- Humana (Columbia, SC)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Columbia, SC)
- …**Preferred Qualifications** + Registered Nurse + Experience in Medicare Utilization Management + Project Management Professional (PMP) certification ... are addressed. They will work closely with established functions inside utilization management (Medical Director, clinician decision making teams, quality… more
- Humana (Columbia, SC)
- …ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, Durable ... caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 … more
- ManpowerGroup (Columbia, SC)
- …our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) experience + ... Education:** Bachelor's degree- Nursing. Preferred Work Experience: 7 years-healthcare program management , utilization review, or clinical experience in defined… 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