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Utilization Review Jobs in South Carolina

1 - 10 of 10
1 - 10 of 10
Search Results - Utilization Review Jobs in South Carolina
Hornet Staffing-Columbia
of one's home. May involve some travel within one's community. Required Skills: UTILIZATION REVIEW RN LICENSE DOCUMENTATION MANAGED CARE RN Additional CARDIOLOGY CUSTOMER SERVICE ORIENTED CONTRACTS MICROSOFT EXCEL DISCHARGE PLANNING RETAIL...
resume-library.com -
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...
Acara Solutions-Charleston (SC)
manpower, equipment, and facility utilization.- Review overhead costs, product quality, and inventory to ensure the customer service center is operating within established budgets.- Manages up to 20 employees at the airframer in addition to additional...
superiorjobs.com -
US Tech Solutions, Inc.-Columbia
with members and providers regarding 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...
resume-library.com -
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...
Hornet Staffing-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 -
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 -
US Tech Solutions, Inc.-Columbia
and DOL (Federal). 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...
resume-library.com -
BlueCross BlueShield of South Carolina-Columbia
utilization/case management, or medical review management or equivalent military experience in grade E4 or above. Required Software and Tools:  •  Ability to use standard office equipment.  •  Knowledge of word processing, spreadsheet, and database software...
jobvertise.com -
Cayce (SC)
Indiana  •  Montana  •  New Mexico  •  Ohio  •  South Carolina  •  Texas  •  Utah  •  Wisconsin  •  Wyoming Responsibilities: Consults with nursing and medical staff on prescription orders, patient reactions, and errors or complaints. Conducts drug utilization reviews...
ernesthealth.com -

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