NewLicensed Property & Casualty Insurance Agent - Remote USA TTECLicensed Property & Casualty Insurance Agent - Remote USANorth Charleston, SCRemoteWebcam participation is expected during all instructor‑led TTEC and client‑required training, either throughout the session or at designated times, and is encouraged during coaching sessions to support meaningful connection and collaboration. Your training experience includes engaging, instructor‑led online sessions that use both webcam video and audio, so you can connect visually with trainers, leaders, and fellow teammates.
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.
NewEnterprise Account Executive / Healthcare Zoom Communications IncEnterprise Account Executive / HealthcareSCRemoteWe set out to build the best collaboration platform for the enterprise, and today help people communicate better with products like Zoom Contact Center, Zoom Phone, Zoom Events, Zoom Apps, Zoom Rooms, and Zoom Webinars. As part of our award-winning workplace culture and commitment to delivering happiness, our benefits program offers a variety of perks, benefits, and options to help employees maintain their physical, mental, emotional, and financial health; support work-life balance; and contribute to their community in meaningful ways.
New(RN) Remote Care Manager - SC based Molina Healthcare Inc(RN) Remote Care Manager - SC basedCharleston, 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.
(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.
Nurse Practitioner Remote, SC License Required Galileo IncNurse Practitioner Remote, SC License RequiredSCRemoteOperating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients-on the phone, in the home, and everywhere in between. Day to day work includes telephonic outreach ("cold calls") and scheduled video/phone visits for patients who have recently been hospitalized and discharged.
Nurse Practitioner (Remote, SC License Required) GalileoNurse Practitioner (Remote, SC License Required)Charleston, SCRemoteOperating across 50 states, Galileo offers high-touch, data-driven, multi-specialty, longitudinal care to diverse and complex patients—on the phone, in the home, and everywhere in between. Day to day work includes telephonic outreach ("cold calls") and scheduled video/phone visits for patients who have recently been hospitalized and discharged.
NewRemote Benefits Enrollment Representative- South Carolina The Weatherspoon Agency (TWA)Remote Benefits Enrollment Representative- South CarolinaCharleston, SCRemotePrevious experience in customer service, sales, benefits, insurance, healthcare, education, or account management may be helpful but is not required. Selected candidates who are not currently licensed must complete the applicable state licensing requirements before conducting insurance business.
Remote Monitoring Equipment Specialist - Roper St. Francis Office Park Roper St. Francis HealthcareRemote Monitoring Equipment Specialist - Roper St. Francis Office ParkLadson, South CarolinaRemoteDemonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient's status and interprets the appropriate information needed to identify each patient's requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.. The Remote Monitoring Equipment (RME) Specialist is responsible for the programming, installation, pickup and troubleshooting of telemonitoring and emergency response equipment on home care patients.
\n \n Remote Overnight General Radiologist - Radiology Partners South Carolina\n \n Radiology Partners Inc\n \n Remote Overnight General Radiologist - Radiology Partners South Carolina\n \nSCRemote$500,000–$600,000 / yearTwo different hospitals are part of the community this practice serves: Piedmont Medical Center (a 288-bed, full-service hospital serving the Rock Hill community) and Fort Mill Medical Center (100 bed community hospital that serves the Fort Mill, SC and southern Charlotte communities). Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
\n \n Remote Day General Radiologist - Radiology Partners South Carolina\n \n Radiology Partners Inc\n \n Remote Day General Radiologist - Radiology Partners South Carolina\n \nSCRemote$500,000–$600,000 / yearTwo different hospitals are part of the community this practice serves: Piedmont Medical Center (a 288-bed, full-service hospital serving the Rock Hill community) and Fort Mill Medical Center (100 bed community hospital that serves the Fort Mill, SC and southern Charlotte communities). Using a proven healthcare services model, Radiology Partners provides consistent, high-quality care to patients, while delivering enhanced value to the hospitals, clinics, imaging centers and referring physicians we serve.
