• 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)
    - Related Jobs
  • 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)
    - Related Jobs
  • Registered Nurse (RN) Navigator-Physician…

    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 ... BSN preferred with a minimum of 5 years actively practicing as a registered nurse . (If not currently bachelor's prepared, BSN degree pursuit required within 1 year… more
    Bon Secours Mercy Health (11/23/25)
    - Related Jobs
  • Primary Care Physician Lead

    CenterWell (Seneca, SC)
    …opportunities for education/coaching + Identifying trends and areas of opportunity in pharmacy utilization (pharmacy management ) to impact Part D per Member per ... early detection. The PL is responsible for executing the clinical strategy through the management of their own patient panel as well as those of the clinicians whom… more
    CenterWell (10/17/25)
    - Related Jobs