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.
NewCase Management Director Encompass Health Rehabilitation Hospital of Rock HillCase Management DirectorWinnsboro, SCJoin us in this journey of care, compassion, and leadership as we work together to make a difference where it matters most, serving as a key member of our leadership team overseeing the day-to-day operations and management of our Case Management department. - Oversee the interdisciplinary plan of care and the discharge planning process to ensure the effectiveness and appropriateness of services with a central focus on census management, patient care outcomes, and key care indicators.
NewTravel Med Surg/Telemetry RN (Neuro & Stroke) - $2,052 per week Prime StaffingTravel Med Surg/Telemetry RN (Neuro & Stroke) - $2,052 per weekColumbia, SCREQUIRED CERTIFICATIONS======================== ACLS, BLS, NIHSSREQUIRED CLINICAL SKILLS========================= Starting IVs, accessing ports, managing PICC & central lines, peripheral IV care, blood product administration, PCA & heparin protocols HFNC, nasal cannula, trach management Telemetry (remote), dysrhythmia interpretation & management, Rapid Response Team use CVA care, spinal cord injury, traumatic brain injury, pre/post neurosurgery, continuous bladder irrigation, isolation precautions, surgical drain management, Feeding tube careUNIT DETAILS AND FLOATING========================== Ratios: 1:4-5 Patient Population & Unit Details: Adults with embolic & hemorrhagic strokes, seizures, neurosurgical cases (shunt revisions, tumor removals, craniotomies/cranioplasties). ID: 63816427 Shift: Day 3x12-Hour (07:00 - 19:30) Description: ** OPTION OF UPTO 26 WEEK ASSIGNMENT **POSITION: RN MS/Tele (Neuro & Stroke)====================================== Years of Experience Required: 1 yearSCHEDULING DETAILS AND CHARTING================================ Shift hours/Contract Length: Charting: 1 yr of EPIC experience required Weekend Requirement: Every Other RTO/Block & Special Scheduling Requests: ALL requests must be included with the submission.
NewStaff - 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.
Social Worker, Hospital Case Management, Full Time, Days Prisma HealthSocial Worker, Hospital Case Management, Full Time, DaysColumbia, South CarolinaCurrently licensed as a Licensed Master Social Worker (LMSW) by the state Board of Social Work Examiners or currently licensed as a Licensed Independent Social Worker (LISW) by the state Board of Social Work Examiners. Intervenes with patients and families regarding emotional, social, and financial consequences of illness and/or disability; accesses and mobilizes family/community resources to meet identified needs.
Nursing Case Manager (Full-Time) - Case Management McLeod HealthNursing Case Manager (Full-Time) - 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.
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.
Case Management Coordinator Paladin Consulting, Inc.Case Management CoordinatorColumbia, SC$30 / hourProvides telephonic support for members with chronic conditions, high risk pregnancy or other at risk conditions thatconsist 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. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness.
Case Management Specialist CVS Health CorpCase Management SpecialistSC$21.10–$36.78 / hourAs an essential member of our Special Needs Plan (SNP) care team, the telephonic Care Manager Specialist (CMS) plays a key role in coordinating the care of our members, particularly those with social determinants of health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, and other interdisciplinary care team participants to support the member in maintaining optimal health.
Director-Clinical- Case Management -RN MUSCDirector-Clinical- Case Management -RNColumbia, South CarolinaCurrent American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required If you like working with energetic enthusiastic individuals, you will enjoy your career with us! Collaborates with leaders to establish operating procedures, enhance clinical and non-clinical workflows, increase productivity, and improve overall quality outcomes and operational efficiencies within a variety of delivery settings.
Director-Clinical- Case Management -RN Medical University of South CarolinaDirector-Clinical- Case Management -RNColumbia, South CarolinaCurrent American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required If you like working with energetic enthusiastic individuals, you will enjoy your career with us! Collaborates with leaders to establish operating procedures, enhance clinical and non-clinical workflows, increase productivity, and improve overall quality outcomes and operational efficiencies within a variety of delivery settings.
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.
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.
Nurse Case Manager (RN) Your Health OrganizationNurse Case Manager (RN)West Columbia, SCScheduling Management and Oversight: Responsible for managing and overseeing the scheduling process completed by case managers to ensure providers and other disciplines have a well-structured and effective schedule. •Team Leadership: Lead and manage a care team consisting of healthcare professionals, including but not limited to nurses, social workers, therapists, and health coaches.
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.
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).
High Value Case Manager Morgan & Morgan, P.A.High Value Case ManagerColumbia, SCThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. As a High Value Case Manager, you must be highly organized and able to work on a varied caseload, take pride in what you do, you will assist the attorney in developing settlements, preparing documents and correspondence as needed.
Case Manager Morgan & Morgan, P.A.Case ManagerColumbia, SCThis employer participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S. If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (DHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment. From attorneys in all 50 states, to client support staff, creative marketing to operations teams, every member of our firm has a key role to play in the winning fight for consumer rights.
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.
Case Manager, Registered Nurse CVS Health CorpCase Manager, Registered NurseSC$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.
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.
Medical Case Manager - Team Lead, Infectious Disease, FT, Days Prisma HealthMedical Case Manager - Team Lead, Infectious Disease, FT, DaysColumbia, South CarolinaResponsible for the provision and evaluation of services delivered by assigned Medical Case Managers for delivery of competent, quality patient care and support services for assigned areas. Serves as Team Leader, coordinating the work of a group of assigned staff in the day-to-day operations of the team.
Remote Registered Nurse (RN) Case Manager ValerisRemote Registered Nurse (RN) Case ManagerColumbia, South CarolinaRemoteBacked by proven industry expertise, a deep commitment to patient care, the latest technology, and exceptionally talented team members, Valeris provides the data and strategic insights, patient support services and healthcare provider engagement tools to help life sciences companies successfully commercialize new products. calling and working with the patient’s insurance payer to determine coverage benefits, anticipated out-of-pocket costs associated with their therapy and resources for financial assistance, where applicable based upon needs communicated by the patient.
Case Worker, Behavioral Care, PRN, Days Prisma HealthCase Worker, Behavioral Care, PRN, DaysColumbia, SCCoordinates care and educates physicians and other staff to facilitate the effective use of clinical and financial resources, focusing on admission, concurrent/continued stay and discharge planning needs in an effort to obtain acute care certification for the patient. Serves as a resource to physicians, social workers and other staff for quality and utilization issues in the acute care environment as well as discharge planning needs.
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.
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.
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.
Enrollment Intake Specialist | Case Mgmt MMC GroupEnrollment Intake Specialist | Case MgmtColumbia, SCAlternate Search Titles - WIOA Case Manager, Workforce Eligibility Specialist, WIOA Enrollment Specialist, Workforce Development Specialist, WIOA Compliance Coordinator, Career Services Eligibility Specialist, WIOA Certification Specialist. Throughout the past 35+ years, MMC, one of the most trusted names in workforce management services, has successfully delivered strategic solutions to large and small businesses in numerous industries.
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.
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.
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.
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.
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.
Insurance Case Manager Palmetto Infusion CareersInsurance Case ManagerColumbia, South CarolinaFor 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.
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.
RN Case Manager Hospice $15k Sign-on Bonus Amedisys, Inc.RN Case Manager Hospice $15k Sign-on BonusWest Columbia, South Carolina$80,000–$85,000 / yearFull timeAs a Hospice RN Case Manager with Amedisys—one of the nation’s most respected leaders in hospice care—you’ll provide comfort, dignity, and deeply personal support to patients and families during life’s most meaningful moments. Develops, prepares, and maintains individualized patient care progress records with accuracy, timeliness and according to care center policies.
Licensed Practical Nurse - Chronic Care Management MUSCLicensed Practical Nurse - Chronic Care ManagementSouth CarolinaThis role supports ongoing care coordination, improves patient outcomes, reduces avoidable hospitalizations and emergency department utilization, and promotes patient engagement through structured monthly outreach, education, care plan management and promotes patient well-being through timely follow-up, education, and coordination of services. The LPN Care Team Member is responsible for conducting Chronic Care Management (CCM) outreach to patients with two or more chronic conditions.
Licensed Practical Nurse - Chronic Care Management Medical University of South CarolinaLicensed Practical Nurse - Chronic Care ManagementSouth CarolinaThis role supports ongoing care coordination, improves patient outcomes, reduces avoidable hospitalizations and emergency department utilization, and promotes patient engagement through structured monthly outreach, education, care plan management and promotes patient well-being through timely follow-up, education, and coordination of services. The LPN Care Team Member is responsible for conducting Chronic Care Management (CCM) outreach to patients with two or more chronic conditions.
CSS Attorney III - Midlands Region State of South CarolinaCSS Attorney III - Midlands RegionColumbia, SC$80,000–$111,500 / yearJob Duties: The Child Support Services County Attorney III is responsible for the preparation of Child Support Cases for Family Court; performance of activities in Court; the follow-up on these cases, including parent locate and processing of interstate cases; and is responsible for providing general child support services to clients as required or needed. I understand that by completion and submission of this application, that if I possess educational credentials that qualify me for the available position(s) and in the event I am offered a position with the SC Department of Social Services, I will be required to provide a certified official transcript within two (2) weeks of employment.