Genetic Counselor - Remote Labcorp Holdings IncGenetic Counselor - RemoteCharleston, SCRemote$88,000–$120,000 / yearLabcorp is a global leader in laboratory services, providing the insights and answers that help healthcare providers, patients, researchers, pharmaceutical companies and health systems make confident decisions and improve outcomes. As we shape the future of healthcare, we are leveraging advanced technologies, intelligent digital solutions and data-driven innovation across our operations to enhance how work gets done and deliver greater value to customers and patients.
Telemedicine Physician - Women's Hormone Expert - Remote (MD/DO only) Hone Health Medical RolesTelemedicine Physician - Women's Hormone Expert - Remote (MD/DO only)Charleston, South CarolinaRemoteFrom initially only treating men who want to manage their testosterone levels, we have grown our services to support weight loss, thyroid treatments, and now women’s health. Our services also include men’s hormone, weight loss and thyroid treatment and we would prefer to bring on physicians who have experience prescribing for patients in some or all of those categories as well.
Senior Account Executive, SaaS Sales (Remote - US) Yelp IncSenior Account Executive, SaaS Sales (Remote - US)Charleston, SCRemote$50,000–$65,000 / yearWhere required by law, a criminal background check will not be conducted until after a conditional offer of employment is made, and any evaluation of a candidate''s criminal background check will be subject to an individualized assessment that takes into account the candidate''s specific criminal records and the responsibilities and requirements of the particular role. Yelp Reservations and Yelp Waitlist are powerful tools that reach and engage diners with an unforgettable experience on the largest restaurant discovery platform in the world.
Senior Strategy Consultant (Opportunity for Remote Work) Medical University of South CarolinaSenior Strategy Consultant (Opportunity for Remote Work)Charleston, SCRemoteThe Senior Planning Associate is responsible for providing support, direction, consultation based on forecasting and modeling, market information, and other related internal and external data sources, to develop and track strategic and business plans for departments and Integrated Clinical Center of Excellence (ICCE). The Senior Strategic Consultant operates with a high degree of autonomy, mentors junior team members, and plays a leadership role in advancing the Office of Strategy's analytical capabilities and consultative impact.
Senior Strategy Consultant (Opportunity for Remote Work) MUSCSenior Strategy Consultant (Opportunity for Remote Work)Charleston, South CarolinaRemoteThe Senior Strategic Consultant operates with a high degree of autonomy, mentors junior team members, and plays a leadership role in advancing the Office of Strategy’s analytical capabilities and consultative impact. The Senior Strategy Consultant serves as a trusted advisor to executive leadership, clinical and operational leaders, and service line teams across MUSC Health.
Technical Recruiter (Remote Opportunity) VetsEZTechnical Recruiter (Remote Opportunity)Philadelphia, PARemoteYou will recruit for a wide range of Information Technology positions supporting cloud, software engineering, artificial intelligence (AI), machine learning (ML), data engineering, DevSecOps, cybersecurity, interoperability, enterprise architecture, and healthcare technology initiatives in a fast-paced, fully remote environment. Experience recruiting technical professionals in one or more areas such as software engineering, AI/ML, cloud computing, DevSecOps, cybersecurity, data engineering, systems administration, enterprise architecture, interoperability, product engineering, or healthcare IT.
Senior Inside Sales Consultant (Remote/Eastern Time) A Place for Mom IncSenior Inside Sales Consultant (Remote/Eastern Time)Charleston, SCRemoteTogether, we simplify the senior care search with free, personalized support - connecting caregivers and their loved ones to vetted providers from our network of 15,000+ senior living communities and home care agencies. This is a high-activity, performance-driven inside sales role focused on re-engaging families, managing a pipeline of opportunities, and converting interest into move-ins.
