- Evolent (Columbia, SC)
- …for the mission. Stay for the culture. **What You'll Be Doing:** Job description: As a Clinical Reviewer , Nurse , you will be a key member of the utilization ... while providing better health outcomes. **Collaboration Opportunities:** As a Clinical Reviewer , Nurse , you will...**What You Will Be Doing:** + Functions in a clinical review capacity to evaluate all cases,… more
- Surgery Care Affiliates (Columbia, SC)
- …standards of practice and regulations of governing agencies. Essential Duties/Responsibilities: + Review surgery schedule and establish list of therapy patients. ... we make is rooted in seven core values: + Clinical quality + Integrity + Service excellence + Teamwork...diem Physical Therapist (hourly) to join our Midlands Orthopaedics Surgery Center Team. This is a unique job setting… more
- US Tech Solutions (Columbia, SC)
- …dependency, orthopedic, general medicine/ surgery . OR, 4 years utilization review /case management/ clinical /or combination; 2 of 4 years must be ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- US Tech Solutions (Columbia, SC)
- …dependency, orthopedic, general medicine/ surgery . Or, 4 years utilization review /case management/ clinical /or combination; 2 of the 4 years must ... + Reviews and evaluates medical or behavioural eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Sedgwick (Columbia, SC)
- …Candidates must live within the United States. **PRIMARY PURPOSE** : Performs standard clinical evaluations on claims that require additional review based on ... Fortune Best Workplaces in Financial Services & Insurance Remote Accommodations Clinical Specialist- Bilingual Hindi, Japanese, Mandarin or more **We are looking… more
- CenterWell (Columbia, SC)
- …from the field staff and assisting with weekly case conferences. Refers clinical questions to Branch Director as necessary. + Maintains the client hospitalization ... task appears on the action screen. Ensures staff are scheduled for skilled nurse /injection visits unless an aide supervisory visit is scheduled in conjunction with… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities The facility provides care to ... Duties include, but are not limited to: Provide general inpatient clinical psychiatric/psychiatric hospitalist services to Veterans hospitalized on the Acute… more