Utilization Review Jobs in South Carolina
1 - 8 of 8
Search Results - Utilization Review Jobs in South Carolina
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 -
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 -
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
cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review/case management/clinical/or combination; 2 of the 4 years must be clinical.
Skills:
Working...
resume-library.com -
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 -
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 -
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 -
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