• Utilization Management Nurse

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (11/16/25)
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  • Utilization Management Nurse

    CVS Health (Columbia, SC)
    …And we do it all with heart, each and every day. **Position Summary** Utilization Management is a 24/7 operation and work schedules will include weekends, ... Qualifications** - 2+ years of experience as a Registered Nurse in adult acute care/critical care setting - Must...and unrestricted RN licensure in state of residence - Utilization Management is a 24/7 operation and… more
    CVS Health (11/20/25)
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  • Utilization Management Nurse

    CenterWell (Columbia, SC)
    …RN experience; + Prior clinical experience, managed care experience, **OR** utilization management experience + Demonstrates Emotional Maturity + Ability ... Therapy, DME, Cardiac or Orthopedic procedures + Previous experience in utilization management within Insurance industry + Previous Medicare Advantage/Medicare… more
    CenterWell (11/22/25)
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  • SNF Utilization Management RN…

    Humana (Columbia, SC)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Utilization Management Clinical…

    CVS Health (Columbia, SC)
    …experience working within the mental health system. + Previous experience with utilization management . + Ability to collaborate with various internal ... clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult… more
    CVS Health (11/19/25)
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  • Disease Management Nurse - Remote

    Sharecare (Columbia, SC)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... for everyone. To learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals and… more
    Sharecare (10/22/25)
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  • Paneled Nurse Practitioner

    CenterWell (Anderson, SC)
    …proactive and sustained engagement in improving health outcomes, optimizing resource utilization , and ensuring effective panel management . + **Focus on ... part of our caring community and help us put health first** The Nurse Practitioner, Paneled applies advanced education and clinical competencies to achieve optimal… more
    CenterWell (10/01/25)
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  • Registered Nurse - Polytrauma…

    Veterans Affairs, Veterans Health Administration (Columbia, SC)
    …nursing education, orientation, competencies and providing quality improvement and outcomes utilization . This nurse works closely with active-duty service ... Summary The Polytrauma Rehabilitation Liaison Registered Nurse (RN) executes position responsibilities that demonstrate leadership, experience, and creative… more
    Veterans Affairs, Veterans Health Administration (11/19/25)
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  • Case Manager, Registered Nurse - Fully…

    CVS Health (Columbia, SC)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse more
    CVS Health (11/19/25)
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  • Charge Nurse Weekend Only Plan - Labor…

    Roper St. Francis (Summerville, SC)
    …following established standards and practices in accordance with the South Carolina Nurse Practice Act. Applies professional nursing theory and practice to assess, ... and promotes collegial and collaborative working relationships within and among disciplines. Charge Nurse role has 2 tiers: Primary Charge Nurse I and Primary… more
    Roper St. Francis (11/03/25)
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