Registered Dietitian - Cancer Coordination - Hybrid (onsite with some remote) McLeod HealthRegistered Dietitian - Cancer Coordination - Hybrid (onsite with some remote)Florence, SCRemoteProvide clinical nutritional services in the form of nutrition assessments, education and medical nutrition therapy for patients at MRMC Outpatient Oncology Services. The 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.
IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding Specialist InterSources Inc.IT Healthcare Consultant Business Analyst - Advanced (Clinical Analyst & Coding SpecialistColumbia, SCRemoteInterSources Inc , is a Small, Woman, and Minority-Owned Business Enterprise, ISO/IEC 27001, SOC 2 Type 2 certified company with massive 18+ years of diversified experience in providing IT Consulting Services, Artificial Intelligence, Data Analysis, Application Development, Cloud Services, Cybersecurity, Digital Marketing, ERP Management, Custom Software Development, Web Development, UI/ UX Design, System Integration, QA Support etc. Job Title: IT Healthcare Consultant – Business Analyst - Advanced (Clinical Analyst & Coding Specialist) ( 11013).
NewInsurance Sales Representative (Remote/Hybrid | Local Territory) The Compass Business GroupInsurance Sales Representative (Remote/Hybrid | Local Territory)Chapin, South CarolinaRemoteOur mission-driven team thrives on service, integrity, and results empowering you to make a meaningful impact while building a successful career. At Compass Business Group , we help protect families, teams, and small businesses through supplemental insurance solutions.
Director, Healthcare Services - REMOTE Molina Healthcare IncDirector, Healthcare Services - REMOTECharleston, SCRemoteRegistered Nurse (RN), Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN), Licensed Clinical Social Worker (LCSW), Licensed Marriage and Family Therapist (LMFT), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW). At least 8 years of health care experience, and at least 5 years of managed care experienced in one or more of the following areas: utilization management, care management, care transitions, behavioral health, long-term services and supports (LTSS), or equivalent combination of relevant education and experience.
IT Service Desk Analyst - Hybrid Role Ernest HealthIT Service Desk Analyst - Hybrid RoleGreenwood, South CarolinaRemoteFull timeKey responsibilities include thorough issue documentation, timely escalations, contributions to the IT knowledge base, and ensuring clear, timely communication with end-users and internal IT teams. The analyst also plays a role in event management, communicating initial details and resolution notices for critical outages to effectively inform IT teams and hospital business partners.
Director, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available) A&E Television Networks, LLCDirector, Business Development & Strategy - Global Content Sales (Hybrid + Remote Options Available)SCRemote$159,643–$186,783 / yearThis role partners closely with Global Content Sales leadership and cross-functional stakeholders to develop business strategies, evaluate new market opportunities, structure commercial partnerships, and deliver executive-level insights that inform key strategic decisions. WHAT YOU'LL DO: Lead and execute business development initiatives across international FAST channel platforms, strategic distribution partnerships, and emerging digital media platforms to drive revenue, growth and expand market presence.
(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity Rivia Mind - Mental Healthcare(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth OpportunityColumbia, SCRemote$220,000–$260,000 / yearLocation Eligibility: At this time, we are only able to consider applicants whose primary residence is in one of the following states within the United States of America: Connecticut, Florida, Massachusetts, New Jersey, New York, North Carolina, Pennsylvania, South Carolina, Texas. Compensation Determination: The pay range listed reflects the minimum and maximum base salary for this role, determined through an internal compensation assessment that considers similar labor markets to our practice across the United States.
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.
Registered Nurse (RN) Clinical Specialist - Oncology & Bone Marrow Transplant - Roper Hospital Roper St. Francis HealthcareRegistered Nurse (RN) Clinical Specialist - Oncology & Bone Marrow Transplant - Roper HospitalCharleston, SCRemoteLicensure/Certification: Currently licensed as a Registered Nurse in the state of South Carolina or holds a current compact/multi-state license as a Registered Nurse in a recognized NCSBN Compact State and is not a permanent resident of SC. Job Summary: The RN Clinical Specialist exhibits current clinical knowledge and expertise for designated patient populations and is accountable for continued competence in nursing practice and clinical outcomes in accordance with current evidenced - based practice guidelines.
