• Cardiology Physician Clinical Reviewer

    Evolent Health (Columbia, SC)
    …on-going training per inter-rater reliability process. + May assist the Senior Medical Director in research activities/questions related to the Utilization ... for the culture. **What You'll Be Doing:** As a Cardiology , Physician Clinical Reviewer you will be a key...support. + On a requested basis, may function as Medical Director for selecting health plans or… more
    Evolent Health (08/29/24)
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  • Associate Director , Medical Science…

    J&J Family of Companies (Columbia, SC)
    Associate Director , Medical Science Liaison, Cardiac Electrophysiology ( 1 of 2) - 2406208310W **Description** Johnson and Johnson Family is recruiting an ... **Associate** ** Director , Medical Science Liaison, Cardiac Electrophysiology** ....knowledge of cardiovascular medicine, and insights within the interventional cardiology space. * Strong understanding of clinical research methodologies,… more
    J&J Family of Companies (11/06/24)
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  • Coordinator, Managed Care I

    ManpowerGroup (Columbia, SC)
    …determinations. + Identify and refer cases to appropriate internal departments (eg, Medical Director , Case Manager, Quality of Care Referrals). + Participate ... clients. **Job Summary** The Clinical Review Specialist assesses and evaluates medical or behavioral eligibility for health benefits, ensuring services meet clinical… more
    ManpowerGroup (10/30/24)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... healthcare needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
    US Tech Solutions (10/31/24)
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  • Registered Nurse Case Manager

    US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... members and support each other. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
    US Tech Solutions (10/18/24)
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