• Director Case Management

    HCA Healthcare (Myrtle Beach, SC)
    …**Introduction** Do you want to join an organization that invests in you as a Director Case Management ? At Grand Strand Medical Center, you come first. ... and you have the opportunity to make a difference. We are looking for a dedicated Director Case Management like you to be a part of our team. **Job Summary… more
    HCA Healthcare (10/23/25)
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  • RN or LMSW Manager Case Management

    HCA Healthcare (Myrtle Beach, SC)
    …and Qualifications** The Manager Case Management reports to the Case Management Director and is responsible for promoting patient-centered care ... Submit your application for the opportunity below: **RN or LMSW Manager Case Management ** Grand Strand Medical Center **Benefits** Grand Strand Medical… more
    HCA Healthcare (10/30/25)
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  • Medical Director - Medicaid N. Central

    Humana (Columbia, SC)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care… more
    Humana (10/25/25)
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  • Medical Director - Medicaid Team - FL

    Humana (Columbia, SC)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...size of region or line of business. The Medical Director conducts Utilization Management of the care… more
    Humana (10/28/25)
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  • Director of Program Management

    Lumen (Columbia, SC)
    …Join us as we digitally connect the world and shape the future. **The Role** As a Director of Program Management , you will be a key member of the Lumen Project ... Management Office (PMO) leadership team under the CTO, driving...current role. Background results will be evaluated on a case -by- case basis. Pursuant to the San Francisco… more
    Lumen (10/28/25)
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  • Medical Director - Mid West Region

    Humana (Columbia, SC)
    …prior experience participating in teams focusing on quality management , utilization management , case management , discharge planning and/or home health or ... Case managers or Care managers on complex case management , including familiarity with social determinants...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
    Humana (09/16/25)
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  • Medical Director , Medical…

    Highmark Health (Columbia, SC)
    …required based on business need. **Preferred** + None **SKILLS** + Critical Thinking + Case Management + Customer Service + Oral & Written Communication Skills + ... as the physician member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases, particularly… more
    Highmark Health (10/28/25)
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  • Medical Director - OneHome

    Humana (Columbia, SC)
    …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual The Medical Director conducts clinical case reviews of requests received by members of ... the Medicare population and reports to the Lead Medical Director . **Other duties:** + Identify medical management operational improvements, including those… more
    Humana (10/30/25)
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  • OneHome - Medical Director - Part Time

    Humana (Columbia, SC)
    …experience with national guidelines such as NCD/LCD, MCG(R) or InterQual** **The Medical Director conducts clinical case reviews of requests received by members ... of the Medicare population and reports to the Lead Medical Director .** **Other duties:** + Identify medical management operational improvements, including those… more
    Humana (10/17/25)
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  • Field Medical Director , Interventional…

    Evolent (Columbia, SC)
    …meaningful impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use ... Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. + On a requested… more
    Evolent (10/29/25)
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