- 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
- 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
- Assured & Associates (Lydia, SC)
- Assured and Associates is looking for a Registered Nurse to join our team. This person is responsible for assisting physicians while providing treatment to ... high-quality care to individuals in our communities whose care can be safely and effectively managed in the home setting, with respect and empathy. At… more
- 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
- AmeriHealth Caritas (Charleston, SC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... other health related field required.; + Current and unrestricted Registered Nurse license in South Carolina strongly...1+ years of case management experience in a clinical managed care environment required, preferably within a… more
- AmeriHealth Caritas (Charleston, 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 (Charleston, SC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... We are looking for the next generation of health care leaders. At AmeriHealth Caritas, we are passionate about...BSN required and must hold a current and unrestricted Registered Nurse (RN) license in good standing… more
- 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
- CenterWell (North Charleston, SC)
- …+ Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Proof of current CPR. + Valid driver's license, auto insurance ... **QA** **RN Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role...and reliable transportation. + Two years as a Registered Nurse with at least one-year of… more
- Evolent (Columbia, SC)
- …+ Performs other duties as assigned. **Qualifications: Required and Preferred:** + Licensed registered nurse or LVN/LPN (current and unrestricted) + Minimum of ... one year of experience with Utilization Review (UM) in a managed care environment** + **Cardiology and Oncology Healthcare** **experience/knowledge** + Excellent… more
- CenterWell (North Charleston, SC)
- …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) without restriction in applicable state + 5+ years ... nursing experience + Proven work experience as a HEDIS Nurse or similar role in healthcare quality improvement +...+ Bachelor's Degree in Nursing + 3+ years of managed care experience + 3+ years of… more
- 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
- 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