• Registered Nurse - Managed

    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
    InGenesis (05/16/25)
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  • Registered Nursing- RN

    CareerStaff Unlimited (Columbia, SC)
    …standards for quality care and personalized service. Responsibilities for this Registered Nurse opportunity include, but are not limited to: * Demonstrate ... will positively impact the rest of your healthcare career. Registered Nurses are valued members of the care...leadership, nursing, and pharmacy. CAREERSTAFF BENEFITS FOR THE RN REGISTERED NURSE : * Flexible Day, Night, or… more
    CareerStaff Unlimited (03/22/25)
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  • Utilization Management Nurse Consultant

    CVS Health (Columbia, SC)
    …skills, both verbal and written. **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care /critical care setting. + ... years of clinical experience required in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management. + Preference for… more
    CVS Health (05/17/25)
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  • Care Manager

    AmeriHealth Caritas (Columbia, SC)
    care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... At AmeriHealth Caritas, we're passionate about helping people get care , stay well, and build healthy communities. As one...BSN required and must hold a current and unrestricted Registered Nurse (RN) license in good standing… more
    AmeriHealth Caritas (05/30/25)
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  • AVP, Utilization Review & Pharmacy

    Zurich NA (Columbia, SC)
    …profitability goals and ensure the delivery of quality, cost effective services to our Managed Care stakeholders. You will act as a subject matter expert and ... technical resource to Managed Care stakeholders regarding operational and regulatory...more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area… more
    Zurich NA (05/22/25)
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  • Behavioral Health Caseworker

    AmeriHealth Caritas (Columbia, SC)
    …health needs. For all physical health needs the case worker will consult with a registered nurse care manager.; **The Behavioral Health Case Worker will:** + ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
    AmeriHealth Caritas (05/27/25)
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  • Senior Clinical Strategy Consultant

    Highmark Health (Columbia, SC)
    …duties as assigned or requested. **EXPERIENCE** **Required** + 7 years in a clinical or Managed Care setting **Preferred** + 5 years Client Support + 5 Years of ... Master's degree in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant… more
    Highmark Health (05/10/25)
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