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Keywords: Utilization Management Nurse, Location: Columbia, SC

Page: 1

Utilization Management Nurse

requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis... delivery system, utilization on networks and benefit plans. Serves as member advocate through continued communication...

Location: Columbia, SC
Posted Date: 25 Dec 2025

Utilization Review Coordinator

provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions... mental health field or Registered Nurse. Experience: Minimum of two years psychiatric experience in chart analysis...

Posted Date: 24 Oct 2025

Utilization Review Coordinator

provides precertification and verification of benefits for incoming patients. Coordinates the utilization management functions... mental health field or Registered Nurse. Experience: Minimum of two years psychiatric experience in chart analysis...

Posted Date: 24 Oct 2025

Registered Nurse (RN)-Acute Care, Family Beginnings, Mother Baby, FT, Days

of regulatory agency requirements (JCAHO, DHEC, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 24 Dec 2025

Office Nurse Practitioner - Lexington Urology

care across the health-illness continuum and lifespan within protocols set forth and approved by both the nurse... Carolina; Certification by appropriate credentialing organization recognized by South Carolina as Nurse Practitioner; CPR...

Posted Date: 21 Dec 2025

Registered Nurse (RN)-Acute Care, Neonatal Intensive Care Unit, NICU, FT, Nights

of regulatory agency requirements (JCAHO, DHEC, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. The.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 20 Dec 2025

Registered Nurse (RN) Acute Care, Operating Room, PRN, Varied Shifts

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 20 Dec 2025

Registered Nurse (RN) Acute Care, Emergency Department, FT, 1p-1a

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 20 Dec 2025

Licensed Practical Nurse / LPN

InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia... guidelines. In this role, you will provide support and review of medical claims and utilization practices. This is a REMOTE...

Company: InGenesis
Location: Columbia, SC
Posted Date: 18 Dec 2025

Nurse Practitioner

by South Carolina as Nurse Practitioner; CPR,BLS. Required Training: None Essential Functions Documents all situations..., and interpreting quality assurance/risk management programs. Duties & Responsibilities Supervises and intervenes with clinical...

Posted Date: 18 Dec 2025

Registered Nurse (RN) - Acute Care, Facility Resource Pool Richland, PT, Days

, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...

Posted Date: 18 Dec 2025

Registered Nurse (RN) - Acute Care, Facility Resource Pool Richland, PRN, Nights

, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...

Posted Date: 18 Dec 2025

Registered Nurse (RN) - Acute Care, Facility Resource Pool, Richland, FT, Nights

, CMS). Provides care within the scope of the South Carolina Nurse Practice Act. This job requires willingness to float.../family involvement/participation), Micromedex utilization, Computer resources Communicates the patient/family's need...

Posted Date: 18 Dec 2025

Registered Nurse (RN) - Acute Care, Cardiopulmonary ICU, FT, Nights

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... disease. Open to all doctors and patients, our continuum of care begins with disease prevention and management and extends...

Posted Date: 17 Dec 2025

Registered Nurse (RN) - Acute Care, Cardiovascular ICU, FT, Nights

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... disease. Open to all doctors and patients, our continuum of care begins with disease prevention and management and extends...

Posted Date: 17 Dec 2025

Registered Nurse (RN) Acute Care, Family Beginnings, Mother Baby, FT, Nights

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 17 Dec 2025

Registered Nurse (RN)-Acute Care, ICU, FT, Nights

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 17 Dec 2025

Registered Nurse (RN) - Acute Care, Level I Emergency Trauma Center, FT, Nights

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... and evaluating teaching plan (encourages patient/family involvement/participation), Computer resources and Micromedex utilization...

Posted Date: 13 Dec 2025

Registered Nurse (RN) - Acute Care, Neuroscience and Stroke, FT, Days

Nurse Practice Act. The acute inpatient setting may require staff to be scheduled for a weekend, holiday, and on-call work... and VP shunts as well neuro patients suffering from disorders such as seizures and stokes. The standard nurse to patient...

Posted Date: 12 Dec 2025

Registered Nurse (RN)-Acute Care, Operating Room, PT, Days

Nurse Practice Act. The acute inpatient setting usually requires staff to be scheduled for a significant amount of shift.../family involvement/participation), Computer resources and Micromedex utilization Communicates the patient/family's need...

Posted Date: 12 Dec 2025