Registered Nurse, Non-Institutional (Nurse Investigator) / 60018429, 61096625 State of South CarolinaRegistered Nurse, Non-Institutional (Nurse Investigator) / 60018429, 61096625Richland County, SCRemote$70,455–$73,000 / yearDevelop case reviews to include as determined 1) conduct unannounced onsite visit and obtain medical records, 2) Request medical records 3) send provider/recipient survey letters 4) send provider self-audit letter, 5) request additional information or documentation or 6) make telephone calls to recipients to verify services 7) Coordinate and correspond case actions with Managed Care Organizations (referring providers timely), 8) Coordinate and correspond cases and complaints with the Investigator 9) Coordinate, correspond and assist in Agency's special projects (TPL, HYDE, etc.) and contractor reviews such as UPIC, RAC, etc. Evaluate paid claims history data and determine the following: 1) patterns of practice and adherence to Medicaid program policy and procedures; 2) research information and make decisions utilizing nursing knowledge and expertise in evaluating health delivery patterns of individual providers and specialties; 3) use appropriate methodology to conduct comparison studies, focus reviews, and random sampling, review universe of claims, self-audit, line by line sample or random sampling.
Registered Nurse (Remote Patient Monitoring and Chronic Care Management) ResPro HealthRegistered Nurse (Remote Patient Monitoring and Chronic Care Management)Greenville, SCRemote$55,000–$65,000 / yearAssist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.). ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices.
Registered Nurse (Remote Patient Monitoring And Chronic Care Management) ResPro HealthRegistered Nurse (Remote Patient Monitoring And Chronic Care Management)Greenville, SCRemote$55,000–$65,000 / yearAssist patients in the navigation of their healthcare (example - assisting patients with scheduling appointments, coordinating with specialists, and ensuring preventative screenings are completed, etc.). ResPro Health is dedicated to providing our partners in the respiratory space with the tools and resources needed to implement meaningful programs like remote patient monitoring and chronic care management in their pulmonary practices.
PRN Home Infusion / IVIG RN AIS HealthcarePRN Home Infusion / IVIG RNColumbia, South CarolinaRemoteInfusion, Home Infusion, RN, Registered Nurse, IV Therapy, Home Health, Hospice, ER, Trauma, ICU, Pediatrics, PRN, Vascular Access, IV Team, Oncology, PICC, Central Line, Infusion clinic, Ambulatory infusion, Cath lab, Transplant, Case Manager. As a national leader in the home infusion / IVIG field, we seek those special RNs who not only possess strong clinical expertise with creative ideas but who also have the kind of deep compassion and sensitivity it takes to treat people in their homes.
NewCompliance UM Nurse (Wed - Sun) Humana IncCompliance UM Nurse (Wed - Sun)SCRemote$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.
Field 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.
NewRN Concierge Care Manager (Maternity/NICU) BlueCross BlueShield of South CarolinaRN Concierge Care Manager (Maternity/NICU)South CarolinaRemoteIn this role as an RN 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.
NewAssociate Director, Health Services Nursing Humana IncAssociate Director, Health Services NursingSCRemote$104,000–$143,000 / 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. The Associate Director, Health Services Nursing is responsible for driving excellence in care management (CM) and utilization management inpatient (UM) clinical operations through process improvement initiatives, process development, market enablement, targeted process audits, and training facilitation.
RN Health Care Facility Surveyor Impact Recruiting SolutionsRN Health Care Facility SurveyorColumbia, South CarolinaRemote$75,000–$90,000The 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 .
NewVA Clinical Liaison & Business Development Coordinator Medical University of South CarolinaVA Clinical Liaison & Business Development CoordinatorSouth CarolinaRemoteThis remote, Columbia-based role is responsible for growing appointment volume and service utilization at the William Jennings Bryan Dorn VA Medical Center (Dorn VAMC) through clinical navigation, provider relationship development, and strategic engagement with VA and MUSC Midlands Division leadership. Current 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!
NewVA Clinical Liaison & Business Development Coordinator MUSCVA Clinical Liaison & Business Development CoordinatorSouth CarolinaRemoteThis remote, Columbia-based role is responsible for growing appointment volume and service utilization at the William Jennings Bryan Dorn VA Medical Center (Dorn VAMC) through clinical navigation, provider relationship development, and strategic engagement with VA and MUSC Midlands Division leadership. Current 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!
NewOn-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.
On-Site Care Coordinator (RN - Spartanburg SC territory) Community Health Solutions of America, Inc.On-Site Care Coordinator (RN - Spartanburg SC territory)Spartanburg, 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) Remote Care Review Clinician - Utilization Review Molina Healthcare Inc(RN) Remote Care Review Clinician - Utilization ReviewSCRemoteResponsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience.
(RN) Remote Care Manager - SC based Molina Healthcare Inc(RN) Remote Care Manager - SC basedGreenville, 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.
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.