Coordinator, Managed Care I GEE Group, IncCoordinator, Managed Care IColumbia, SC$31 / hourProvides 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. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing their health, chronic illness, or acute illness.
Epic Willow Ambulatory Analyst ( EPIC Certification Required) - IT Acute Clinicals McLeod HealthEpic Willow Ambulatory Analyst ( EPIC Certification Required) - IT Acute ClinicalsSCAct as the primary departmental contact, leading communication and coordination efforts, and providing expert project management support to ensure successful project outcomes. Founded in 1906, McLeod Health is a locally owned and managed, not for profit organization supported by the strength of more than 900 members on its medical staff and more than 2,900 licensed nurses.
MUSC Health- Advanced Practice Provider (NP/PA) – Cardiothoracic Surgery – Columbia Medical Center Medical University of South Carolina HealthMUSC Health- Advanced Practice Provider (NP/PA) – Cardiothoracic Surgery – Columbia Medical CenterColumbia, SCMUSC Health Heart & Vascular Center has received the Society of Thoracic Surgeons’ 3-star rating 20 years in a row, is accredited by the Society of Chest Pain Centers, and is a BlueCross BlueShield of South Carolina BlueDistinction® Center for Cardiac Care. Bustling with energy and tradition, Columbia, SC, blends the vibrancy of a college town with the influence of a state capital, where historic landmarks stand alongside lively cafés, music venues, and spirited game-day crowds.
Medicare Risk Adjustment Manager (Southeast) CVS Health CorpMedicare Risk Adjustment Manager (Southeast)SC$54,300–$119,340 / yearThe role drives, in collaboration with the national and local risk adjustment teams, risk coding improvement activities within the region, medical record collection, provider collaboration and data sharing, general coding education and related activities, as well as other activities as assigned. 7+ years of experience in risk adjustment, clinical quality, or healthcare quality improvement required; experience supporting provider‑based or value‑based initiatives preferred.
Sr. CRA 2, FSP - Invitro Diagnostics Fortrea IncSr. CRA 2, FSP - Invitro DiagnosticsSCRemote$125,000–$140,000 / yearResponsibilities: Responsible for all aspects of study site monitoring including routine monitoring and close-out of clinical sites, maintenance of study files, conduct of pre-study and initiation visits; liaise with vendors; and other duties, as assigned -. Ensure the integrity of the data submitted on Case Report Forms (CRFs) or other data collection tools by careful source document Monitor data for missing or implausible data.
Sr. CRA 2, FSP - Oncology - East Coast Fortrea IncSr. CRA 2, FSP - Oncology - East CoastSCRemote$115,000–$140,000 / yearResponsibilities: Responsible for all aspects of study site monitoring including routine monitoring and close-out of clinical sites, maintenance of study files, conduct of pre-study and initiation visits; liaise with vendors; and other duties, as assigned -. Ensure the integrity of the data submitted on Case Report Forms (CRFs) or other data collection tools by careful source document Monitor data for missing or implausible data.
NewHospice Registered Nurse Gentiva Health Services Inc (Inactive)Hospice Registered NurseColumbia, SCSpecialized 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). Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis.
Hospice Registered Nurse - $5000 Sign on Bonus Gentiva Health Services Inc (Inactive)Hospice Registered Nurse - $5000 Sign on BonusColumbia, SCSpecialized 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). Personal Traits, Qualities and Aptitudes: Sensitivity to the impact of life and death issues faced by individuals with terminal illness; tact in dealing with these patients and their families; ability to support others at a time of crisis.
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.
MUSC Health Advanced Practice Provider (APP NP/PA) - Cognitive & Behavioral Neurology (SCAN) Medical University of South CarolinaMUSC Health Advanced Practice Provider (APP NP/PA) - Cognitive & Behavioral Neurology (SCAN)Columbia, SCAbout SCAN at MUSC Health: The South Carolina Alzheimer"s Network (SCAN) is a multi-site clinical program designed to provide patients with early and accurate diagnosis, individualized treatment plans, access to emerging Alzheimer"s therapies, longitudinal co-management with primary care providers, and opportunities to participate in leading-edge research. MUSC Health is seeking a compassionate and skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join the South Carolina Alzheimer"s Network (SCAN) within the Cognitive & Behavioral Neurology Division.
