Utilization Review Jobs in Columbia
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Search Results - Utilization Review Jobs in Columbia
Hornet Staffing-Columbia
Knowledge of National Committee for Quality Assurance (NCAG). Knowledge of Utilization Review Accreditation Commission (URAC). Knowledge of South Carolina Department of Insurance (SCDOI). Knowledge of US DOL and Health Insurance Portability/Accountability...
resume-library.com -
US Tech Solutions-Columbia
and/or appeals experience. We want to see all candidates with experience with prior insurance, utilization management, case management, surgical or behavioral health experience.
This role conducts reviews of previously denied services to determine if the medical...
mindmatch.ai -
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 -
Cayce (SC), 12 mi from Columbia
and professionally with others.
• Ability to maintain quality, safety, and/or infection control standards.
Responsibilities:
Consults with nursing and medical staff on prescription orders, patient reactions, and errors or complaints. Conducts drug utilization...
ernesthealth.com -
US Tech Solutions, Inc.-Columbia
and/or appeals experience. We want to see all candidates with experience with prior insurance, utilization management, case management, surgical or behavioral health experience.
This role conducts reviews of previously denied services to determine if the medical...
resume-library.com -
Lexington (SC), 6 mi from Columbia
Overview:
The Staff Pharmacist appropriately dispenses prescribed drugs, handles incoming physician calls, logs data into the computer, performs Rx workflow processing, and conducts drug utilization reviews.
This is a full-time position based...
avitapharmacy.com -
Paladin Consulting, Inc-Columbia
of one's home. May involve some travel within one's community.
Required
RN LICENSE
CLAIMS
CODING
DATABASE
MICROSOFT OFFICE
Additional
ONCOLOGY
DATA COLLECTION
MENTAL HEALTH
FINANCIAL PROJECT MANAGEMENT
UTILIZATION REVIEW
DISCHARGE PLANNING...
resume-library.com -
Paladin Consulting, Inc-Columbia
in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Serves as member advocate through continued...
resume-library.com -
US Tech Solutions, Inc.-Columbia
health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site reviews. Promotes enrollment in care management programs and/or health and disease management programs.
Maintains current knowledge...
resume-library.com -
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