- Fresenius Medical Center (West Columbia, SC)
- …or federal surveys. + Participates in the completion of the FMS Administrative Clinical Review . **PHYSICAL DEMANDS AND WORKING CONDITIONS:** + The physical ... requirements. Ensure provision of quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory… more
- Fresenius Medical Center (Newberry, SC)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... or chronic kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture of continuous learning… more
- Sharecare (Columbia, SC)
- … helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- Ansible Government Solutions (Columbia, SC)
- …for the practice of anesthesia. + Performs as a mentor, preceptor, or nurse educator providing didactic and clinical instruction for graduate-level nurse ... Overview Ansible Government Solutions, LLC (Ansible) is currently recruiting Certified Registered Nurse Anesthetists (CRNA) to support the WM Jennings Bryan Dorn VA… more
- CVS Health (Columbia, SC)
- …of time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all ... and medical necessity criteria for appropriate utilization of services. + Utilizes clinical skills to coordinate, document and communicate all aspects of the… more
- Prime Therapeutics (Columbia, SC)
- …the need for work visa or residency sponsorship. **Additional Qualifications** + Registered Nurse (RN). + 5 years of post-degree clinical experience. + ... drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description** Under supervision, is responsible for performing referral… more
- PruittHealth (Columbia, SC)
- ** CLINICAL COMPETENCY COORDINATOR** **Join the PruittHealth family, where the health and safety of our workforce is our top priority!** We're not only committed to ... provided to patients is determined by assessing competency of clinical staff on an ongoing basis, evaluating care provided...conditions and acuity. 7. Meets regularly with DHS to review learning needs, coordinate training and to implement plans… more
- 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 review ... and evaluate medical or behavioral eligibility regarding benefits and clinical criteria and assess and monitor medical necessity using your clinical proficiency… more
- CVS Health (Columbia, SC)
- …clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory ... needs to ensure appropriate administration of benefits. + Applies clinical judgment to the incorporation of strategies designed to...**Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in… more
- InGenesis (Columbia, SC)
- …our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using established criteria or clinical guidelines. ... In this role, you will provide support and review of medical claims and utilization practices. This is...duties as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license in the State of South… more
- Datavant (Columbia, SC)
- …realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role ... Collaborate with physicians and caregivers to ensure appropriate reimbursement and clinical severity for DRG-based payer patients. + Demonstrate understanding of… more
- CVS Health (Columbia, SC)
- …of Nursing experience. Preferred Qualifications + Prior authorization utilization management/ review experience preferred Outpatient Clinical experience. + ... of training will be M-F 8-5 CST. + Utilizes clinical experience and skills in a collaborative process to...to facilitate appropriate healthcare services/benefits for members. + Gathers clinical information and applies the appropriate clinical … more
- Fresenius Medical Center (Columbia, SC)
- …regulations at: https://content.intranet.fmcna.com/regulatory-affairs/wp-content/uploads/sites/46/2019/05/Pre-Licensed- Nurse -50-State- Review ... of the hemodialysis health care team as a Registered Nurse Applicant, under the direction or supervision of a...for other staff members. + Routinely meets with the Clinical Manager to discuss personnel and patient care status,… more
- US Tech Solutions (Columbia, SC)
- …+ Description: Office work, at a desk 8 hours per day, reading clinical and processing request. + Soft Skills: Strong communication skills, they will talk ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Wellpath (Columbia, SC)
- …one patient at a time. **How you make a difference** As a **Registered Nurse (RN)** , you'll play a pivotal role in delivering compassionate, high-quality care to ... identify patient problems, and create individualized care plans, including clinical , teaching, and discharge components. + **Care Implementation and Evaluation**… more
- Baylor Scott & White Health (Columbia, SC)
- …on position type and/or level **Job Summary** **100% Remote position** Clinical Documentation Improvement Specialist 1 reviews patient records to ensure complete ... documentation of medical conditions and treatment in patient records. + Performs review of records to ensure complete, accurate documentation of patient condition… more
- Fresenius Medical Center (Columbia, SC)
- …direct patient care staff on appropriate programs under the supervision of a nurse . + Provides developmental support to applicable clinical and facility staff. ... for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training...Related** + Participates in the recruitment process for new clinical staff + Assists with clinical orientation… more
- Fresenius Medical Center (Orangeburg, SC)
- …effective dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training and in compliance ... last treatment. Report any complaints or observations to the nurse supervisor. + Evaluate vascular access for patency and...activities. + Enters all treatment data into the designated clinical application accurately and in a timely manner. +… more
- US Tech Solutions (Columbia, SC)
- …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review /case management/ clinical /or combination; 2 of the 4 years ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Fresenius Medical Center (Lexington, SC)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine...activities. + Enters all treatment data into the designated clinical application in an accurate and timely manner. +… more