Utilization Review Jobs in South Carolina
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Search Results - Utilization Review Jobs in South Carolina
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...
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-Hoyt Heights
medical necessity, appropriate level of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. 10%
• Navigates the team through complex compliance, regulatory and insurance requirements. Coordinates...
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...
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Prisma Health-Sumter
medical necessity, appropriate level of care and timely implementation of plan of care in accordance with hospital(s) Utilization Review Plan. 10%
• Navigates the team through complex compliance, regulatory and insurance requirements. Coordinates...
US Tech Solutions, Inc.-Columbia
10% Participates 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...
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Colleton Medical Center-Walterboro
or Critical Care is preferred.
• Certification in Case Management or Utilization Review is preferred.
• InterQual experience is preferred.
Colleton Medical Center provides quality healthcare services, giving patients access to highly-trained physicians...
National Coalition Of Healthcare Recruiters-Aiken (SC)
BSN) required
Masters Degree in Nursing or a related healthcare field preferred
Certifications|Licensures: Registered Nurse License required
Certified Case Manager (CCM) a plus, not required
Healthcare Quality of Utilization Review (HQUR) a plus...
nchcr.com -
Grand Strand Medical Center-Myrtle Beach
is required.
• 2 years of experience in Case Management or Critical Care is preferred.
• Certification in Case Management or Utilization Review is preferred.
• InterQual experience is preferred.
Grand Strand Medical Center has provided quality healthcare...
MUSC-Charleston (SC)
and/or utilization review work experience preferred. Case Management certification preferred. Staff hired prior to July 1, 2013, will be grandfathered in regards to education requirement.
Required Licensure, Certifications, Registrations: Licensure...
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