- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... proper claims adjudication * Perform other duties as assigned. Minimum Qualifications * Current Registered Nurse / RN license in the State of South Carolina. *… more
- US Tech Solutions (Columbia, SC)
- …staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into system for ... in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
- CVS Health (Columbia, SC)
- …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager- Registered Nurse is a key member of our Special Needs Plan ... of care management within Medicare and Medicaid managed care . + Familiarity with community resources...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse (RN) licensure in the state… more
- Evolent (Columbia, SC)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior...year of experience with medical management activities in a managed care environment + Schedule: Monday-Friday, 9:00… more
- AmeriHealth Caritas (Columbia, SC)
- …internal candidates, bordering states may be accepted. ; **Education/Experience:** + Registered Nurse required + 3 to 5 years Managed Care experience. ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- AmeriHealth Caritas (Columbia, SC)
- …record/documentation systems is essential **Licensure** + Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South Carolina ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- CenterWell (Columbia, SC)
- …Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license or Compact State RN license with ... The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role...A minimum of 2 years of experience as a Registered Nurse (RN). + Home health experience… more
- CVS Health (Columbia, SC)
- …RN with behavioral health background. **Preferred Qualifications** + 3 years Managed care /utilization review experience preferred. + Crisis intervention skills ... Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years… more