• Associate Medical Director

    Evolent (Columbia, SC)
    …mission. Stay for the culture. **What You'll Be Doing:** Evolent is seeking an ** Associate Medical Director - Cardiovascular Medicine** to play a critical ... Degree** with active **ABIM** **Board Certification in Cardiology ** (with Cardiology training and clinical experience). + **Unrestricted medical license** in… more
    Evolent (06/03/25)
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  • Medical Director - National Medicare

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The ... Medical Director work assignments involve moderately complex to complex issues...such as inpatient rehabilitation. **Preferred Qualifications** + **The following medical specialties: pulmonology, sleep medicine, cardiology , general… more
    Humana (06/25/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... healthcare needs of our members. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying… more
    US Tech Solutions (05/17/25)
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  • Registered Nurse Care Coordinator

    US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... foundation of Microsoft software skills **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by… more
    US Tech Solutions (06/23/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... + Reviews and evaluates medical or behavioural eligibility regarding benefits and clinical...health care providers and members. **Experience:** + Required Education: Associate degree - Nursing, OR, Graduate of Accredited School… more
    US Tech Solutions (06/03/25)
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