- CVS Health (Columbia, SC)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Columbia, SC)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... time, talking on the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate, document and communicate all aspects… more
- CVS Health (Columbia, SC)
- …Must be willing and able to work Monday through Friday, 8:00am to 5:00pm. Utilization management is a 24/7 operation. Work schedules will include weekend/holiday ... Qualifications** + Managed Care experience + Discharge planning experience + Utilization Management experience **Education** Associates Degree or Nursing Diploma… more
- CVS Health (Columbia, SC)
- …Must have active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include ... in med surg or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing in EST zone. **Education**… more
- Prime Therapeutics (Columbia, SC)
- …passion and drives every decision we make. **Job Posting Title** Pharmacy Network Management Consultant - Remote **Job Description** The Network Management ... Consultant is responsible for development, performance and management of Prime's retail, mail, specialty, and quality-based networks aligning with Prime's Supply… more
- Cardinal Health (Columbia, SC)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be...Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date… more
- Eliassen Group (Columbia, SC)
- … to support the implementation of Workfront as an Enterprise Portfolio and Project Management tool. As the Senior Consultant , you will work closely with our ... **Workfront Configuration Consultant ** **Anywhere** **Type:** Contract **Category:** Development **Industry:** Insurance **Workplace Type:** Remote **Reference ID:**… more
- Bon Secours Mercy Health (Greenville, SC)
- …quality assurance, and data management as needed. + Evaluates the clinical outcomes of nursing practice, resource utilization , and environmental conditions. ... primary function is that of expert practitioner, with essential educator, consultant , case management , and managerial role components. **Employment… more
- Bon Secours Mercy Health (Greenville, SC)
- …whose primary function is that of expert practitioner, with essential educator, consultant , case management , and managerial role components. **MINIMUM REQUIRED ... and cost effectiveness. Our hospitals, care sites and clinicians are recognized for clinical and operational excellence. **RN Navigator - St. Francis Cancer Center -… more
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