• Supervisor RN Telephonic Triage Nurse…

    Sedgwick Government Solutions (Charleston, SC)
    Case Manager (Remote) 2025-1433 Charleston, SC, USA Medical Case Management Full Time Description **Overview** **RN Telephonic Triage Nurse Case ** ... Nurse Case Manager and VP to ensure consistent delivery of case management services. **RN Telephonic Triage Nurse Case Manager Supervisor… more
    Sedgwick Government Solutions (06/03/25)
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  • Care Manager, Registered Nurse- Remote

    Sharecare (Columbia, SC)
    …motivational interviewing preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. + ... program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care Manager… more
    Sharecare (06/03/25)
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  • Behavioral Health Caseworker

    AmeriHealth Caritas (Columbia, SC)
    …to improve the Member's health status and compliance with treatment plans and promote self- management . The Telephonic Behavioral Health Case Worker is also ... Excel, Outlook), internet applications, and electronic medical record and documentation programs. Electronic Case Management Platform (ie Jiva) + Must be able to… more
    AmeriHealth Caritas (05/27/25)
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  • Medical Director

    Highmark Health (Columbia, SC)
    …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... treatment of service. Depending on the nature of the case , telephonic peer to peer discussions may...as the physician member of the multidisciplinary team for case and disease management . They will advise… more
    Highmark Health (05/07/25)
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  • Behavioral Health Care Manager

    Molina Healthcare (York, SC)
    …assessments of members per regulated timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or ... triggers from the assessment. + Develops and implements a case management plan in collaboration with the...to address the member needs and goals. + Conducts telephonic , face-to-face or home visits as required. + Performs… more
    Molina Healthcare (04/02/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …to promote quality, cost effective outcomes. **Responsibilities:** + 60% Provides active case management , assesses service needs, develops and coordinates action ... mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review/ case management /clinical/or combination; 2 of the 4 years… more
    US Tech Solutions (06/03/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is preferred. + ... health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/ case management /clinical/or combination; 2 of 4 years must… more
    US Tech Solutions (05/17/25)
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  • LPN Behavioral Health - Member Health Assessor

    Molina Healthcare (Cayce, SC)
    …psychology, gerontology, public health or social work. **Required Experience** 1-3 years in case management , disease management , managed care or medical or ... applicable state or locality with reliable transportation. **Preferred Experience** 3-5 years in case management , disease management , managed care or medical… more
    Molina Healthcare (06/03/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …be a great team player. + We work with the concurrent nurses as well as case management . We also work very closely with our medical directors. We have direct ... enrollment in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions,… more
    US Tech Solutions (05/14/25)
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  • Patient Navigator

    Cardinal Health (Columbia, SC)
    …work experience is preferred + LVN is preferred + 2-4 years of Case Management experience is preferred + Demonstrate effective, empathetic and professional ... medical experience is preferred **_Responsibilities_** + Deliver virtual or telephonic educational support to identified patients, caregivers, Healthcare Professionals… more
    Cardinal Health (06/05/25)
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