- US Tech Solutions (Columbia, SC)
- …approximately _12_ weeks. + NICE TO HAVE skill sets/qualities: Knowledge of social determinates of health. Experience locating resources outside of their home state. ... Good foundation of Microsoft software skills **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to… more
- Humana (Columbia, SC)
- …**REQUIRED QUALIFICATIONS:** + Registered nurse (RN) with unrestricted licensed **OR** independent licensed clinical social worker + 5+ years of previous ... Committee for Quality Assurance (NCQA) standards **PREFERRED QUALIFICATIONS:** + Master 's degree + Knowledge of Medicaid regulatory requirements + Experience… more