NewSales Manager (Optical Retail) Stanton OpticalSales Manager (Optical Retail)Columbia, SCSupport Brand Manager duties frequently acting as Manager on duty to accomplish the following objectives: Support store talent acquisition and talent development; including but not limited to direct recruiting, partnership with Recruiting Department, training new team members and ongoing development plans for store associates. By training you and encouraging you to take ownership of the role, you will be empowered to support store operations, train and coach associates, foster a strong partnership with the Clinical team and Lab Staff, leading to frequent exposure with Senior Leadership, and more.
Medical Director Wisconsin Physicians Service Insurance CorpMedical DirectorColumbia, SCThe Contractor Medical Director (CMD) is responsible for researching and reviewing clinical evidence in support of developing Local Coverage Determinations (LCDs), conducting medical review (MR) activities, providing clinical program outreach activities, taking party or participant status in Administrative Law Judge (ALJ) appeals hearings, and performing appeals. We recognize the benefits of employee engagement as an investment in our workforce-both current and future-to effectively seek, leverage, and include differing and unique perspectives that fuel agility and innovation on high-performing teams.
MUSC Health Advanced Practice Provider (APP NP/PA) – Cognitive & Behavioral Neurology (SCAN) Medical University of South Carolina HealthMUSC Health Advanced Practice Provider (APP NP/PA) – Cognitive & Behavioral Neurology (SCAN)Camden, SCThe South Carolina Alzheimer's Network (SCAN) is a multi-site clinical program designed to provide patients with early and accurate diagnosis, individualized treatment plans, access to emerging Alzheimer's therapies, longitudinal co-management with primary care providers, and opportunities to participate in leading-edge research. MUSC Health is seeking a compassionate and skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join the South Carolina Alzheimer's Network (SCAN) within the Cognitive & Behavioral Neurology Division.
MUSC Health Advanced Practice Provider (NP/PA) - Infectious Disease - Columbia, SC Medical University of South CarolinaMUSC Health Advanced Practice Provider (NP/PA) - Infectious Disease - Columbia, SCColumbia, SCAs part of the nationally recognized Medical University of South Carolina health system, the downtown campus is committed to delivering high-quality, patient-centered care supported by the innovation, research, and clinical expertise of one of the nation's leading academic medical centers. MUSC Health - Columbia Medical Center Downtown is seeking a compassionate and highly skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Infectious Disease team.
MUSC Health Advanced Practice Provider (NP/PA) – Infectious Disease – Columbia, SC Medical University of South CarolinaMUSC Health Advanced Practice Provider (NP/PA) – Infectious Disease – Columbia, SCColumbia, South CarolinaAs part of the nationally recognized Medical University of South Carolina health system, the downtown campus is committed to delivering high-quality, patient-centered care supported by the innovation, research, and clinical expertise of one of the nation’s leading academic medical centers. MUSC Health – Columbia Medical Center Downtown is seeking a compassionate and highly skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Infectious Disease team.
MUSC Health Advanced Practice Provider (APP NP/PA) – Infectious Disease APP Medical University of South Carolina HealthMUSC Health Advanced Practice Provider (APP NP/PA) – Infectious Disease APPColumbia, SCAs part of the nationally recognized Medical University of South Carolina health system, the downtown campus is committed to delivering high-quality, patient-centered care supported by the innovation, research, and clinical expertise of one of the nation’s leading academic medical centers. MUSC Health – Columbia Medical Center Downtown is seeking a compassionate and highly skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Infectious Disease team.
MUSC Health Advanced Practice Provider (NP/PA) – Infectious Disease – Columbia, SC MUSCMUSC Health Advanced Practice Provider (NP/PA) – Infectious Disease – Columbia, SCColumbia, South CarolinaAs part of the nationally recognized Medical University of South Carolina health system, the downtown campus is committed to delivering high-quality, patient-centered care supported by the innovation, research, and clinical expertise of one of the nation’s leading academic medical centers. MUSC Health – Columbia Medical Center Downtown is seeking a compassionate and highly skilled Advanced Practice Provider (Nurse Practitioner or Physician Assistant) to join our growing Infectious Disease team.
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.
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.
PRN Advanced Practice Provider (NP/PA) Urgent Care – Elgin, SC MUSCPRN Advanced Practice Provider (NP/PA) Urgent Care – Elgin, SCElgin, South CarolinaCompletion of an accredited Physician Assistant program and currently licensed or eligible for licensure as a Physician Assistant or completion of an accredited Nurse Practitioner Program and currently licensed or eligible for licensure as an APRN as noted below. The APP will join a busy and thriving urgent care working alongside physicians and advanced practice providers and must be able to work in a high-volume clinic while providing compassionate patient care.