- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Pre - Authorization Nurse 2 reviews prior authorization requests for appropriate ... policies, and approves services or forward requests to the appropriate stakeholder. The Pre - Authorization Nurse 2 + Completes medical necessity and level of… more
- Evolent Health (Columbia, SC)
- …Stay for the culture. **What You'll Be Doing:** As a Pain Management Clinical Reviewer, Nurse , you will be a key member of the utilization management team. We can ... providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer, Nurse , you will routinely interact with leadership and management staff,… more
- Evolent Health (Columbia, SC)
- …this individual also works with our clinical team, which includes our Nurse , Clinical Reviewers and Field Medical Directors. Opportunities to work collaboratively ... policies to determine if submitted requests require a prior authorization review or redirect as required. + Entering data...for a bonus component that would be dependent on pre -defined performance factors. As part of our total compensation… more