Utilization Manager Jobs in South Carolina
1 - 15 of 18
Search Results - Utilization Manager Jobs in South Carolina
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...
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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...
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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...
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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-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. ..
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Prisma Health-Travelers Rest
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...
Lexington Medical Center-West Columbia (SC)
Utilization Management Dept.
Full Time
AM Shift
7:30 am-4 pm
Consistently named best hospital, Lexington Medical Center dedicates itself to providing quality health services that meet the needs of its communities. Ranked #1 in the Columbia metro...
Prisma Health-Columbia
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...
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Charleston (SC)
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 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, patient...
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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
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. ..
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Prisma Health-Greenville (SC)
in the establishment of quality assurance programs, utilization management programs, patient education services, and patient satisfaction programs.
• Assists Employer in obtaining and maintaining any and all licenses, permits and other authorizations, plus achieving...
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Prisma Health-Columbia
in the establishment of quality assurance programs, utilization management programs, patient education services, and patient satisfaction programs.
• Assists Employer in obtaining and maintaining any and all licenses, permits and other authorizations, plus achieving...
appcast.io -
Prisma Health-Columbia
Participates in responding to requests for proposals for managed care contracts.
9. Participates in the establishment of quality assurance programs, utilization management programs, patient education services, and patient satisfaction programs.
10. Assists...
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