NewRegistered Nurse (RN)-Hospital Case Manager, PRN, Days Prisma HealthRegistered Nurse (RN)-Hospital Case Manager, PRN, DaysColumbia, SCIn 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. Integral care team partner that focuses on patient engagement and activation, has primary accountability for patients'' care transition out of the acute care setting and positively impacts longitudinal care plan alignment.
Medical Case Manager-HIV, Infectious Disease, FT, Days Prisma HealthMedical Case Manager-HIV, Infectious Disease, FT, DaysColumbia, South CarolinaProvides outpatient HIV medical case management services and patient advocacy through education, counseling, advocacy, benefits assessment and enrollment, and coordination of services. Provides services to people living with HIV/AIDS who are medically managed through the grant-funded Ryan White Program – Division of Infectious Diseases.
NewSocial Worker Case Manager - (13250) InGenesisSocial Worker Case Manager - (13250)Columbia, SCRemoteAs the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. With decades of experience, InGenesis has grown into one of North America’s most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions.
NewAnalyst, Case Management - Transition of Care (Care Coordinator) CVS Health CorpAnalyst, Case Management - Transition of Care (Care Coordinator)SC$21.10–$36.78 / hourThrough the use of care management tools and information/data review, conducts comprehensive evaluation of referred member's needs/eligibility and recommends an approach to case resolution and/or meeting needs by evaluating member's benefit plan and available internal and external programs/services. Using holistic approach, consults with case managers, supervisors, Medical Directors and/or other health programs to overcome barriers to meeting goals and objectives; presents cases at case conferences to obtain multidisciplinary review in order to achieve optimal outcomes.
Case Manager - Utilization Management McLeod HealthCase Manager - Utilization ManagementSouth Carolina, SCCommunicates 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.
Social Worker II - Case Management McLeod HealthSocial Worker II - Case ManagementSouth Carolina, SCThe hospitals within McLeod Health include: McLeod Regional Medical Center, McLeod Health Dillon, McLeod Health Loris, McLeod Health Seacoast, McLeod Health Cheraw, McLeod Health Clarendon and McLeod Behavioral Health. With seven hospitals, McLeod Health operates three Health and Fitness Centers, a Sports Medicine and Outpatient Rehabilitation Center, Hospice and Home Health Services.
NewRN Case Management Coordinator (W@H SC) BlueCross BlueShield of South CarolinaRN Case Management Coordinator (W@H SC)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 counselor, or psychologist from the United States and in the state of hire (in Div.
RN Case Management Supervisor BlueCross BlueShield of South CarolinaRN Case Management SupervisorSouth 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, unrestricted Professional Healthcare Licensure and/or Certification from the United States and in the state of hire, in area of specialty; OR, active, unrestricted licensure as Licensed Master Social Worker, Licensed Independent Social Worker, or Licensed Professional Counselor from the United States and in the state of hire; OR, if Master's in Public Health or Healthcare Administration, three years of additional experience in health-related field. In this role as a Case Management Supervisor, you will be responsible for the supervision and maintenance of the daily functions of the following areas: Utilization Review/Review Nurses, Case Management, Medical Review, Health/Disease Management, Quality Management, and/or appeals, to include departmental staff and specialty programs.
Case Manager/PT - Case Management McLeod HealthCase Manager/PT - Case ManagementSouth Carolina, SCCommunicates 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.
Staff - Registered Nurse (RN) - Hospice - $68K-88K per year GentivaStaff - Registered Nurse (RN) - Hospice - $68K-88K per yearColumbia, SC$68,000–$88,000 / yearSpecialized Knowledge and Skills: Knowledge of terminally ill patients and their families along with understanding of hospice; ability to apply knowledge of the special needs of hospice patient and families; knowledge of roles of all disciplines providing hospice services; excellent patient assessment skills; knowledge of community resources; good oral and written communication skills; documentation and program management; knowledge of general nursing practice; thorough knowledge of managed care principles, regulatory guidelines (i.e., Medicare, Medicaid, ACHC, and human resource management principles). Our nationwide reach is powered by a family of trusted brands that include: Hospice care: Gentiva Hospice, Emerald Coast Hospice Care, Heartland Hospice, Hospice Plus, New Century Hospice, Regency SouthernCare, SouthernCare Hospice Services, SouthernCare New Beacon.