- Evolent (Columbia, SC)
- …Join Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The ** Coordinator , Intake Utilization Management ** at Evolent will serve as a ... regulatory requirements, and client contractual agreements. **Collaboration Opportunities** : The Coordinator , Intake Utilization Management reports directly… more
- Highmark Health (Columbia, SC)
- …timeframes and notification requirements are met + Communicate effectively with Utilization Management Staff, providers, other internal and external customers ... and management + Route Cases Based on Established Guidelines + Provide accurate and timely routing of service requests to the nurse reviewer to assure that the… 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 ... established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency, claims knowledge/analysis,… more
- US Tech Solutions (Columbia, SC)
- …+ Skill sets/qualities: Must have at least 2 years hospital experience, any other utilization review experience is great, different areas of work is always a plus, ... established clinical criteria to service requests or provides health management program interventions. + Utilizes clinical proficiency and claims knowledge/analysis… more
- Fresenius Medical Center (Columbia, SC)
- …direct patient care staff, including Staff RNs, Radiology Technologists, Front Desk Coordinator . + Ensures adequate staffing through daily management of staff's ... staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and… more
- BD (Becton, Dickinson and Company) (Sumter, SC)
- …quality, quantity, service, and cost standards through safe and proper utilization of materials and equipment. **ESSENTIAL FUNCTIONS** + Provide Leadership in ... Analyzes work order variances and works with the materials coordinator and Cell Leader on corrective activities to resolve...of the operation. + Owner of the TMS (Tiered Management System) Tier 1 and Tier 2 on their… more