioral Health Case Manager IIColumbia, South CarolinaRemoteProvides telephonic support for members with chronic conditions, high-risk pregnancy or other at-risk conditions that consist of: intensive assessment/evaluation of condition, at-risk education based on members’ identified needs, provides member-centered coaching utilizing motivational interviewing techniques in combination with reflective listening and readiness to change assessment to elicit behavior change and increase member program engagement. Required License/Certificate: An active, unrestricted RN license from 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, unrestricted licensure as social worker from the United States and in the state of hire (in Div.
Medical Case Manager II CorVel Healthcare CorporationMedical Case Manager IIColumbia, SCRemote$66,941–$101,258 / yearPart timeIn addition, Medical Case Managers are eligible for bonus and will be provided state-of-the-art technological devices to ensure ready access to CorVel’s proprietary Case Management application, enabling staff to retrieve documents on the go and log activities as they occur. Pay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.
Case Manager, Registered Nurse (Oncology experience required) CVS Health CorpCase Manager, Registered Nurse (Oncology experience required)SC$54,095–$155,538 / yearApplies clinical judgment to the incorporation of strategies designed to reduce risk factors and barriers and address complex health and social indicators which impact care planning and resolution of member issues. A RN who resides in a compact state is required to have an active multistate license through the Nurse Licensure Compact (NLC), allowing practice across participating states with one license.
NewCase Manager - Registered Nurse CVS Health CorpCase Manager - Registered NurseSC$60,522–$129,615 / yearAssesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Telephonic Case Manager I - Columbia, SC CorVel CorpTelephonic Case Manager I - Columbia, SCColumbia, SCRemote$63,739–$95,264 / yearPay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
Insurance Case Manager - Home IV Palmetto Infusion Services LLCInsurance Case Manager - Home IVColumbia, SCFor our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities. We strive for more than personal service - always delivering a warm and attentive health care experience that boosts patients' state-of-mind, improves their health, and quality of life.
Case Manager - Registered Nurse - Southeast Region CVS Health CorpCase Manager - Registered Nurse - Southeast RegionSC$60,522–$129,615 / yearAssesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's appropriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
Insurance Case Manager Palmetto Infusion Services LLCInsurance Case ManagerColumbia, SCFor our employees, The Palmetto Experience means we serve and support people in our purpose to restore health and hope, we build a culture of belonging and collaboration, we deliver on our promise to treat people with respect and empathy, and we strive to embrace change and search for new opportunities. policies and/or FDA guidelines providing the initial clinical review; Documents in the EMR system the clinical rationale supporting the approval or denial of an infusion service based on the payer policy or FDA guidelines.
NewCase Manager, Registered Nurse - Southeast Region CVS Health CorpCase Manager, Registered Nurse - Southeast RegionSC$54,095–$116,760 / yearAssesses and analyzes injured, acute, or chronically ill members/clients medical and/or vocational status; develops a plan of care to facilitate the member/client's ap‐ propriate condition management to optimize wellness and medical outcomes, aid timely return to work or optimal functioning, and determination of eligibility for benefits as appropriate. Implements and coordinates all case management activities relating to catastrophic cases and chronically ill members/clients across the continuum of care that can include consultant referrals, home care visits, the use of community resources, and alternative levels of care.
NewNursing Case Manager (Full-Time) - Case Management McLeod HealthNursing Case Manager (Full-Time) - Case ManagementSCCommunicates information to the Utilization Management or Case Management team to aid in appropriate level of care determination and reimbursement by third party payors as well as working closely with Physician Advisory team on concurrent denials to ensure most appropriate level of care prior to billing. Case Manager examines records for medical treatments and interventions to avoid payment denial resulting in optimization in reimbursement by assessing appropriateness of treatments, effectiveness, timing, and setting.
Registered Nurse Case Manager - Case Management McLeod HealthRegistered Nurse Case Manager - Case ManagementSCCommunicates information to the Utilization Management or Case Management team to aid in appropriate level of care determination and reimbursement by third party payors as well as working closely with Physician Advisory team on concurrent denials to ensure most appropriate level of care prior to billing. Case Manager examines records for medical treatments and interventions to avoid payment denial resulting in optimization in reimbursement by assessing appropriateness of treatments, effectiveness, timing, and setting.
Telephonic Case Manager I - Columbia, SC CorVel Healthcare CorporationTelephonic Case Manager I - Columbia, SCColumbia, SCRemote$63,739–$95,264 / yearPart timePay rates are established taking into account the following factors: federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions. URAC recognized Case Management certification (ACM, CCM, CDMS, CMAC, CMC, CRC, CRRN, COHN, COHN-S, RN-BC) required to be obtained within 3 years of hire if no nationally recognized certification is present at time of hire.
Therapist Case Manager University Health Services IncTherapist Case ManagerWEST COLUMBIA, SCOperating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. Responsibilities Three Rivers Midlands is seeking a dynamic & talented Full-time Therapist/Case Manager Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral Health Services (RBH).
Nurse Case Manager - Home IV Palmetto Infusion Services, LLCNurse Case Manager - Home IVWest Columbia, SCPart timeProvides infusion and other skilled nursing care to patients including, but not limited to: Patient assessment and reassessment; Patient and caregiver education/teaching; Development and revision of the Plan of Care and the Plan of Treatment; Implementation of physician orders; Monitoring patient response; Response to emergency patient needs; Psychosocial support. The Nurse Case Manager – Home Infusion (Nurse Case Manager – Home IV) coordinates patient care needs between the home infusion pharmacy, home health agency, hospital, physician office, and managed care providers for patients in the home setting.
Nurse Case Manager - Home IV Palmetto Infusion CareersNurse Case Manager - Home IVWest Columbia, South CarolinaProvides infusion and other skilled nursing care to patients including, but not limited to: Patient assessment and reassessment; Patient and caregiver education/teaching; Development and revision of the Plan of Care and the Plan of Treatment; Implementation of physician orders; Monitoring patient response; Response to emergency patient needs; Psychosocial support. The Nurse Case Manager – Home Infusion (Nurse Case Manager – Home IV) coordinates patient care needs between the home infusion pharmacy, home health agency, hospital, physician office, and managed care providers for patients in the home setting.