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Utilization review nurse [h1.location_city]

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Utilization review nurse • columbia sc

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  • [promoted]
Utilization Review Coordinator

Utilization Review Coordinator

Universal Health ServicesWest Columbia, SC, United States
[job_card.full_time]
Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator.Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents ...[show_more][last_updated.last_updated_variable_days]
Utilization Review Coordinator

Utilization Review Coordinator

Foundations for LivingWEST COLUMBIA, South Carolina, United States
[job_card.full_time]
Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator.Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents ...[show_more][last_updated.last_updated_30]
  • [promoted]
Utilization Management Nurse

Utilization Management Nurse

US Tech SolutionsColumbia, SC, United States
[job_card.full_time]
Months (Possible contract to hire).Onsite training - will last up to six weeks but could be extended.A typical day would like in this role : Process prior authorization requests for Medicare Advanta...[show_more][last_updated.last_updated_30]
  • [promoted]
Utilization Review Nurse

Utilization Review Nurse

Public Consulting GroupColumbia, SC, United States
[job_card.full_time]
Public Consulting Group LLC (PCG) is a leading public sector solutions implementation and operations improvement firm that partners with health, education, and human services agencies to improve li...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Utilization Review Coordinator

Utilization Review Coordinator

Universal Health Services, Inc.West Columbia, SC, United States
[job_card.full_time]
Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator.Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents ...[show_more][last_updated.last_updated_variable_days]
Utilization Review Coordinator

Utilization Review Coordinator

Three Rivers MidlandsWEST COLUMBIA, South Carolina
[job_card.full_time]
Three Rivers Midlands is seeking a dynamic & talented Full-time.Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabil...[show_more][last_updated.last_updated_30]
  • [promoted]
Medical Review Supervisor

Medical Review Supervisor

Utah StaffingColumbia, SC, US
[job_card.full_time]
Job Opportunity At Cgs Administrators.Why should you join the BlueCross BlueShield of South Carolina family of companies? Other companies come and go, but for more than seven decades we've been par...[show_more][last_updated.last_updated_1_day]
  • [promoted]
Utilization Review Coordinator

Utilization Review Coordinator

UHSWest Columbia, SC, United States
[job_card.full_time]
Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator.Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents ...[show_more][last_updated.last_updated_variable_days]
Utilization Review Director

Utilization Review Director

Three Rivers Behavioral HealthWEST COLUMBIA, South Carolina
[job_card.full_time]
Three Rivers Behavioral Health.We offer a full continuum of care through an integrated system of inpatient, partial hospitalization and intensive outpatient programs. Conveniently located between I-...[show_more][last_updated.last_updated_30]
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Quality Review Specialist-RN

Quality Review Specialist-RN

Lexington Health IncWest Columbia, SC, United States
[job_card.full_time]
The Quality Review Specialist-RN provides consultative services regarding quality assessment and trends to medical staff and to hospital ancillary department personnel. In this role, the employee wi...[show_more][last_updated.last_updated_variable_days]
Utilization Review Coordinator

Utilization Review Coordinator

Southwest Healthcare SystemWEST COLUMBIA, South Carolina, United States
[job_card.full_time]
Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator.Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents ...[show_more][last_updated.last_updated_variable_days]
Document Review Clerk

Document Review Clerk

Lincare Holdings Inc.COLUMBIA, SC, USA
[job_card.full_time]
The Upfront Review Clerk is responsible for the quality review of all pertinent customer information for accuracy and completeness in order to meet payer requirements for timely and maximum reimbur...[show_more][last_updated.last_updated_30]
  • [promoted]
  • [new]
Utilization Review RN

Utilization Review RN

VirtualVocationsColumbia, South Carolina, United States
[job_card.full_time]
A company is looking for a Utilization Review Registered Nurse (Multiple Openings).Key Responsibilities Perform utilization review using InterQual and / or MCG / Milliman criteria Collaborate with p...[show_more][last_updated.last_updated_variable_hours]
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Behavioral Health Utilization Management Nurse

