- Centene Corporation (Columbia, SC)
- …knowledge of regulations, accreditation standards, and industry best practices related to utilization management + Works with utilization management ... a fresh perspective on workplace flexibility. + Collaborates with utilization management team to resolve complex care...applicable guidelines, policies, and procedures + Works with the senior management to develop and implement UM… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …partnerships with senior leadership, internal and external customers, and accreditation stakeholders. Meet goals through efficient, effective utilization and ... on an as-needed basis until positions filled. Responsibilities This RN Quality Management Accreditation Specialist must have an attitude focused on building… more
- Evolent Health (Columbia, SC)
- …selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with the Senior Medical Director. ... Reviewer you will be a key member of the utilization management team. We can offer you... and compliance with SBU`s policies/procedures, as well as Utilization Review Accreditation Commission (URAC) and National… more