NewHome Health Medical Social Worker Humana IncHome Health Medical Social WorkerColumbia, SC$65,000–$88,600 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers - all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Field Reimbursement Manager - Kidney (Atlanta, GA, SC) Vertex Pharmaceuticals IncField Reimbursement Manager - Kidney (Atlanta, GA, SC)Columbia, SC$136,000–$204,000 / yearKey Duties and Responsibilities: Compliantly establish strong connections with key nephrology office personnel, including members of the care team and administrative staff responsible for prior authorizations and patient access to specialty medications, to support patient access to prescribed medications. At Vertex, our Total Rewards offerings also include inclusive market-leading benefits to meet our employees wherever they are in their career, financial, family and wellbeing journey while providing flexibility and resources to support their growth and aspirations.
Community Health Worker, Housing Specialist Humana IncCommunity Health Worker, Housing SpecialistSCRemote$41,900–$56,600 / yearWork-At-Home Requirements: To ensure Home or Hybrid Home/Office associates' ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office associates must meet the following criteria: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is recommended; wireless, wired cable or DSL connection is suggested. It addresses social determinants of health (SDOH) needs, improves self-management of chronic conditions, navigates the healthcare system, and promotes prevention and health education tailored to the needs of the communities we serve.
NewLBSW or LMSW Social Worker National HealthCare CorpLBSW or LMSW Social WorkerWest Columbia, SCWork with residents, families, significant others, and staff to provide support, information, and organization for taking a more proactive role in self-advocacy to improve the quality of life/care for individual residents and those who live and work within the nursing home and the community at large. Ensure or provide support and education to residents/family members/significant others to assist in their understanding of placement and facility issues and refer them to the appropriate social service agencies when the facility does not provide the needed services.
NewLBSW or LMSW Social Worker NHC HealthCare LexingtonLBSW or LMSW Social WorkerWest Columbia, SCFull timeWork with residents, families, significant others, and staff to provide support, information, and organization for taking a more proactive role in self-advocacy to improve the quality of life/care for individual residents and those who live and work within the nursing home and the community at large. Ensure or provide support and education to residents/family members/significant others to assist in their understanding of placement and facility issues and refer them to the appropriate social service agencies when the facility does not provide the needed services.
Social Worker-Healthy Start FT, Day Prisma HealthSocial Worker-Healthy Start FT, DayColumbia, SCEnsures that while participants are enrolled in the Prisma Healthy Start program, client will have help in dealing with social and emotional problems which interfere with his/her ability to respond to healthcare treatment. Works as part of an outreach team.\n \nJob Description\n \nEssential Functions\n\n All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health.
Social Worker FT, Day Prisma HealthSocial Worker FT, DayColumbia, South CarolinaCoordinates care in collaboration with members of the multi-disciplinary team to facilitate effective and efficient use of community and financial resources utilized by the participants served by the Prisma Healthy Start program. Ensures that while participants are enrolled in the Prisma Healthy Start program, client will have help in dealing with social and emotional problems which interfere with his/her ability to respond to healthcare treatment.
Clerical Worker TRC Talent SolutionsClerical WorkerColumbia, SCTemporaryHigh school diploma or equivalent required; associate or bachelor’s degree preferred (e.g., social services, healthcare administration, or related field. The Temporary Eligibility Specialist is responsible for reviewing, verifying, and processing applications and supporting documentation to determine eligibility for services or programs.
NewCommunity Health Navigator Reema Health, Inc.Community Health NavigatorColumbia, SCProactively engage with members using a comprehensive mix of outreach channels, including phone, text, email, and in-person visits. As a Community Health Navigator, or as we internally refer to as a Community Guide,, you'll build genuine relationships with members while actively guiding them towards greater engagement in their own healthcare.
NewChronic Care Manager (Remote - Compact States) Harris Computer SystemsChronic Care Manager (Remote - Compact States)Columbia, SCRemoteCare Managers are expected to complete due diligence on 100% of their assigned patients and complete billable encounters on 90% of the patients they are assigned each month unless patients are unable to participate due to current health conditions. High Speed Internet (Minimum Download - 18mbps/Upload 6mbps) and either a Desktop or Laptop computer in good working order (Has to be operation system of Windows or Mac) NO Chromebooks, iPads, or tablets.
Step-Down Patient Care Navigator University Health Services IncStep-Down Patient Care NavigatorWEST 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 in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom. The Step-Down Navigator will be responsible for communicating eligibility to key members of senior leadership & associated departments and will be responsible for routinely collecting and entering data, specific to Outpatient eligibility, into Midas for trending report purposes.