- 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
- Humana (Columbia, SC)
- …health. **Use your skills to make an impact** **Required Qualifications** + Unrestricted Registered Nurse (RN) license in state of residency, with active ... caring community and help us put health first** The Care Manager, Telephonic Nurse 2, in a...MSN degree + Knowledge of Milliman or Interqual + Managed care experience + Certified Case Manager… more
- Cognizant (Columbia, SC)
- …Monday to Friday - Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact by performing advanced level work ... to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined...2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years'… more
- Humana (Columbia, SC)
- …related to LTSS. + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care , Medicaid health ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- CVS Health (Columbia, SC)
- …both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... clinical experience in acute or post acute setting **Preferred Qualifications** - Managed Care experience preferred **Education** Associates Degree required BSN… 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