- Cognizant (Columbia, SC)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and utilization management experience with ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...clinic operations . Experience in utilization management to include Clinical Appeals and Grievances, precertification, initial and… more
- US Tech Solutions (Columbia, SC)
- …to this and will be reviewed with Management + Skill sets: Appeals and reconsideration experience, Utilization management experience, Prior experience working for a ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more