- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …occur on an as-needed basis until positions filled. Responsibilities This RN Quality Management Accreditation Specialist must have an attitude focused on ... and support to all levels of factility leadership, the Quality Management Chief, and others responsible for...full, active, and unrestricted registration as a graduate professional nurse in a State, Territory or Commonwealth (ie, Puerto… more
- Fresenius Medical Center (Columbia, SC)
- …Functions as part of the hemodialysis health care team as a Staff Registered Nurse to ensure provision of quality patient care on a daily basis in accordance ... values, and customer service philosophy. Supports the FMCNA commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those related to… more
- Universal Health Services (West Columbia, SC)
- Responsibilities Three Rivers Midlands is seeking a dynamic & talented Registered Nurse (RN) Three Rivers Midlands is a comprehensive behavioral health facility ... nursing program with current license and registration by the South Carolina Board of Nurse Examiners as a Registered Nurse . + Must possess knowledge… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- Summary The RN Case Manager integrates and augments health care quality by providing health education, clinical appropriate preventative and therapeutic care, and ... The RN Case Manager uses the nursing process to assist in population management , a data-driven process for proactively defining a cohort of patient who might… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …through the continuation of care, patient and family education, patient-self management after discharge, and supporting factors that impact customer satisfaction. ... of performance include knowledge and active participation in unit/program level quality improvement processes and initiatives as well as customer service programs.… more
- Surgery Care Affiliates (Columbia, SC)
- …growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse Pre-Assessment Testing. + Promote the mission, vision, and ... a common goal: delivering on the quadruple aim of high- quality outcomes and a better experience for patients and...as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led,… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …implementation of a support group for GI/Hepatology patients aimed at improving the quality of life and self- management . Administration of infusions to include ... high risk, high cost clients requiring a higher level of care management in the inpatient/outpatient settings. Demonstrates knowledge and ability to apply principles… more
- Surgery Care Affiliates (Columbia, SC)
- …the growing career opportunities for YOU. Responsibilities We are actively hiring for an Registered Nurse (RN) Operating Room. + Promote the mission, vision, and ... a common goal: delivering on the quadruple aim of high- quality outcomes and a better experience for patients and...as part of Optum and with our new Specialty Management Solutions business. + We have pioneered a physician-led,… more
- US Tech Solutions (Columbia, SC)
- …established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to ... chronic illness, or acute illness. Utilizes available resources to promote quality , cost effective outcomes. Responsibilities: . *50% Performs medical or behavioral… more
- US Tech Solutions (Columbia, SC)
- …promote quality , cost effective outcomes. + Provides active case management , assesses service needs, develops, and coordinates action plans in cooperation with ... established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and… more
- US Tech Solutions (Columbia, SC)
- …We want to see all candidates with experience with prior insurance, utilization management , case management , surgical or behavioural health experience. This role ... Performs special projects including reviews of clinical information to identify quality of care issues. **Experience:** + 2 years clinical experience plus… more
- Fresenius Medical Center (Sumter, SC)
- …As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. As the facility ... Manages the operations of the clinic, including costs, processes, staffing, and quality standards. + Provides leadership, coaching, and development plans for all… more
- Humana (Columbia, SC)
- …us put health first** Humana Healthy Horizons in Ohio is seeking a Utilization Management Nurse 2 who utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Bon Secours Mercy Health (Columbia, SC)
- …**Summary of Primary Function/General Purpose of Position** In the capacity of a Registered Nurse , provide and facilitate coordination of services during the ... Education Specialty/Major Nursing (BSN) **Licensing/ Certification** - Licensure/Certification Required Registered Nurse with active License in State of… more
- Intermountain Health (Columbia, SC)
- … Nurse Practitioner (PMHNP) -and- Current state license as an Advance Practice Registered Nurse (APRN) or Physician Assistant (PA). - and - Certification as ... to moderate mental health diagnoses with medication checks, refills, adherence, and management . This position will support the healthcare workforce. This NP will… more
- Humana (Columbia, SC)
- …projects. **Use your skills to make an impact** **Required Qualifications** + Licensed as a Registered Nurse in the State of Wisconsin or have a compact license. ... and subacute activity daily for outcomes related to readmission, utilization, quality of care and provider performance in compliance with Humana/iCare policies.… more
- Humana (Columbia, SC)
- …our caring community and help us put health first** The Compliance Utilization Management Nurse 2 reviews utilization management activities and documentation ... on a rotating schedule. (about 2 holidays per year) The Compliance Utilization Management Nurse 2 ensures mandatory reporting completed. Conducts and summarizes… more
- Humana (Columbia, SC)
- …part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently… more
- Fresenius Medical Center (West Columbia, SC)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... clean working environment. Supports the organization commitment to the Quality Enhancement Program (QEP) and CQI Activities, including those...policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and… more
- Humana (Columbia, SC)
- …skills to make an impact** **Required Qualifications** + An active, unrestricted Virginia Registered Nurse (RN) or Behavioral Health clinician license such as a ... providers, and community partners to support the delivery of high- quality utilization management services, including introducing innovative approaches… more