- 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 (Lamar, 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
- CVS Health (Columbia, SC)
- …both verbal and written **Required Qualifications** - 3+ years of experience as a Registered Nurse - Must have active current and unrestricted RN licensure in ... clinical experience in acute or post acute setting **Preferred Qualifications** - Managed Care experience preferred **Education** Associates Degree required BSN… more
- Humana (Columbia, SC)
- …Health; MED-Deeming accreditation standards knowledge is a plus. + Registered Nurse or Behavioral Health Licensed Professional. + Managed care , ... for the millions of people we serve to achieve their best health - delivering the care and service they need, when they need it. These efforts are leading to a… more
- Humana (Columbia, SC)
- …looking for an internship that supports the goal to put health first? The Telephonic Care Manager Behavioral Health, Registered Nurse , RN, Intern will assess ... **one** (1) of the following: + Unrestricted active licensed Registered Nurse (RN) in a state that...setting + Possess an interest in working in the managed care industry + Previous Medicare/Medicaid experience… more
- AmeriHealth Caritas (Columbia, 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
- 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
- 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