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Memory Care Manager
1 week ago
National Health Corporation Columbia, United StatesJob Description · Job DescriptionThe Palmettos of Parklane – Memory Care Manager · This is a full-time position and reports to the Director of Health Services and Executive Director · The Program Director plans, organizes, develops and leads the overall operation in the memory ca ...
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IDD Care Manager
2 weeks ago
Vaya Health North Carolina, United States Employee - Full timeLOCATION: Remote – must live in or near Rowan County, North Carolina. This position requires travel. · GENERAL STATEMENT OF JOB · Intellectual and Developmental Disabilities (I/DD) Care Manager is responsible for knowing and implementing NC Division of Mental Health, Development ...
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Patient Care Manager
3 weeks ago
Management Business Solutions West Columbia, United StatesThe Patient Care Manager (PCM) is responsible for the episode of care for the assigned team patient census with a focus on direct management and leadership of associated team (Clinical Support Specialist & Field Clinicians). Job Description: As a Patient Care Manager, you will: R ...
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Managed Care Coordinator
1 day ago
Mindlance West Columbia, United StatesJob Title: Managed Care Coordinator · Job Location: Columbia, SC · Top 3/5 Skills: · RN / Registered Nurse License · Chronic condition care · Case Management · Job Responsibilities · Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical cr ...
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Memory Care Manager
3 weeks ago
Nhccare West Columbia, United StatesThe Palmettos of Parklane · Columbia, SC 29223, USA · Description · The Palmettos of Parklane – Memory Care Manager · This is a full-time position and reports to the Director of Health Services and Executive Director · The Program Director plans, organizes, develops and leads t ...
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Memory Care Manager
3 weeks ago
National Health Service West Columbia, United StatesJob Description · Job Description · The Palmettos of Parklane – Memory Care Manager · This is a full-time position and reports to the Director of Health Services and Executive Director · The Program Director plans, organizes, develops and leads the overall operation in the memor ...
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Memory Care Manager
3 weeks ago
NHC Careers West Columbia, United StatesThe Palmettos of Parklane – Memory Care Manager · This is a full-time position and reports to the Director of Health Services and Executive Director · The Program Director plans, organizes, develops and leads the overall operation in the memory care unit in accordance with fede ...
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Customer CARE Manager
1 week ago
AMAROK Inc West Columbia, United States**Customer CARE Manager** · at AMAROK Columbia, South Carolina **Company Information** · Continuously ranked as one of South Carolinas Best Places to Work, AMAROK (formerly known as Electric Guard Dog) is the Nations leader in security industry and ***the*** Ultimate Perimeter ...
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Customer Care Manager
3 days ago
Insight Global West Columbia, United StatesInsight Global is actively working with one of the nation's top residential builders to identify a Customer Care Manager for the Columbia, SC market. This individual will be responsible for working with the homebuyer from initial purchase period through the lifespan of the warran ...
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Patient Care Manager RN
2 weeks ago
Heart of Hospice West Columbia, United StatesJob Description We are hiring for a Patient Care Manager in Hospice · At Heart of Hospice, a part of LHC Group, the RN Patient Care Manager/Clinical Manager we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole ...
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Patient Care Manager RN
3 weeks ago
Heart of Hospice West Columbia, United StatesJob Description We are hiring for a Patient Care Manager in Hospice · At Heart of Hospice, a part of LHC Group, the RN Patient Care Manager/Clinical Manager we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole ...
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Patient Care Manager RN
3 weeks ago
Heart of Hospice, LLC Careers West Columbia, United StatesWe are hiring for a Patient Care Manager in Hospice At Heart of Hospice, a part of LHC Group, the RN Patient Care Manager/Clinical Manager we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole patient, their fam ...
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Case/Care Management Specialist
1 week ago
CVS Pharmacy West Columbia, United StatesThe RN Case Manager delivers on the companys purpose of bringing our heart to every moment of their health through a focus on excellent, purpose-driven customer service. You will engage, navigate, and coordinate initiatives relevant to health care c Management, Specialist, Patien ...
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RN Hospice
2 weeks ago
Heart of Hospice, LLC Columbia, United States Full timeHeart of Hospice in Columbia is looking for a RN Case Managers to join the team Full Time or PRN work available. · At Heart of Hospice, a part of LHC Group, we embrace a culture of caring, belonging, and trust and enjoy the meaningful connections that come from it: for the whole ...
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Managed Care Coordinator I
3 weeks ago
Spectraforce Technologies West Columbia, United StatesJob Title: Managed Care Coordinator I · Location: Columbia, SC Remote after 1 week onsite training) · Duration: 6 months assignment with possible extensions · Shift: Mon-Fri, 8:30 am - 5pm. · Payrate $30/hr. · Summary: · Reviews and evaluates medical or behavioral eligibility reg ...
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Managed Care Coordinator I
2 weeks ago
Spectraforce Technologies West Columbia, United StatesJob Title: Managed Care Coordinator I · Location: Columbia, SC Remote) · Duration: 3 months assignment with possible extension. · Shift: Mon-Fri, 8:30am-5pm · Payrate starts at $31/hr. · Summary: · Reviews and evaluates medical or behavioral eligibility regarding benefits and cli ...