Coding Coordinator (REMOTE) BayCare Health SystemCoding Coordinator (REMOTE)Charleston, SCRemoteResponsibilities: The Medical Records Coding Coordinator performs reviews of medical records to assign or confirm appropriate diagnosis assignment of ICD-10-CM, ICD-10-PCS, CPT4, HCPCS and Modifiers. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Medical Records Coder III Outpatient (REMOTE) BayCare Health SystemMedical Records Coder III Outpatient (REMOTE)Charleston, SCRemoteResponsibilities: The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Our network consists of 16 community-based hospitals, a long-term acute care facility, home health services, outpatient centers and thousands of physicians.
Inpatient Coder Specialist (REMOTE) BayCare Health SystemInpatient Coder Specialist (REMOTE)Charleston, SCRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Inpatient Coder Specialist (PRN/ REMOTE) BayCare Health SystemInpatient Coder Specialist (PRN/ REMOTE)Charleston, SCRemoteResponsibilities: The Medical Records Advanced Inpatient Coding Specialist analyzes the multi day, multi-specialty complex documentation for inpatient encounters to assign integrated diagnosis and procedural code using ICD-10-CM and ICD-10-PCS coding systems. Serves as a liaison to Clinical Documentation Specialist Team and Quality Department for ICD-10 inpatient encounters for accurate code and MSDRG assignments as well as PSI/HAC reviews.
Technical Director (Remote) Blue Acorn iCi IncTechnical Director (Remote)SCRemote$140,000–$210,000 / yearBlue Acorn iCi is looking for a Technical Director to serve as a Cross-solution Subject Matter Expert and Architect across Adobe enterprise platforms including Adobe Commerce, Adobe Experience Manager (AEM), Edge Delivery Services, Adobe Experience Platform (AEP), Adobe Journey Optimizer (AJO), Adobe Real-Time CDP (RT-CDP), Adobe Customer Journey Analytics (CJA), Adobe App Builder, Adobe Workfront, and Adobe Firefly-bridging the gap between technical excellence and business outcomes throughout the full SDLC. Possesses direct architectural experience with multiple Adobe enterprise platforms such as Adobe Commerce, Adobe Experience Manager (AEM), Edge Delivery Services, Adobe Experience Platform (AEP), Adobe Journey Optimizer (AJO), Adobe Real-Time CDP (RT-CDP), Adobe Customer Journey Analytics (CJA), Adobe App Builder, Adobe Workfront, Adobe Firefly, and other emerging Adobe Enterprise Technologies.
Appeals Pharmacist (Remote) Pharmacy CareersAppeals Pharmacist (Remote)Charleston, South CarolinaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior managed care or utilization management experience preferred — retail and hospital pharmacists with strong clinical and documentation skills are encouraged to apply. This role is ideal for pharmacists who want to leverage their clinical knowledge and critical thinking skills to advocate for patients and ensure fair, evidence-based decisions.
NewStrategic Account Executive - Chicago (Remote) UnframeStrategic Account Executive - Chicago (Remote)North Charleston, SCRemoteWith over $100M in TCV secured within 12 months, and a new $50M Series B led by Highland Europe, Unframe is rapidly scaling globally alongside Fortune 500 customers, backed by Bessemer, Craft, and TLV. Lead complex, multi-stakeholder sales cycles into highly regulated industries (FinServ, Healthcare, Manufacturing, Retail) where our on-premises capabilities provide a competitive advantage.
Remote Prior Authorization Pharmacist Pharmacy CareersRemote Prior Authorization PharmacistCharleston, South CarolinaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Prior authorization, utilization management, or managed care preferred — retail or hospital pharmacists with strong clinical judgment are encouraged to apply. A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies.
Case Management Pharmacist (Remote) Pharmacy CareersCase Management Pharmacist (Remote)Charleston, South CarolinaRemoteLicensure: Active and unrestricted pharmacist license in the U.S. Experience: Case management, MTM, or managed care experience preferred — retail and hospital pharmacists with strong patient counseling backgrounds are encouraged to apply. Our case management pharmacists play a vital role in improving outcomes, reducing readmissions, and supporting patients across the continuum of care.
