- US Tech Solutions, Inc. (Columbia, SC)
- …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... Job Title: Licensed Practical Nurse Location: Columbia, SC 29229 Duration: 6+ months...extension) Job Description: . CONTRACT ONLY Must reside within 2 hours of Columbia SC Microsoft Teams interview 1… more
- US Tech Solutions, Inc. (Columbia, SC)
- …. Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... Job Title: Licensed Practical Nurse Location: Columbia, SC 29229 Duration: 6+ Months...guidelines. Provides support and review of medical claims and utilization practices. Responsibilities: . Monitors process's timeliness in accordance… more
- Careerbuilder-US (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years' utilization review/case management /clinical/or combination; 2 of ... 29229, 29201 Top 3/5 Skills: . RN / Registered Nurse License . Chronic condition care . Case ...Nurse License . Chronic condition care . Case Management Job Responsibilities Reviews and evaluates medical or behavioral… more
- 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 ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- 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 ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Columbia, SC)
- …work hours and hard-wired, high-speed internet service is required for this position --_ The Utilization Management Nurse 2 helps to ensure fully ... and hard-wired, high-speed internet service is required for this position --_** The Utilization Management Nurse 2 helps to ensure fully coordinated care… more
- Humana (Columbia, SC)
- … Management Support Assistant 2 contributes to administration of care management and utilization management . Provides non-clinical support to ... for the care and wellbeing of members. The Care Management Support Assistant 2 performs varied activities...in Medicaid or Medicare + Experience working in a Utilization Management in a provider or payer… more
- US Tech Solutions (Columbia, SC)
- …different programs and work remotely. Detail Oriented, Good Communication Skills, Time Management , Organization, Team Oriented, but able to work independently. + A ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to… more
- US Tech Solutions (Columbia, SC)
- …+ Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits ... guidelines. Provides support and review of medical claims and utilization practices. **Responsibilities:** + Monitors process's timeliness in accordance with… more
- Defense Health Agency (Sumter, SC)
- …population-based healthassessments in order to identify strategies for effective resource utilization , disease management ,case management , and preventive ... and dental staff ontreatment for flying and special operational personnel. DUTY 2 : Serves as the Primary Care Provider providing comprehensive outpatient care to… more
