• Utilization Management RN

    Humana (Columbia, SC)
    …community and help us put health first** Humana Healthy Horizons is seeking a Utilization Management Nurse who utilizes clinical nursing skills to support ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse work assignments...the State of South Carolina.** + Active unrestricted Licensed Registered Nurse ( RN ) in the… more
    Humana (05/17/25)
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  • Utilization Management Nurse

    CVS Health (Columbia, SC)
    …active current and unrestricted RN licensure in state of residence. + Utilization Management is a 24/7 operation and work schedules will include weekends, ... **Required Qualifications** + 2+ years of experience as a Registered Nurse in adult acute care/critical care...or specialty area. + Managed Care experience preferred, especially Utilization Management . + Preference for those residing… more
    CVS Health (05/17/25)
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  • Utilization Management Behavioral…

    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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) in an… more
    Humana (05/13/25)
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  • Utilization Review Nurse

    US Tech Solutions (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. OR, 4 years utilization review/case management /clinical/or combination; 2 of 4 years ... effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is...the state of hire, OR, active compact multistate unrestricted RN license as defined by the Nurse more
    US Tech Solutions (05/17/25)
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  • Social Worker or Registered Nurse

    Roper St. Francis (Mount Pleasant, SC)
    …mandated by CMS and Conditions of Participation for discharge planning and utilization management . Addresses opportunities or potential concerns with leadership. ... America) **This position can be filled by either an RN Case Manager or an Social Woker** **Case Manager....The Case Manager MSW integrates the roles of Case Management and Discharge Planning utilizing a prospective approach for… more
    Roper St. Francis (04/25/25)
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  • Registered Nurse ( RN ) - ICU…

    Bon Secours Mercy Health (Greenville, SC)
    …and operational excellence. FT Nights **Summary of Primary Functions** The Critical Care Registered Nurse ( RN ) provides, coordinates, plans, and evaluates ... Nurse (preferred) PCCN Progressive Care Certified Nurse (preferred) RN -BC Registered Nurse - Board Certified (preferred) TCRN Trauma Certified… more
    Bon Secours Mercy Health (05/05/25)
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  • Registered Nurse ( RN )…

    Bon Secours Mercy Health (Greenville, SC)
    …patient care) ACLS Advanced Cardiac Life Support (preferred) Medical-Surgical Nursing Certification RN -BC ( Registered Nurse - Board Certified) (preferred) ... patient care, demonstrates strong skills related to effective time management and prioritizing patient care, contributes to the provision...( RN ) - Med-Surg_** **Job Summary:** The Med-Surg Registered Nurse ( RN ) position is… more
    Bon Secours Mercy Health (03/26/25)
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  • Registered Nurse

    US Tech Solutions (Columbia, SC)
    …mental health/chemical dependency, orthopedic, general medicine/surgery. Or, 4 years utilization review/case management /clinical/or combination; 2 of the 4 ... the United States and in the state of hire OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC) OR, active,… more
    US Tech Solutions (05/16/25)
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  • Registered Nurse ( RN

    Bon Secours Mercy Health (Greenville, SC)
    …Nursing. BSN preferred with a minimum of 5 years actively practicing as a registered nurse . (If not currently bachelor's prepared, BSN degree pursuit required ... care sites and clinicians are recognized for clinical and operational excellence. ** RN Navigator - St. Francis Cancer Center - Hematology** **POSITION SUMMARY:**… more
    Bon Secours Mercy Health (05/19/25)
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  • Registered Nurse ( RN )…

    Roper St. Francis (Charleston, SC)
    …Weekly Hours:** 40 **Work Shift:** Days/Afternoons (United States of America) Pain Management Clinic open Monday-Friday, shifts vary. No holidays, no weekends, no ... partnership * Interprofessional collaboration and leadership * Understanding and utilization of office and clinical technologies * Compassionate, relationship-based… more
    Roper St. Francis (05/22/25)
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