• Registered Nurse - Managed…

    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
    InGenesis (08/15/25)
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  • Registered Nurse - Managed…

    US Tech Solutions (Columbia, SC)
    …staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into system for ... in direct intervention/patient education with members and providers regarding health care delivery system, utilization on networks and benefit plans. May identify,… more
    US Tech Solutions (10/29/25)
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  • Care Manager - Registered…

    CVS Health (Columbia, SC)
    …compassionate. And we do it all with heart, each and every day. **Job Summary** The Care Manager- Registered Nurse is a key member of our Special Needs Plan ... of care management within Medicare and Medicaid managed care . + Familiarity with community resources...**Required Qualifications** + Candidate must have active and unrestricted Registered Nurse (RN) licensure in the state… more
    CVS Health (10/30/25)
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  • Clinical Reviewer, Nurse (Medical Oncology)…

    Evolent (Columbia, SC)
    …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical/Vocational Nurse with a current, ... Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior...year of experience with medical management activities in a managed care environment + Schedule: Monday-Friday, 9:00… more
    Evolent (10/21/25)
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  • Licensed Practical Nurse (LPN)

    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
    Assured & Associates (10/27/25)
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  • Quality Perform Specialist Clinical

    AmeriHealth Caritas (Columbia, SC)
    …internal candidates, bordering states may be accepted. ; **Education/Experience:** + Registered Nurse required + 3 to 5 years Managed Care experience. ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
    AmeriHealth Caritas (10/28/25)
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  • Senior Hospice Patient Care RN Manager

    Gentiva (Myrtle Beach, SC)
    …Medicaid, JCAHO, ACHC **About You** **Qualifications - What You'll Bring:** + Current Registered Nurse (RN) license in the state of employment + Graduate ... care experience + Knowledge of hospice principles, regulatory compliance, and managed care + Strong communication, collaboration, and organizational skills +… more
    Gentiva (11/03/25)
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  • Care Manager

    AmeriHealth Caritas (Columbia, SC)
    …record/documentation systems is essential **Licensure** + Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South Carolina ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
    AmeriHealth Caritas (10/26/25)
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  • Care Manager

    AmeriHealth Caritas (Rock Hill, SC)
    …driver's license with car insurance is required. + Must hold a current and unrestricted Registered Nurse (RN) license in good standing in South Carolina or a ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more
    AmeriHealth Caritas (10/26/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Aiken, SC)
    …Science in Nursing (BSN) strongly preferred. **License/Certifications:** + Active and unrestricted Registered Nurse (RN) license or Compact State RN license with ... The **RN Clinical Manager** coordinates and oversees all direct care patient services provided by clinical personnel. This role...A minimum of 2 years of experience as a Registered Nurse (RN). + Home health experience… more
    CenterWell (10/22/25)
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