- 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 (Timmonsville, 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
- Zurich NA (Columbia, SC)
- …profitability goals and ensure the delivery of quality, cost effective services to our Managed Care stakeholders. You will act as a subject matter expert and ... technical resource to Managed Care stakeholders regarding operational and regulatory...more years of experience in the Nursing areaAND + Registered Professional Nurse license in residential area… 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
- AmeriHealth Caritas (Columbia, SC)
- …health needs. For all physical health needs the case worker will consult with a registered nurse care manager.; **The Behavioral Health Case Worker will:** + ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… 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