Digital Health Specialist - Physical Therapist - Hybrid- 2 days remote, 3 days in clinic CORA Physical TherapyDigital Health Specialist - Physical Therapist - Hybrid- 2 days remote, 3 days in clinicCamden, SCRemoteCORA Physical Therapy provides a full range of outpatient services for clients with orthopedic problems, work-related injuries, sport injuries, and neuromuscular and neurological conditions. This is a hybrid position working 3 days in person at our CORA Hinesville clinic location and two days working remotely as a Digital Health Specialist.
IT Healthcare Consultant - Business Analyst - Advanced Lumen Solutions Group, Inc.IT Healthcare Consultant - Business Analyst - AdvancedColumbia, SCRemoteAccess to a virtual desktop set up (software) will be provided by Lumen s client, allowing the user access to the required systems and technology.*** . Must have current, active, and non-restricted licensure by the State of South Carolina Board of Nursing as a Registered Nurse.
Customer Communications Business Development Executive ( Hybrid- NY, NJ, PA, CT, MA, MD, NC, SC, FL) Broadridge Financial Solutions IncCustomer Communications Business Development Executive ( Hybrid- NY, NJ, PA, CT, MA, MD, NC, SC, FL)Columbia, SCRemote$140,000–$165,000 / yearThrough powerful technology, advanced services, and data-driven insights, we help clients streamline operations, navigate complexity, and deliver smarter, more meaningful communications to their customers. In this role, you will engage senior executives, uncover complex business challenges, and originate transformational opportunities that position Broadridge as a trusted partner in modernizing client communications, customer engagement, and operational performance.
Utilization Management Registered Nurse Humana IncUtilization Management Registered NurseSCRemote$71,100–$97,800 / yearWork-at-Home Information: 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.
NewRegistered Nurse, Non-Institutional / 60019567 State of South CarolinaRegistered Nurse, Non-Institutional / 60019567Richland County, SCRemoteConducts pre-admission screening for persons seeking Medicaid sponsored nursing home placement and for persons seeking admission to various Medicaid waivers and programs such Community Choices, HIV-AIDS, HASCI, Childrens Personal Care, TEFRA, and PASRR. The South Carolina Department of Health and Human Services offers an exceptional benefits package for FTE and TGE positions that includes: Health, Dental, Vision, Long Term Disability, and Life Insurance for Employee, Spouse, and Children.
Registered Nurse - Managed Care Coordinator - (13234) InGenesisRegistered Nurse - Managed Care Coordinator - (13234)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.
Utilization Management, Nurse Humana IncUtilization Management, NurseSCRemote$71,100–$97,800 / 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. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.
NewRemote Call Center Triage Registered Nurse CVS Health CorpRemote Call Center Triage Registered NurseSCRemote$26.01–$74.78 / hourThe progression path from Level I to Level II positions within the Triage RN team is a structured path that encourages nurses to widen their knowledge base, take on more responsibility, demonstrate expertise, and reward team members for their proven success and dedication. Role Description: The Clinical Call Center Triage Nurse effectively extends care during and outside of regular Oak Street Health clinic hours by addressing patients' medical, social, and psychological needs telephonically.
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.
Quality Compliance Professional Humana IncQuality Compliance ProfessionalSCRemoteWork 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.
On-Site Care Coordinator (RN) - Lexington, SC Community Health Solutions of America, Inc.On-Site Care Coordinator (RN) - Lexington, SCLexington, South CarolinaRemoteWhile performing the essential functions of this position, the employee will regularly use a computer, telephone, and other office equipment; communicate with patients, caregivers, providers, and team members through various electronic platforms; and enter, retrieve, and maintain information in multiple electronic health record (EHR) and Medicaid documentation systems. Demonstrated computer proficiency with Microsoft Office, electronic health record (EHR/EMR) systems, Medicaid documentation and care management platforms, and the ability to efficiently navigate multiple electronic systems while maintaining accurate, timely, and compliant clinical documentation in accordance with state and regulatory requirements.
RN Behavioral Health Concierge Care Manager BlueCross BlueShield of South CarolinaRN Behavioral Health Concierge Care ManagerSouth CarolinaRemoteIn this role as an RN Behavioral Health Concierge Care Manager, you will provide care management services to more than 2 million members in South Carolina and nationally, administer complex, high-touch concierge case management for members identified into specialized programs such as high-risk maternity, NICU, ESRD, Cancer, Palliative Care or Behavioral Health, identify risks and provides outreach services to facilitate the coordination of healthcare services and gap closure, and provide individualized care plans to ensure cost-effectiveness, overall care satisfaction, and improved quality of life. Required 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.
NewDirector of Sales & Business Development Harris Computer SystemsDirector of Sales & Business DevelopmentSCRemote$80,000–$110,000 / yearYou'll work alongside experienced professionals, including a professional services team comprised of Registered Nurses and former perioperative staff, who bring deep clinical expertise and a customer-centric perspective to every challenge. About Picis: Join Picis, a global leader in perioperative and critical-care information systems, where you'll be part of a team that is genuinely pleased with their colleagues and thrives in a positive, comfortably fast-paced environment.
RN Health Care Facility Surveyor Greenlife Healthcare StaffingRN Health Care Facility SurveyorColumbia, SCRemote$75,000–$90,000 / yearThe Surveyor will serve as a team member or team leader on various types of surveys (i.e. re-certification, comparative, complaint investigation, and revisits) for long-term care and non-long-term care surveys, which can include; ambulatory surgical centers (ASC), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs/IID), end-stage renal disease (ESRD), Psychiatric Residential Treatment Facility (PRTF), hospital, critical access hospital, and hospice facilities. Impact Recruiting Solutions is currently seeking a RN Health Care Facility Surveyor to fill an opening with a Quality Improvement Consulting Company and will work in a technically exciting environment supporting internal and external customers nationwide.
NewUtilization Review Clinician - Behavioral Health Centene Corporation GroupUtilization Review Clinician - Behavioral HealthSCRemote$27.02–$48.55 / hourYou'll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning.