- Roper St Francis Healthcare (Awendaw, SC)
- …of professional nursing practice to optimize goals and outcomes * Health teaching and health promotion *Patient advocacy and partnership *Interprofessional ... and directs patient teaching activities and coordinates the care provided by health team members. Essential Job Functions In collaboration with the interdisciplinary… more
- InGenesis (Columbia, SC)
- …/ Social Worker Job Details Professional Discipline : Registered Nurse Specialty : Utilization Review Employment Type : Full Time City : Columbia State : SC Pay ... Worker Case Manager to review and evaluate medical or behavioral eligibility regarding benefits. In this role, you will...and services required to support members in managing their health . This is a REMOTE opportunity for candidates living… more
- AmeriHealth Caritas (Orangeburg, SC)
- **Role Overview** The Field- Based Remote Behavioral Health Case Worker is responsible for managing and coordinating care, services, and social determinants of ... health for Members with behavioral ...electronic care management platforms where applicable + Monitor appropriate utilization and coordinate services with other payer sources, make… more
- BriteLife Recovery (Hilton Head Island, SC)
- Behavioral Health Technician Do you work for a company that no longer aligns with your core values? Have you dreamt of working in a "true" team environment, ... best, most talented and caring, authentic individuals to create a world-class mission-centered behavioral health organization, focused on doing it the right way… more
- HCA Healthcare (Myrtle Beach, SC)
- **Description** **Introduction** Do you have the PRN career opportunities as a(an) Mental Health Professional PRN you want with your current employer? We have an ... for a low copay. Plans include prescription drug and behavioral health coverage as well as telemedicine...colleagues. Do you want to work as a(an) Mental Health Professional PRN where your passion for… more
- HCA Healthcare (Myrtle Beach, SC)
- …services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed ... care like family! Jump-start your career as a(an) Market Director Clinical Professional Development today with Grand Strand Medical Center. **Benefits** Grand Strand… more
- Highmark Health (Columbia, SC)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization , identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Highmark Health (Columbia, SC)
- …effective utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource ... utilization , identification of opportunities for referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and… more
- Highmark Health (Columbia, SC)
- …agreements. Monitor financial performance of contracts by tracking utilization and competitive environment, including group specific performance guarantees. ... designs, competitive position, product development, network options, strategic partnerships, utilization review, local/national client demographics and dentist distribution. Interpret… more
- Bon Secours Mercy Health (Greenville, SC)
- At Bon Secours Mercy Health , we are dedicated to continually improving health care quality, safety and cost effectiveness. Our hospitals, care sites and ... directs patient teaching activities and coordinates the care provided by health team members. **Essential Job Functions** In collaboration with the interdisciplinary… more