Behavioral Health Utilization Management Nurse

HumanaColumbia, SC, United States
[job_card.full_time]
Join our compassionate community and prioritize health like never before!.The Behavioral Health Utilization Management Nurse plays a crucial role in utilizing clinical nursing expertise to enhance ...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Registered Nurse (RN) - Utilization Management, FT, Days

Registered Nurse (RN) - Utilization Management, FT, Days

Prisma HealthColumbia, SC, United States
[job_card.full_time]
Screens patients to obtain clinical information and make timely contacts with insurers to provide clinical information to support physician referrals. In collaboration with physicians, leads the mul...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Quality Review Auditor

Quality Review Auditor

South Carolina StaffingColumbia, SC, United States
[job_card.temporary]
Job Opportunity At Us Tech Solutions.Duration : 3+ months contract (possible temp to hire).Hour / schedule : Monday - Friday, 8AM-4 : 30PM. License / certification in : RHIT, RHIA, CIC, CPMA, or CPC.A typica...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Sr. Commercial Review Appraiser

Sr. Commercial Review Appraiser

City National BankColumbia, SC, United States
[job_card.full_time]
The Commercial Real Estate Review Appraiser is responsible for the engagement of third-party vendors and review of appraisal reports for the Bank's real estate secured loans and related supporting ...[show_more][last_updated.last_updated_variable_days]
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Utilization Management Pharmacist

Utilization Management Pharmacist

BlueCross BlueShield of South CarolinaColumbia, SC, United States
[job_card.full_time]
Internal Reference Number : R1048708.Summary Responsible for performing utilization management reviews of prior authorization request for medications by applying clinical guidelines and criteria to ...[show_more][last_updated.last_updated_variable_days]
  • [promoted]
Eligibility Review Psychologist (OIDD-Central Office)

Eligibility Review Psychologist (OIDD-Central Office)

State of South CarolinaCayce, SC, United States
[job_card.full_time]
Department of Behavioral Health and Developmental Disabilities.Agency Specific Application Procedures : : .Please complete the state application to include all current and previous work history and ed...[show_more][last_updated.last_updated_variable_days]
Utilization Review Coordinator

Utilization Review Coordinator

Universal Health ServicesWest Columbia, SC, United States
[job_card.variable_days_ago]
[job_preview.job_type]
  • [job_card.full_time]
[job_card.job_description]

Responsibilities

Three Rivers Midlands is seeking a dynamic & talented Full-time Utilization Review Coordinator

Three Rivers Midlands is a comprehensive behavioral health facility treating children and adolescents through residential and Rehabilitative Behavioral Health Services (RBH). We treat males and females ages 6-21 for a wide spectrum of psychiatric issues, addictive behaviors, and chemical dependency related illnesses.

http : / / threeriversmidlands.org /

The Utilization Review Coordinator Key Responsibilities include :

The Utilization Review (UR) Coordinator provides precertification and verification of benefits for incoming residents. Coordinates the utilization management functions of a resident caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations / managed care companies. Completes insurance verification from various payors and obtain correct information to complete precertification as well as appeals.

This is a Full Time Day Position, 8 : 00am - 4 : 30pm.

Benefit Highlights

  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!

About Universal Health Services

One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500 corporation, annual revenues were $13.4 billion in 2022. During the year, UHS was again recognized as one of the World's Most Admired Companies by Fortune; and listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 94,000 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located all over the U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications

Position Requirements :

  • Master's Degree in Health and Human Services or similar field required, but strongly prefer Master's Degree in Health and Human Services Field
  • Minimum (1) one year in a behavioral health / healthcare setting preferred.
  • Valid SC Drivers License required
  • Requires ability to work in a fast-paced environment
  • Must possess knowledge of therapeutic relationships, therapeutic processes, adolescent growth and development, limit-setting and behavior management
  • EEO Statement

    All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

    We believe that diversity and inclusion among our teammates is critical to our success.

    Notice

    At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skillset and experience with the best possible career path at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc. If you are suspicious of a job posting or job-related email mentioning UHS or its subsidiaries, let us know by contacting us at : https : / / uhs.alertline.com or 1-800-852-3449.