Lead Clinical Data Manager (Remote) IQVIA Holdings IncLead Clinical Data Manager (Remote)Charleston, SCRemote$86,800–$217,100 / yearYour previous roles/job titles may include Clinical Data Manager, Senior Clinical Data Manager, Lead Data Manager, Principal Data Manager, and/or Data Management Project Manager. IQVIA is seeking experienced Senior Data Team Leads to oversee end-to-end data management delivery for global clinical trials.
Application Analyst III, Rev Cycle - Business Applications/Information Solutions (Remote) Medical University of South CarolinaApplication Analyst III, Rev Cycle - Business Applications/Information Solutions (Remote)SCRemoteUnder general supervision, the Applications Analyst III, Business Applications, provides expertise in evaluating and resolving complex technical issues, demonstrates strong analytical and communication skills to maximize the benefit of Information Solutions services. Required Education/Skills/Work Experience: A bachelor's degree and five years directly related experience; or a high school diploma and nine years directly related experience or a Masters' degree and 3 years directly related experience required.
Application Analyst I, Outpatient Applications - Clinical Application/Information Solutions (Remote) Medical University of South CarolinaApplication Analyst I, Outpatient Applications - Clinical Application/Information Solutions (Remote)Charleston, SCRemoteRequired Education Skills Work Experience A high school diploma and two years directly related experience IS or clinical or a bachelors degree in a related field IS business or clinical and one year directly related experience. This position assists with the implementation and maintenance of the clinical program supporting applications maintaining system updates supporting operational end users etc.
Application Engineer II, ECSA & Application Integration/Interfaces (Remote) Medical University of South CarolinaApplication Engineer II, ECSA & Application Integration/Interfaces (Remote)SCRemoteRequired Education, Skills, Work Experience A high school diploma and six years directly related experience or a bachelors degree or equivalent and two years directly related experience required. Job Description The Applications Engineer II ECSA & Application Integration Interfaces reports to the Manager of the ECSA & Application Integration Interfaces team in support of MUSCs academic research and healthcare missions.
Application Analyst II, Outpatient Applications - Clinical Applications/Information Solutions (Remote) Medical University of South CarolinaApplication Analyst II, Outpatient Applications - Clinical Applications/Information Solutions (Remote)SCRemoteRequired Education, Skills, Work Experience A high school diploma and six years directly related experience IS or clinical or a bachelors degree and two years directly related experience required or a Masters Degree in a related field IS clinical or business. This position assists with the implementation and maintenance of the clinical program supporting applications maintaining system updates supporting operational end users etc.
(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth Opportunity Rivia Mind - Mental Healthcare(Remote or Hybrid) Outpatient Psychiatrist (Adult) | Leadership Growth OpportunityCharleston, 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.
Hiring Radiologist | Flexible Scheduling |100% Remote | 1099 Independent Contractor The Provider FinderHiring Radiologist | Flexible Scheduling |100% Remote | 1099 Independent ContractorCharleston, South CarolinaRemoteThis organization provides 24/7/365 diagnostic imaging coverage across multiple states and supports a wide range of healthcare facilities nationwide. About the Opportunity An established, mission-driven healthcare organization is seeking Board-Certified/Board-Eligible Radiologists for a fully remote teleradiology opportunity.
Remote Teleradiologist (Independent Contractor) | Flexible scheduling options, The Provider FinderRemote Teleradiologist (Independent Contractor) | Flexible scheduling options,Charleston, South CarolinaRemoteThis group delivers comprehensive 24/7/365 diagnostic imaging services across the United States and offers a stable, long-term engagement with consistent case volume and strong operational support. The ideal physician is comfortable working in a high-volume, remote reading environment and demonstrates strong communication skills along with a commitment to timely, high-quality reporting.
