- Fresenius Medical Center (Sumter, SC)
- …Classification of Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. + ... PHYSICIANS: + Facilitates the application process for physician privileges and compliance with Fresenius Medical Care Medical Staff By-Laws. + Responsible for… more
- US Tech Solutions (Columbia, SC)
- …United States and in the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC). Preferred ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …vacancies occur on an as-needed basis until positions filled. Responsibilities This RN Quality Management Accreditation Specialist must have an attitude focused ... external customers, and accreditation stakeholders. Meet goals through efficient, effective utilization and management of organizational and personal resources.… more
- US Tech Solutions (Columbia, SC)
- …both health care providers and members. **Experience:** + 7 years-healthcare program management . **Certification** + An active, unrestricted RN license from the ... United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active,… more
- Humana (Columbia, SC)
- … management criteria including ASAM. + Leads development of utilization management policies and procedures to ensure compliance with state and federal ... Humana Healthy Horizons in Virginia is seeking a Manager, Utilization Management (Behavioral Health) who will utilize...an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse ( RN ) or Behavioral… more
- J&J Family of Companies (Columbia, SC)
- …domains is preferred): + Cell Therapy Manufacturer Home Office or Field Experience + RN license or Advanced Practice degree ( Nurse Practitioner / PA / PharmD ... raising the bar on customer experience in the pharmaceutical industry. Our account management teams support the certified sites who care for cancer patients. We are… more
- CenterWell (Columbia, SC)
- …payer contracts + Monitor the following key functions: + Program evaluation + Risk Management + Utilization Review + Patient Care Evaluation + Policies and ... patient care policy manuals. + Establish service policies and procedures in compliance with state health statutes and administrative rules, including CDC and OSHA… more
- Fresenius Medical Center (Columbia, SC)
- …dialysis clinic. You will collaborate with the Medical Director and the Charge Nurse regarding the provision of quality patient care in the dialysis clinic. ... data collections and auditing activities. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and loss review. +… more