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Managed Care Coordinator I
3 days ago
Spectraforce Technologies West Columbia, United StatesJob Title: Managed Care Coordinator I · Location: Columbia, SC Remote, after onsite training) · Duration: 4 months assignment with possible extension · Shift:Monday to Friday, 8:30am-5pm · Payrate: $30/hr. · Summary: · Reviews and evaluates medical or behavioral eligibility rega ...
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CNA with Flexible Scheduling and Weekly Pay
3 days ago
Elk Valley Health Services, LLC Columbia, United States Full time*Description for Internal Candidates We are hiring for Pediatric Private Duty CNAs in the Columbia, TN area for days, nights, and weekends. Case Specific, Enhanced Pay Rates are available with some of our evening and weekend shifts. We offer weekly pay, flexible scheduling, and ...
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Case Manager Prn
3 weeks ago
Johns Hopkins Howard County Medical Center Columbia, United StatesOne organization. **Countless opportunities.** · As a member of Johns Hopkins Medicine, Johns Hopkins Howard County Medical Center is a 266-bed acute care facility that has been serving the community for nearly 40 years. We can offer the most advanced, innovative technology with ...
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Coordinator, Managed Care I
2 days ago
Mindlance West Columbia, United StatesDuties: · Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes ...
RN-Pediatric Rehab Care Manager - Columbia, United States - Prisma Health
Description
Inspire health. Serve with compassion. Be the difference.
Job Summary
Performs activities and duties related to preadmission assessment screening and admission of patients to the Pediatric Inpatient Rehabilitation Unit. Serves as Case Management resource for patients and family members. Assesses patient progress with rehabilitation plan of care and partners with Pediatric Inpatient Rehabilitation leadership and therapy team members to promote the rehabilitation process for each patient. Provides expert guidance on regulatory and compliance concerns for Case Management. Performs discharge planning activities for patients, and proactively identifies and resolves obstacles of patient rehabilitation, monitoring the documentation of patient medical records.Accountabilities
Conducts insurance and pre-admission screenings, as well as clinical assessments, to ensure that patients qualify for rehabilitation admission and insurance/payer reimbursement. Facilitates the smooth transition of patients into the Pediatric Inpatient Rehabilitation Unit by coordinating transportation and receiving times and dates. Educates patients, family members, referral sources, and external payers regarding the effective and efficient utilization of program services and available resources. 25%
Serves as Case Management resource for patients and families with regard to their rights and responsibilities, when payment of care is denied or when acute rehabilitative care is no longer necessary. This include, but is not limited to, delivery of regulatory documents as provided by CMS. On the basis of preliminary risk screening, assesses patients' and families' psychosocial risk factors through evaluation of prior functioning levels, appropriateness and adequacy of support systems, reaction to illness, and ability to cope. 15%
Performs discharge planning activities for patients with complex medical issues, in order to ensure a timely discharge and to provide appropriate linkage with post-acute rehabilitation care providers. Addresses and resolves system problems impeding rehabilitation progress. Proactively identifies and resolves delays and obstacles during the rehabilitation discharge planning process. Monitors patient progress, intervening as necessary and appropriate to ensure that the plan of care and services provided are patient and family-focused, high quality, efficient, and cost effective. 15%
Partners with Pediatric Inpatient Rehabilitation Center leadership and Prisma Health Marketing and Communications to promote the rehabilitation services by conducting phone calls and site visits to screen potential children and young adults for admission while also promoting awareness of services. Develops relationships with referral sources. 10%
Assists the Pediatric Inpatient Rehabilitation team in the development, maintenance, evaluation, and interpretation of clinical data pertaining to admissions and discharges on the Pediatric Inpatient Unit. 10%
Attends and facilitates weekly Inpatient Pediatric Rehabilitation Case Conferences and Family meetings, discussing individual patient progress with rehabilitation, and coordinates the documentation of meetings. 10%
Participates with Pediatric Inpatient Rehabilitation Center team in the completion and monitoring of compliance guidelines for the Commission on Accreditation of Rehabilitation Facilities and the Joint Commission. 5%
Provides expert guidance and assistance to Pediatric Inpatient Rehabilitation Center clinical staff on regulatory and compliance concerns for Case Management and Utilization Management. 5%
Monitors the medical record documentation of patients to ensure quality and accuracy. 5%
Supervisory/Management Responsibilities This is a non-management job that will report to a supervisor, manager, director or executive. Minimum Education Associate's degree - Graduate of an accredited school of Nursing and approved by the South Carolina State Board of Nursing. Minimum Experience 3 years - Acute care nursing experience. One year of case management experience is preferred. Required Certifications/Registrations/Licenses RN Currently licensed in South Carolina BLS required SC valid driver's license Other Required Experience Demonstrated expertise in analysis, decision-making, time management, oral and written communication, and computer skills - required Knowledge of regulations of agencies involved in program operation and resources available for use in assessing regulations and parameters of third-party reimbursement - preferred Excellent assessment skills and ability to function independently - required Knowledge of insurance and managed care principles and practices - preferredWork Shift
Day (United States of America)Location
7 Medical Park Rd RichlandFacility
1510 Richland HospitalDepartment
Hospital Case ManagementShare your talent with us Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.
