- Humana (Columbia, SC)
- …of our caring community and help us put health first** The Medical Director 's primary responsibility is the review of medical authorizations to determine the medical ... of a given service, level of care, or medical item/supply. The Medical Director 's work assignments involve moderately complex to complex issues where the analysis of… more
- US Tech Solutions (Columbia, SC)
- …at our level. If not, then it would be sent for review with our medical director . We would then complete the approval or denial and notify the provider. + Strong ... and to provide the best services possible for our members. We work closely with other UM teams in our department. My team currently has 12 nurses on staff. We offer… more
- Highmark Health (Columbia, SC)
- …in the capacity as a clinical pharmacist the incumbent may also review UM requests; provide consultation into the case and disease management identification process, ... overall efficiencies. + Manage individual projects for timely review with the Director , Clinical Pharmacy. + Participate in Medicare Stars performance measures to… more