Manager, Integrated Care Management
AmeriHealth CaritasColumbia, SC, USjob_description.job_card.30_days_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_descriptionPlans, organizes and directs the development and implementation of Case Management operations. Ensures staff is properly trained, oriented and provided with regular professional development. Identifies opportunities for improvement, both clinical and administrative, and assists the Director in the strategic planning processes for these functions. Coordinates and implements the development of recommended policies and programs. Coordinates, establishes and monitors achievement of departmental goals and objectives. Responsible for achievement of assigned NCQA standard compliance and compliance with all applicable State and Federal laws, as well as achievement of assigned incented health outcomes. Directs effectiveness of existing programs and services, identifies and evaluates new programs and services to address cost effectiveness, proposed process improvements and to achieve compliance with NCQA, CMS and State incented health outcomes. Participates in and supports the corporate Population Health Strategy. Directs the case management activities to be in compliance with the state Department of Health and Human Services (DHHS) requirements for case management. Works across departmental lines to achieve objectives. Creates and supports an environment that fosters teamwork, cooperation, and respect. Establishes and maintains positive communication and professional demeanor with employees, providers and acts as liaison with outside entities as required. Demonstrates and supports commitment to corporate goals and mission. Performs other related duties and projects as assigned. Bachelor's Degree in Nursing or other health related field required. 3+ years professional clinical practice experience in medical and behavioral health. 1+ years of case management experience in a clinical managed care environment required, preferably within a Medicaid business unit. 3+ years progressive leadership experience to include 1 year of experience within a managed care organization. Experience managing a large team of 40 remote licensed and unlicensed associates. Experience leading projects with internal and external stakeholders. Strong change management experience. Valid Driver's License and car insurance. Current and unrestricted Registered Nurse license in South Carolina strongly preferred MSW and current and unrestricted LICSW / LSW in South Carolina (in lieu of RN license). Flexible work solutions including remote options, hybrid work schedules Competitive pay Paid time off including holidays and volunteer events Health insurance coverage for you and your dependents on Day 1 401(k) Tuition reimbursement and more
Manager of Integrated Care Management
Under the supervision of the Director Clinical Market Population Health, the Manager of Integrated Care Management is responsible for the daily operations of the Complex Care Management and Behavioral Health teams. Responsible for compliance with State and Federal laws and business plan goals.
Work Arrangements :
- Must reside in South Carolina.
- Ability to travel based on business needs.
Responsibilities :
Education / Experience :
Licensure :
Your career starts now. We're looking for the next generation of health care leaders.
At AmeriHealth Caritas, we're passionate about helping people get care, stay well and build healthy communities. As one of the nation's leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we'd like to hear from you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Our Comprehensive Benefits Package :
serp_jobs.job_alerts.create_a_job
Manager Care Management • Columbia, SC, US
Job_description.internal_linking.related_jobs
This position provides daily supervision of staff on duty during operational hours.Essential Duties and Responsibilities include the following.
Other duties and tasks may be assigned.Assist with cli...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Job Reference Id : ORD-196936-CRNA-SC.Dates Needed : November ongoing 1 day a week.Board Certification Required : Yes.A Urology Center is seeking a CRNA for locum tenens coverage.Myrtle Beach has p...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Earn up to $75,000 as a stay-at-home mom or as a second job.Sign up today and earn $1,200 bonus.What qualities make you a great Surrogate?.
Experienced no complications during your own pregnancy.Hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
Join Our Team as a Hospice and Palliative Care Nurse Practitioner .Do you value the time you spend with patients? Are you committed to providing quality, compassionate care? We are looking for nurs...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Delivers comprehensive and seamless services that bridges the gap to integrate clinical and self-management aspects of diabetes and cardiometabolic care in all settings (acute, ambulatory and commu...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30
Interim HealthCare Inc is seeking a Home Health Physical Therapist for a job in Elloree, South Carolina.Job Description & Requirements.
Discover a new lane in therapy where treatments are personal a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Interim HealthCare Inc is seeking a Registered Nurse (RN) Home Health Case Management for a nursing job in Red Bank, South Carolina.