Senior PBM Strategic Account Executive - Remote UnitedHealth Group IncSenior PBM Strategic Account Executive - RemoteCharleston, SCRemote$112,700–$193,200 / yearEnsure that all client specific requirements are met including but not limited to (1) maintaining documentation of most current benefit designs, including exclusions, inclusions, formularies and co - pay structures and that information is accessible to Customer Service Pharmacy Technicians; (2) documenting plan change requests from clients and obtains appropriate approval, updates the Benefit Design Summary on the web, and confirms the plan change is completed and accurate; (3) following all audit requirements. The fraudulent LinkedIn messages and emails, which do not originate from any Executives LinkedIn account or of UnitedHealth Group's email domains, or those of any of its operating divisions, supposedly conducts an interview via a Zoom meeting, offers a work from home job at Optum, emails an application, sends a fake check by next day delivery through USPS and asks recipients to pay a vendor a large dollar amount.
Remote Diagnostic Radiologist | Flexible Schedule | Nationwide Teleradiology The Provider FinderRemote Diagnostic Radiologist | Flexible Schedule | Nationwide TeleradiologyCharleston, South CarolinaRemoteThe organization operates 24/7/365 nationwide imaging coverage and offers a stable, long-term independent contractor (1099) engagement supported by advanced technology and dedicated operational teams. This fully remote opportunity offers physicians the ability to work from anywhere while providing high-quality diagnostic imaging interpretations for hospitals and healthcare systems across the United States.
Radiology Opportunity | 100% Remote Practice | Customizable shift options The Provider FinderRadiology Opportunity | 100% Remote Practice | Customizable shift optionsCharleston, South CarolinaRemoteThis position offers a fully remote work environment , allowing physicians to practice from anywhere while delivering high-quality diagnostic imaging interpretations to hospitals and healthcare facilities across the United States. Physicians are supported by advanced imaging technology, streamlined workflows, and a dedicated operational team that ensures efficiency and reliability in daily practice.
100 % Remote role | Radiologist Opportunity | customizable shifts The Provider Finder100 % Remote role | Radiologist Opportunity | customizable shiftsCharleston, South CarolinaRemoteThis group provides 24/7/365 diagnostic imaging coverage nationwide and offers a stable, long-term independent contractor opportunity with strong clinical and technical support. A mission-driven healthcare organization is seeking Board-Certified/Board-Eligible Radiologists for a fully remote teleradiology position.
Dental Director, Health Plan - REMOTE Molina Healthcare IncDental Director, Health Plan - REMOTESCRemoteKnowledge of National Committee for Quality Assurance (NCQA), Healthcare Effectiveness Data and Information Set (HEDIS), Medicare, Group/Independent Physician Association (IPA), capitation, health management organization (HMO) regulations, managed health care systems, quality improvement, medical utilization management, risk management, risk adjustment, disease management and evidence-based guidelines. Educates and interacts with network and group providers regarding utilization practices, guideline usage, and effective member management; provides clinical representation for business presentations in partnership with provider relations.
Insurance AR Specialist - Remote Surgical Information Systems LLCInsurance AR Specialist - RemoteCharleston, SCRemoteFor ambulatory surgery centers (ASCs), SIS provides comprehensive software and services, including ASC management, electronic health records (EHRs), patient engagement capabilities, compliance technology, and revenue cycle management and transcription services, all built specifically for ASCs. Recognized as the No. 1 ASC EHR vendor by Black Book for 11 consecutive years and honored with the Best in KLAS Award for ASC Solutions in 2026, 2025, 2023, and 2022, SIS remains the trusted choice for surgical providers seeking to enhance their performance.
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.
