Utilization Manager Jobs in South Carolina
1 - 15 of 26
Search Results - Utilization Manager Jobs in South Carolina
Prisma Health-Sumter
for managed care contracts.
• Participates in:
Establishment of quality assurance programs
Establishment of utilization management programs
Selection of management information systems
Development of patient education services
Development of patient...
Hornet Staffing-Columbia
Duties
Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appeals. Documents decisions using indicated protocol sets...
resume-library.com -
Prisma Health-Sumter
in responding to requests for proposals for managed care contracts.
• Participates in:
Establishment of quality assurance programs
Establishment of utilization management programs
Selection of management information systems
Development of patient education...
Prisma Health-Greenville (SC)
and/or other activities as determined by the appropriate Department Chair.
8. Participates in responding to requests for proposals for managed care contracts.
9. Participates in the establishment of quality assurance programs, utilization management programs...
appcast.io -
Prisma Health-Sumter
elements of a high performing, integrated, physician led organization.
• Participates in responding to requests for proposals for managed care contracts.
• Participates in the establishment of quality assurance programs, utilization management programs...
Prisma Health-Sumter
in responding to requests for proposals for managed care contracts.
5. Participates in the establishment of quality assurance programs.
6. Participates in the establishment of utilization management programs.
7. Participates in the selection of management...
appcast.io -
Prisma Health-Sumter
elements of a high performing, integrated, physician led organization.
• Participates in responding to requests for proposals for managed care contracts.
• Participates in the establishment of quality assurance programs, utilization management programs...
Prisma Health-Columbia
goals.
• Participates in responding to requests for proposals for managed care contracts.
• Participates in the establishment of quality assurance programs, utilization management programs, patient education services, and patient satisfaction programs...
appcast.io -
Prisma Health-Sumter
elements of a high performing, integrated, physician led organization.
• Participates in responding to requests for proposals for managed care contracts.
• Participates in the establishment of quality assurance programs, utilization management programs...
Prisma Health-Columbia
relative to physician practice patterns. 5%
8. Participates in:
1. Establishment of quality assurance programs
2. Establishment of Utilization Management programs
3. Selection of management information systems
4. Development of patient education surveys
5. ..
appcast.io -
Myrtle Beach
Registered Nurse (APRN), Nurse Practitioner, Case Management, Case Manager, Home Healthcare, Clinical Case Management, Hospital Case Management, Occupational Health, Patient Care, Utilization Management, Acute Care, Orthopedics, Rehabilitation, Rehab, CCM...
enlyte.com -
Prisma Health-Columbia
of quality assurance programs, utilization management programs, patient education services, and patient satisfaction programs.
10. Assists Employer in obtaining and maintaining any and all licenses, permits and other authorizations, plus achieving any applicable...
appcast.io -
Columbia
policies and procedures for compliance with National Commission on Correctional Health Care standards.
• Designates continuing care facilities and specialty physicians and participates in utilization management initiatives.
• Provides individualized care...
icims.com -
Prisma Health-Greenville (SC)
requirements and federal/state regulations for placement along the continuum of care. Works with Utilization Management and/or Support Specialist for payor sources to complete pre-certification prior to transfer to post-acute facility.
Knowledgeable...
Prisma Health-Sumter
elements of a high performing, integrated, physician led organization.
• Participates in responding to requests for proposals for managed care contracts.
• Participates in the establishment of quality assurance programs, utilization management programs...
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