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Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp.

Case Manager

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Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. Consistently ranked as best in the Columbia Metro area by U.S. News & World Report, Lexington Health delivers more than 4,000 babies each year, performs more than 34,000 surgeries annually and is the regions third largest employer.

Lexington Medical Center

Quality Review Specialist-RN Surgical

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Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp

Our care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers – all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.

CenterWell

Home Health Clinical Manager

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Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. Outstanding leadership, communication, collaboration, and change management skills required as this role oversees organizational performance improvement as well as performance improvement and peer review for all medical staff departments and committees.

Director of Quality Acute Care

About Us We are a confidential healthcare organization providing managed-care and pharmacy review services across the U.S. Our pharmacists ensure the right medication reaches the right patient at the right time. Remote Clinical Review Pharmacist – Work From Home | Evidence-Based Decisions | Flexible Schedule Leverage your clinical knowledge in a fully remote Clinical Review Pharmacist role.

Pharmacy Careers

Remote Clinical Review Pharmacist

Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. Minimum Education: Bachelor of Science in Nursing; Candidates pursuing ADN to MSN may be considered if they have completed all of the BSN curriculum as verified by the educational institution and complete the MSN within one year of employment or transfer to the role.

Outcomes Coordinator

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Our passionate team of rehabilitation physicians, nurses, and therapists works together to deliver individualized treatment plans – including intensive physical, occupational, and speech therapy – to help patients rebuild strength and independence. Joint Commission-accredited and part of an award-winning network, Midlands Regional Rehabilitation Hospital takes pride in helping patients achieve meaningful recovery close to home.

Ernest Health

Pharmacist - Full Time

[AW]-iCims

Working alongside account teams and other internal specialty partners, the clinical consultant leverages their specialized knowledge base while reviewing claims and utilization data to identify patterns in health trends, large claimant treatments, quality of care, population health and cost. Supports account team preparation for carrier conversations by identifying clinical patterns in carrier and vendor program data; may participate directly in carrier discussions as directed.

Hub International Ltd

Employee Benefits Clinical Consultant

The range of services provided by Bronson Orthopedic Specialists includes diagnostic and advanced surgical treatment options for the following: Hip, Hip Joint Replacement, Hip Joint Revision, Hip Resurfacing, Knee, Knee Joint Replacement, Knee Joint Revision, Orthopedic Surgery, Orthopedic Trauma, Robotic-Assisted Knee Joint Replacement, Shoulder, Shoulder Joint Replacement, Sports Medicine. Through a dedicated Director of Advanced Practice Providers and an APP Advisory Council, APPs have a voice in shaping practice and organizational initiatives while pursuing opportunities in leadership, governance, quality improvement, and professional development.

Bronson Battle Creek

Orthopedic Physician Assistant - Battle Creek

Remote Appeals Pharmacist – Fair Medication Access | Work From Home | Strong Clinical Writing Focus Combine clinical expertise with advocacy in a fully remote Appeals Pharmacist role. Review medication coverage appeals, apply evidence-based guidelines, and ensure fair determinations for members — all from home with a schedule that supports better work-life balance.

Appeals Pharmacist (Remote)

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The 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. Our services include integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.

<h2>Leaders in health care solutions for those most in need</h2>
<p>AmeriHealth Caritas is the nation's leader in providing comprehensive health care solutions for those in most need and the chronically ill. We impact the lives of more than&nbsp;5.7 million members nationwide. With more than 30 years of experience managing care for individuals and families in publicly-funded programs, we have become known for developing&nbsp;<a href="http://www.amerihealthcaritas.com/corporate/innovation.aspx" target="_self">innovative solutions</a> that help improve health outcomes while&nbsp;<a href="http://www.amerihealthcaritas.com/who-we-serve/government/cost-savings.aspx" target="_self">reducing costs</a>.</p>
<h3>Our mission, our goal</h3>
<p>Our mission is to help people get care, stay well and build healthy communities. Our goal is to provide responsible managed care solutions, including Medicaid, Medicare, and CHIP - plus behavioral health, pharmacy benefits management and third-party management and administrative services.</p>

AmeriHealth Caritas

Care Manager II

Facilitates chronic condition management and prevention programs, including but not limited to: Diabetes Management, Diabetes Prevention, Hypertension Management, Hyperlipidemia Management, COPD, Asthma, Obesity and Cardiovascular Disease. With nationwide onsite, nearsite, and network health centers, and virtual primary care, Marathon delivers a value-based model that enhances the healthcare experience for members and providers, while driving meaningful cost savings for plan sponsors.

YEAR

Marathon Health

Chronic Condition Manager - Lexington, SC

Agency Specific Application Procedures: Department of Corrections NOTE: This position is recruited through SCDC Careers site only; You must apply online via the South Carolina Department of Corrections Career website www.governmentjobs.com/careers/sc/scdc to be considered as an applicant for this position. Conducts routine visits to assigned institutions, audits documentation, completes and submits routine reports for the division of nursing.

State of South Carolina

Assistant Director of Nursing (#012979) On-Site Medical, Columbia (RICHLAND)

Assistant Director of Nursing (#012126) On-Site Medical, Columbia (RICHLAND)

Individuals are typically required to have completed/up to date: Measles, Mumps & Rubella vaccine, Varicella (chicken pox) vaccine, Negative Tuberculosis (TB) Test, Tetanus, Diphtheria & Pertussis (Tdap) vaccine, Hepatitis B vaccine, Influenza vaccine (seasonal), and COVID-19 vaccine primary series. Our Women's Health Procedural Specialists experience a unique opportunity to leverage their clinical expertise while supporting healthcare providers through education and training on innovative women's health technologies.

Utilization Management Nurse Jobs in Columbia, SC

Case Manager Encompass Health Corp.

Quality Review Specialist-RN Surgical Lexington Medical Center

Case Manager Encompass Health Corp

Home Health Clinical Manager CenterWell

Director of Quality Acute Care Lexington Medical Center

Remote Clinical Review Pharmacist Pharmacy Careers

Outcomes Coordinator Lexington Medical Center

Pharmacist - Full Time Ernest Health

Employee Benefits Clinical Consultant Hub International Ltd

Orthopedic Physician Assistant - Battle Creek Bronson Battle Creek

Appeals Pharmacist (Remote) Pharmacy Careers

Care Manager II AmeriHealth Caritas

Chronic Condition Manager - Lexington, SC Marathon Health

Assistant Director of Nursing (#012979) On-Site Medical, Columbia (RICHLAND) State of South Carolina

Assistant Director of Nursing (#012126) On-Site Medical, Columbia (RICHLAND) State of South Carolina

MedTech Women's Health Procedural Specialist / Clinical Educator - East Coast IQVIA Holdings Inc

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