- 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
- CVS Health (Columbia, SC)
- …Qualifications** + Must reside in EST zone + 3+ years of experience as a Registered Nurse + 3+ years of clinical experience required + Must have active ... schedules will include weekend/holiday and evening rotations. **Preferred Qualifications** + Managed Care experience + Discharge planning experience +… more
- CVS Health (Columbia, SC)
- …health (SDoH) needs and stable health conditions. The CMS collaborates closely with the Registered Nurse Care Manager, Care Coordinator, Social Worker, ... of care management within Medicare and Medicaid managed care . + **Community Resources:** Familiarity with...+ Associate's Degree and relevant experience in a health care -related field (REQUIRED) + Practical Nurse Degree/Certificate… more
- Highmark Health (Columbia, SC)
- …UM/CM/QA/ Managed Care **LICENSES or CERTIFICATIONS** **Required** + United States Registered Nurse (RN) license + Delaware RN license must be obtained ... utilization management strategies including: review of appropriateness of health care services, application of criteria to ensure appropriate resource utilization,… 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
- AmeriHealth Caritas (Columbia, SC)
- …driver's license with car insurance is required + Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South Carolina or a ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
- Reckitt (Columbia, SC)
- …hospital segments, where we work with them to make sure the people in their care benefit from having access to our trusted nutritional products. Our team are trusted ... understanding of the healthcare industry dynamics, trends, competitors, regulations and managed healthcare environment + Develop territory and management plans that… more