Job Description & Requirements.Experience a culture where nurses ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 The Home Therapy Registered Nurse, as qualified by federal and state regulations, provides patient training and ongoing support for all patients choosing a home dialysis modality.This position is a...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days 
Are you the kind of nurse who thrives on responsibility, inspires others, and is ready to take charge? At Southern Health Partners , we believe leadership isn’t just about a title—it’s about making...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
BC / BE Family Medicine or Internal Medicine physician to join a well-established primary care clinic in Elgin, SC.The physician will join a dynamic team of 3 physicians and 2 advanced practice provi...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
BAYADA Home Health is looking for a compassionate and dedicated Registered Nurse (RN) to join our team for a part time or full time opportunity with our Columbia Visits office.This office services ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
At LifeStance Health, we believe in a truly healthy society where mental and physical healthcare are unified to make lives better.
Our mission is to help people lead healthier, more fulfilling lives...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days Interim HealthCare Inc is seeking a Registered Nurse (RN) Home Health for a nursing job in Red Bank, South Carolina.Job Description & Requirements.
Shift : Full-time, 4 : 30pm-8 : 00am Monday-Thursday.Co...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
ShareSTAFF is seeking a local contract nurse RN Intermediate Care for a local contract nursing job in Columbia, South Carolina.
Job Description & Requirements.Provide direct patient care in a collab...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_hours
Under general supervision, the Registered Nurse II provides individualized, goal-directed patient care to families and patients at the competent level utilizing the principles and practices of the ...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 Earn up to $75,000 as a stay-at-home mom or as a second job.Sign up today and earn $1,200 bonus.What qualities make you a great Surrogate?.
Experienced no complications during your own pregnancy.Hea...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_30 
B;Salary : $50000 - 52000 / year.Compass One Company that provides specialized, high-quality, innovative, and responsive support services exclusively to the healthcare industry.Crothall serves...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_1_day The Chare Nurse plans, directs, and evaluates the overall nursing care and functions in a particular nursing unit or during an assigned shift.
Coordinates the activities of the unit and directs, org...serp_jobs.internal_linking.show_moreserp_jobs.last_updated.last_updated_variable_days
- serp_jobs.job_card.promoted
Dialysis Registered Nurse - Charge
U.S. Renal CareWagener, SC, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
CRNA Needed for Locum Tenens Coverage at Facility in Myrtle Beach, South Carolina
HealthEcareers - ClientEastover, SC, USAserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Moms Ultimate Job : Earn Up to $75,000+ from Home as a Surrogate!
Physician's SurrogacyBlythewood, SC, United Statesserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Nurse Practitioner
Agape Care GroupCameron, SC, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
RN Certified Diabetes Care and Education Specialist
Prisma HealthColumbia, SC, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Home Health Physical Therapist - $90K-135K per year
Interim HealthCare IncElloree, SC, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Registered Nurse (RN) - Home Health Case Management - $68K-95K per year
Interim HealthCare IncRed Bank, SC, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Dialysis Registered Nurse, Home Hemo & Peritoneal RN
U.S. Renal CareLexington, SC, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Be the Nurse Who Leads the Team
Southern Health PartnersWestville, South Carolina, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Primary Care - Family Medicine / Internal Medicine - MUSC Health - Elgin, SC
Medical University of South Carolina HealthElgin, SC, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Registered Nurse, Home Health Visits
BAYADA Home Health CareSwansea, SC, USserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
Licensed Clinical Therapist (LISW-CP / LPC / LMFT) •New office opens in December! •
LifeStance HealthSaint Matthews, SC, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Registered Nurse (RN) - Home Health - $65K-75K per year
Interim HealthCare IncRed Bank, SC, United Statesserp_jobs.job_card.full_time +1
- serp_jobs.job_card.promoted
- serp_jobs.job_card.new
Local Contract Nurse RN - Intermediate Care - $50-55 per hour
ShareSTAFFColumbia, SC, United Statesserp_jobs.job_card.permanent
- serp_jobs.job_card.promoted
RN
MUSCCamden, SC, United Statesserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Surrogates Needed! Start at $55-$75K+ | No Exp Req Apply Today!
Physician's SurrogacyLexington, SC, United Statesserp_jobs.job_card.full_time +2
- serp_jobs.job_card.promoted
Environmental Services Manager in Training / Crothall Healthcare, Prisma Health Richland Hospital
Crothall HealthcareColumbia, SC, USserp_jobs.job_card.full_time
- serp_jobs.job_card.promoted
Registered Nurse II- Charge RN -MedSurg Kershaw
MUSCCamden, SC, United Statesserp_jobs.job_card.full_time