- Sedgwick Government Solutions (Charleston, SC)
- Job Details Utilization Review Case Manager RN (Remote) 2025-1434 Charleston, SC, USA Medical Services Full Time Description ** Utilization Review ... review experience, and licenses necessary to help support members _?_ The Utilization Review Case Manager RN will provide timely, evidence-based … more
- HCA Healthcare (Charleston, SC)
- …years of experience in Case Management is highly preferred. + Certification in Case Management or Utilization Review is preferred. + InterQual experience ... satisfaction and personal growth, we encourage you to apply for our RN Case Manager opening. We promptly review all applications. Highly qualified candidates… more
- CenterWell (North Charleston, SC)
- …action through the utilization of Performance Improvement principles. + Responsible for review of the appropriate number of Case Managers and clinical staff ... community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in...clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the… more
- AmeriHealth Caritas (Charleston, SC)
- …Discover more about us at www.amerihealthcaritas.com. **Responsibilities:** The Care Manager II is responsible for managing and coordinating care, services, ... gaps in care and barriers to care. The Care Manager II develops a plan of care through shared...and evaluation of the effectiveness of the plan.; 2. Review medication list and educate Members with pharmacy needs,… more
- Sharing Hope SC (North Charleston, SC)
- …and Prevention (CDC) guidelines and recommendations. + Completes hospital medical record review , including history of present illness and past medical history, the ... resources with discretion and employs professional laterality, when possible (ie, utilization of hospital profiles, engagement with donor family and hospital staff,… more
- Roper St. Francis (Charleston, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... is required for the ED and as designated by specialty standards and/or clinical manager and should be obtained within 6 months of hire or designation as Charge… more
- Roper St. Francis (Summerville, SC)
- …critical thinking. Ability to run effective shift safety huddles, report safety concerns, review device utilization , report staffing concerns, and review ... is required for the ED and as designated by specialty standards and/or clinical manager and should be obtained within 6 months of hire or designation as Charge… more