- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- US Tech Solutions (Columbia, SC)
- …enrollment in care management programs and/or health and disease management programs. Provides telephonic support for members with chronic conditions, ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to… more
- Marriott (Columbia, SC)
- …States **Schedule** Full-Time **Located Remotely?** Y **Relocation?** N **Position Type** Management **JOB SUMMARY** The Nurse CARE Manager coordinates timely, ... associates is a foremost concern in this position. **SCOPE** + Provides telephonic case management of associates with occupational illness/injuries to coordinate… more
- Evolent Health (Columbia, SC)
- …direct oversight of centralized telephonic review process of all necessary utilization management components. + Partner with leadership to mentor staff. ... the mission. Stay for the culture. **What You'll Be Doing:** As a Director, Utilization Management , you'll work with your managers, front line clinical team, and… more