- Humana (Columbia, SC)
- **Become a part of our caring community and help us put health first** The Manager , Utilization Management Nursing (LTSS Utilization Management ... and communication of medical services and/or benefit administration determinations. The Manager , Utilization Management Nursing works within specific… more
- Bon Secours Mercy Health (Greenville, SC)
- …mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership. ... for clinical and operational excellence. **Primary Function/General Purpose of Position** The RN Care Manager is responsible for providing coordination of care… more
- Roper St. Francis (Charleston, SC)
- …Charge Nurse I. Experience: Experience: At least 2 years� experience as a registered nurse in a direct care patient setting for Primary Charge Nurse ... role. Licensure/Certification: Applicant must be currently licensed as a Registered Nurse in South Carolina or hold...ED and as designated by specialty standards and/or clinical manager and should be obtained within 60 days of… more
- Fresenius Medical Center (Rock Hill, SC)
- …and acts as the liaison for patient care as per the disease management agreement, including initial and ongoing validation of member eligibility. Facilitate timely ... workup of patients for access management , dialysis services, patient education, hospitalizations, and kidney transplantation as appropriate, and ensures coordination… more
- Fresenius Medical Center (Mount Pleasant, SC)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical operations. ... leading your business, and advanced leadership. As a Clinical Manager , you may advance your career into an Area...Disease (ICD) coding. + Manages clinic financials including efficient utilization of supplies or equipment and regular profits and… more
- Roper St. Francis (Charleston, SC)
- …- Friday, 8:00 am - 4:30 pm **Primary Function/General Purpose of Position** The Case Manager ( Registered Nurse or Master Social Work) is responsible for ... mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership.… more
- Roper St. Francis (Summerville, SC)
- …**Scheduled Weekly Hours:** 36 **Work Shift:** Evenings/Nights (United States of America) ** Manager seeking prior Labor And Delivery RN experience** **Shift ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- Roper St. Francis (Summerville, SC)
- …**Scheduled Weekly Hours:** 36 **Work Shift:** Evenings/Nights (United States of America) ** Manager seeking prior Labor And Delivery RN experience.** **Position ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
- CVS Health (SC)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
- Fresenius Medical Center (Columbia, SC)
- …the direction of the Facility Manager , Director of Nursing and/or Charge Registered Nurse , utilizing standard nursing techniques to assist the physician in ... adverse events and action thresholds in collaboration with facility management . + Maintains integrity of medical records and other...the facility and reports any issues to the Facility Manager . + Ensures a clean, safe and sanitary environment… more