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Utilization Management Director
Columbia, SC within
1 | 2 | 3 | 4  Jobs 1 to 10 of 38 matches
Nurse Utilization Management I - SC Medicaid - 127144
Anthem, Inc. - Columbia, SC, USA
Nurse Utilization Management I Location: Work@Home, Prefer resident of South Carolina but will ... Works with medical directors in interpreting appropriateness of care and accurate claims pa...
StartWire - 1 Day ago
Director Of Nursing - RN
360 Healthcare Staffing - Columbia, SC, USA
Managed by a strong team with ongoing supportive staff development; the nursing team’s dedication ... Plan resource utilization and care interventions according to available data and known t...
CareerBuilder - 4 Days ago
Director of Nursing (DON)
NHC HomeCare - West Columbia, SC, USA
The DON is a Registered Nurse who manages and directs clinical services in the home care agency ... Initiates and participates in ongoing medical record review including utilization review a...
StartWire - 3 Days ago
Senior Concurrent Review Nurse
Centene Corporation - Columbia, SC, USA
... management systems Direct care to participating network providers Participate in utilization management committees and work on special projects related to utilization management as needed Ser...
StartWire - 2 Days ago
Prior Authorization Nurse II
Centene Corporation - Columbia, SC, USA
... Physician or Medical Director with recommendations for other determinations Complete medical ... Knowledge of utilization management principles and healthcare managed care. Experien...
StartWire - 1 Day ago
Concurrent Review Nurse II
Centene Corporation - Columbia, SC, USA
... management systems Direct care to participating network providers Participate in utilization ... management committees and work on special projects related to utilization management...
StartWire - 2 Days ago
RN Program Manager
BlueCross BlueShield of South Carolina - Columbia, SC, USA
... Utilization Management, Behavioral Health and Health Care Development. * Assesses impact of ... Ability to direct, motivate and assess performance of others. * Microsoft Office skil...
StartWire - 5 Days ago
Nurse Administrator/Manager II (Program Manager/Prevent...
South Carolina Job Board - Columbia, SC, USA
Monitors program budget (grant and earned funds) to assure appropriate utilization of fiscal ... In conjunction with the Compliance Monitoring Director, monitors and evaluates Performance&nb...
StartWire - 3 Days ago
Director, State Pharmacy
Wellcare Internal - Columbia, SC, USA
... Quality Management. Provides drug utilization review. Assists in development of goals and ... Senior Director, State Pharmacy Performance Location: Columbia, SC Grade Level: E24 Ess...
StartWire - 3 Days ago
Director, State Pharmacy
WellCare Health Plans Inc. - Columbia, SC, USA
... Quality Management. Provides drug utilization review. Assists in development of goals and ... Senior Director, State Pharmacy Performance Location: Columbia, SC Essential Functions
StartWire - 3 Days ago
1 | 2 | 3 | 4  Jobs 1 to 10 of 38 matches
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