- Sedgwick (Columbia, SC)
- …a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance Telephonic Case Manager **PRIMARY PURPOSE OF THE ROLE:** While partnering ... with the injured worker, employer, and medical providers, create a case management strategy to facilitate medical recovery and a successful return to work through… more
- CVS Health (Columbia, SC)
- …care for members. **Key Responsibilities** + This position consists of working intensely as a telephonic case manager with patients and their care team for ... within Aetna/CVS Health. Founded in 1993, AHH is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical… more
- Humana (Columbia, SC)
- …every 17 weeks. Work schedule can be between 8am-6:30pm EST. The Care Manager Telephonic Nurse uses clinical knowledge, communication skills, and independent ... and receives guidance where needed. Follows established guidelines/procedures The Care Manager Telephonic Nurse employs a variety of strategies, approaches… more
- Humana (Columbia, SC)
- …MSN degree + Case Management experience + Managed care experience + Certified Case Manager (CCM) + Bilingual in English and Spanish (see Language Proficiency ... and help us put health first** The Compact licensed telephonic Care Manager works from home in...homes. Our nurses are called Care Managers, because our case management services are centered on the person rather… more
- Sharecare (Columbia, SC)
- …Care Management program in an appropriate and efficient manner by providing high-quality telephonic Case or Care Management with CareFirst members. The Care ... Manager partners with members, caregivers, providers, and the interdisciplinary...preferred. + Minimum 3-5 years varied clinical experience with telephonic Case Management experience strongly preferred. +… more
- Molina Healthcare (Columbia, SC)
- …and ability to navigate online portals and databases. Preferred Qualifications * Certified Case Manager (CCM). To all current Molina employees: If you are ... state of South Carolina and or compact license. Care Manager RN will work with Medicaid/Medicare SC population completing...network to address member needs and goals. * Conducts telephonic , face-to-face or home visits as required. * Performs… more
- CVS Health (Columbia, SC)
- …we do it all with heart, each and every day. **Job Summary** The Care Manager -Registered Nurse is a key member of our Special Needs Plan (SNP) care team, responsible ... chronic conditions and navigating the healthcare system. Additionally, the Care Manager develops and implements individualized care plans, monitors member progress,… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, high risk pregnancy or… more
- US Tech Solutions (Columbia, SC)
- …determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager , Preventive Services, Subrogation, Quality of Care Referrals, ... care management programs and/or health and disease management programs. + Provides telephonic support for members with chronic conditions, high risk pregnancy or… more