Program Integrity Clinical Specialist (RN or PA Req'd) TriWest Healthcare AllianceProgram Integrity Clinical Specialist (RN or PA Req'd)Charleston, SCRemoteFull timeTechnical Skills: Knowledge of TRICARE policies and procedures, knowledge of Case Management, Utilization Management, and Quality Management practices and principles, and knowledge of Managed Care concepts, alternative care treatments, and community resources. • Research and investigate medical issues as they relate to potential fraud and abuse cases, to include perform anti-fraud and abuse pre-payment reviews or post-payment reviews.
Director, Medical Document Optimization TriWest Healthcare AllianceDirector, Medical Document OptimizationCharleston, SCRemoteFull timeLeadership: Ability to set strategic direction and translate organizational goals into operational plans; successfully leads and develops staff across varying styles and levels; provides clear expectations, effective coaching, and timely feedback; leads through a subordinate manager and drives accountability at all levels of the department. Problem Solving / Analysis: Ability to solve complex operational and systems-related problems through systematic analysis of data, workflows, and processes; exercises sound judgment in ambiguous or high-stakes situations; identifies root causes and implements durable solutions with a realistic understanding of organizational constraints.
Clinical Quality Reviewer TriWest Healthcare AllianceClinical Quality ReviewerCharleston, SCRemoteFull timeo Bachelor's in Nursing or Certified Professional in Healthcare Quality (CPHQ) o 1 or more years team lead or supervisory experience o 1 year experience in Quality Management o 1 year experience with data analysis and reporting o Experience with InterQual or similar criteria sets o General knowledge of Medicare, Veterans Administration, or other government health care programs. Technical Skills: General knowledge of Medicare, Veterans Administration, or other government health care programs; knowledge in the application of clinical criteria: InterQual, Milliman, PAS-LOS, ICD-9-CM, DSM, CPT-4, and HCPCs; Proficient with Microsoft Word and Excel.
Clinical Quality Study Analyst TriWest Healthcare AllianceClinical Quality Study AnalystCharleston, SCRemoteFull timeTechnical Skills: General knowledge of Medicare, Veteran's Administration, TRICARE, or other government health care programs; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint. Independent Thinking / Self-Initiative: Critical thinkers with ability to focus on things which matter most to achieving outcomes; commitment to task to produce outcomes without direction and to find necessary resources.
Clinical Quality Review Team Lead TriWest Healthcare AllianceClinical Quality Review Team LeadCharleston, SCRemoteFull timeThe team lead supports clinical and non-clinical staff supporting CQM programs by providing training and onboarding of new staff; determining work assignments; performing audits for clinical records and/or work accuracy; and ensuring effective, consistent and accurate workflow. Technical Skills: Comprehensive knowledge of research methodology; proficient applying appropriate data analysis processes; knowledge of managed care principles and methods; knowledge in the application of clinical criteria; proficient with Microsoft Word, Excel, and PowerPoint.
Clinical Education Training Specialist TriWest Healthcare AllianceClinical Education Training SpecialistCharleston, SCRemoteFull timeAssist with training department-specific needs, such as, maintaining required training documentation, maintaining both clinical and non-clinical training and orientation curriculum, participating in clinical operations leadership meetings, process improvement meetings, and other duties as appropriate and requested. In addition, this position requires designing, developing and presenting synchronous training courses relating to clinical and operational topics, and includes content, visual aides, exercises for the student and examinations.
Care Manager - Maternity AmeriHealth CaritasCare Manager - MaternityCharleston, SCRemoteThe Care Manager II develops a plan of care through shared decision making with the Member/caregiver and in collaboration with providers and other care team members to improve the Member’s health status, compliance with treatment plans and promote self-management. Responsible for managing and coordinating care, services, and social determinants of health for Members with acute, chronic, medically complex, and behavioral health conditions and other health needs.
Medical Director TriWest Healthcare AllianceMedical DirectorCharleston, SCRemotePart timeCollaborates with VA, military treatment facility and network providers and TriWest staff to assure timely, appropriate and high quality care. Independent Thinking / Self-Initiative: Thinks critically with ability to focus on things which matter most to achieving outcomes.