- Healthfirst (SC)
- **Duties/Responsibilities:** + Oversees utilization management functions which include timely authorizations related to pre-certification, concurrent review, ... and reviews medical charts to obtain additional information required for appropriate utilization management and to solve complex clinical problems + Allocate,… more
- 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 Case ... and licenses necessary to help support members _?_ The Utilization Review Case Manager RN will provide...+ Documents all utilization review outcomes in utilization review software. + Collaborates with case management… 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 4 years ... prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is preferred. +… more
- Select Medical (Anderson, SC)
- …by doing what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning, treatment plan management ... within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates UR compliance with… more
- TD Bank (Lexington, SC)
- …of Business:** Human Resources **Job Description:** **Department Overview:** The Senior Manager , Financial Crime Risk Management Training leads/manages a team ... risk awareness across the organization. **Depth & Scope:** + Provides people management leadership by hiring the best talent, setting goals, developing staff,… more
- TD Bank (Greenville, SC)
- …for this role. **Line of Business:** Audit **Job Description:** The Audit Manager is accountable for overseeing the planning and execution for audits covering ... utilizing their subject matter expertise. + Acts as primary contact with management regarding audit scope, findings and status **Education & Experience:** +… more
- Amazon (Charleston, SC)
- Description Amazon Books is seeking an experienced Books Risk Management (BRM) Capacity Planning Program Manager who demonstrates exceptional ownership and ... a track record of delivering exceptional customer experiences and stakeholder management . Strong decision-making abilities in ambiguous situations and excellent risk… more
- CenterWell (North Charleston, SC)
- …a part of our caring community and help us put health first** The Clinical Manager , Home Health Nursing enables patients to stay in their homes by providing health ... and personal services; supporting patients and their families. The Clinical Manager , Home Health Nursing works within specific guidelines and procedures; applies… more
- J&J Family of Companies (Charleston, SC)
- …**Job Description:** We are searching for the best talent for an Account Manager located in Charleston, SC. **About Surgery** Fueled by innovation at the ... their journey to wellness. Learn more at https://www.jnj.com/medtech As a Field Sales Account Manager , this individual will serve as the point person for end to end… more
- Highmark Health (Columbia, SC)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements effective ** utilization management ** strategies including: review of appropriateness of health ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Roper St. Francis (Charleston, SC)
- …mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership. ... to facilitate appropriate delivery of healthcare services. The Case Manager MSW integrates the roles of Case Management... Manager MSW integrates the roles of Case Management and Discharge Planning utilizing a prospective approach for… more
- Trace Systems Inc (Shaw AFB, SC)
- Job Overview Job Title: Capacity Manager Location: Shaw AFB, SC Job Responsibilities Trace Systems is seeking a dynamic IT Capacity Manager to join our team in ... at Shaw AFB, SC. This role offers the opportunity to provide business capacity management , service capacity management and component capacity management , and… more
- Cushman & Wakefield (Columbia, SC)
- **Job Title** Spatial Data Manager **Job Description Summary** The role of the Spatial Data Manager (SDM) will be responsible for day-to-day functionality of the ... client's Space Management tool including data integrity of CAD floor plans,...CAFM administration, space and occupancy data analytics and space utilization measurement. * Ensure compliance of client space data… more
- BJs Wholesale Club (Sumter, SC)
- …**medical plans vary by location Job Summary Working closely with the Club Manager , the Fresh Manager is responsible for providing leadership and direction ... acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model leadership… more
- BJs Wholesale Club (Sumter, SC)
- …and coaches, teaches, and develops talent. Assists in hiring, training, and performance management . + Leads Night Manager to manage merchandise display and ... by location Job Summary: Working closely with the Club Manager , the Assistant Club Manager is responsible...Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model… more
- Burns & McDonnell (Greenville, SC)
- …, Program Manager as well as internal and external executive management as required. + Collaborate with engineering team to establish the development and ... **Description** The Construction Project Manager supports the Engineer Procure Construct (EPC) Project Manager or Program Manager to oversee day-to-day… more
- CenterWell (Columbia, SC)
- …for managing populations and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with travel requirements to ... understanding and creating solutions that will lead to acute and post-acute care utilization reductions aligned with the PCO's objectives and goals. As a guideline,… more
- Vontier (Columbia, SC)
- …reps, buyers, product managers, and finance teams. + Collaborate with mobile Regional Manager for effective DM resource utilization and productivity. + Plan ... and WHAT YOU WILL DO (Job Responsibilities)** The Regional Business Development Manager will be responsible for driving Technical Education and Commercial sales… more
- Kiewit (Charleston, SC)
- …Industrial **Employment Type:** Full Time **Position Overview** As a Project Equipment Manager , you will be responsible for the planning, scheduling and budgeting ... for the maximized utilization equipment fleet. In this role, you will deal...and maintain communications between all levels of supervision and management **Qualifications** * Undergraduate degree in Diesel/Automotive Technology, Heavy… more
- BJs Wholesale Club (Sumter, SC)
- …requirements vary by position **medical plans vary by location Job Summary The Club Manager is the leader of a BJ's club. Responsible for leading the operations and ... acumen. Exhibit strategic thinking and sound decision-making thorough knowledge and utilization of business data. + Lead through change. Model leadership… more