- 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) Compact license… more
- ManpowerGroup (Columbia, SC)
- …our Fortune 500 clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management (UM) or Case Management (CM) experience + ... care management programs and/or health and disease management programs. + Provides telephonic support for...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse … 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, ... mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/case management /clinical/or combination; 2 of 4 years… more
- ManpowerGroup (Columbia, SC)
- …+ Educate members and healthcare providers about the healthcare delivery system, network utilization , and benefit plans. + Promote care management , health, and ... coordinate healthcare services, and promote patient-centered care. **Responsibilities:** **Active Case Management (60%)** + Provide case management services by… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review/case management /clinical/or combination; 2 of the 4 ... the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active,… more