Nurse Utilization Review Consultant
4 days ago
We are seeking an experienced Nurse Utilization Review Consultant to join our team at US Tech Solutions, Inc. This role offers a competitive salary of $85,000 - $115,000 per annum, depending on experience and qualifications.
Key Responsibilities- Review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions.
- Utilize clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness.
- Perform medical or behavioral review/authorization process, ensuring coverage for appropriate services within benefit and medical necessity guidelines, and utilizing allocated resources to back up review determinations.
- A minimum of 4 years of recent clinical experience in a defined specialty area, including oncology, cardiology, neonatology, maternity, rehabilitation services, mental health/chemical dependency, orthopedic, or general medicine/surgery.
- OR, 4 years of utilization review/case management/clinical/or combination experience, with 2 of 4 years must be clinical.
We value collaboration, flexibility, and innovation at US Tech Solutions, Inc. We strive to provide a supportive and inclusive work environment that allows our employees to grow and develop in their careers.
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Utilization Review Nurse Specialist
3 weeks ago
Columbia, South Carolina, United States US Tech Solutions, Inc. Full timeJoin US Tech Solutions, Inc. as a Utilization Review Nurse Specialist and be part of a dynamic team that delivers innovative solutions to the healthcare industry.About the RoleWe are seeking an experienced RN with a strong background in utilization review and case management to join our team. As a Utilization Review Nurse Specialist, you will play a critical...
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Registered Nurse Utilization Review
1 week ago
West Columbia, South Carolina, United States InGenesis Full timeInGenesis seeks a skilled Registered Nurse to join our team as a Remote Clinical Coordinator. This role involves reviewing medical eligibility for benefits, assessing medical necessity, and monitoring services to ensure they align with benefit guidelines. As a Remote Clinical Coordinator, you will be responsible for performing medical review/authorization...
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Clinical Resource Specialist
2 weeks ago
West Columbia, South Carolina, United States Lexington Medical Center Full timeCompany OverviewLexington Medical Center is a leading healthcare provider in the Columbia metro area, consistently ranked #1 by U.S. News & World Report. Our commitment to quality health services and community dedication makes us an ideal workplace for professionals seeking a challenging and rewarding career. Salary: $65,000 - $90,000 per year Job...
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Healthcare Utilization Specialist
3 weeks ago
Columbia, South Carolina, United States Prisma Health Full timeAt Prisma Health, we're transforming healthcare for the benefit of our communities. As a Healthcare Utilization Specialist, you'll play a vital role in shaping the future of healthcare.About the RoleWe're seeking an experienced professional to join our team as a Healthcare Utilization Specialist. This is a dynamic opportunity to work with a talented group of...
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Medical Review RN
3 weeks ago
West Columbia, South Carolina, United States InGenesis Full timeJob Title: Medical Review RNAbout the Role: InGenesis is seeking a skilled Registered Nurse to join our team as a Medical Review RN. This role involves reviewing and evaluating medical eligibility for benefits, assessing medical necessity, and monitoring services to ensure they align with benefit guidelines.Responsibilities:Perform medical...
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Nurse Case Manager
3 weeks ago
Columbia, South Carolina, United States ASK Consulting Full timeJob Title: Nurse Case Manager About the RoleWe are seeking a highly skilled Nurse Case Manager to join our team at ASK Consulting. This is a 6-month contract to hire opportunity with a competitive salary of $30-$34 per hour, based on experience and location in Columbia, SC 29203.ResponsibilitiesThe successful candidate will be responsible for reviewing and...
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Clinical Nurse Consultant
3 weeks ago
Columbia, South Carolina, United States US Tech Solutions, Inc. Full timeAt US Tech Solutions, Inc., we are seeking a highly skilled Clinical Nurse Consultant to join our team in a telephonic case management role. As a key member of our team, you will be responsible for providing clinical expertise and guidance to our clients and members.About the RoleThis is a full-time position that requires 4 years of recent clinical...
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Medical Imaging Specialist
3 weeks ago
Columbia, South Carolina, United States Nurse First Full timeOverviewNurse First Travel Agency is a leading provider of travel nursing services, dedicated to giving nurses the best experience possible. With a commitment to advocacy and support, we strive to make every assignment a fulfilling and enjoyable experience.In this role, you will have the opportunity to work as a Medical Imaging Specialist in Richland,...
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Medical Imaging Professional
3 weeks ago
Columbia, South Carolina, United States Nurse First Full timeNurse First is seeking a highly skilled Medical Imaging Professional for a 13 week assignment in Washington. This exciting opportunity will provide the ideal candidate with a chance to work as a CT Technologist, utilizing their expertise to deliver high-quality patient care.Job Highlights:13 weeks assignment in Washington40 hours per week, 10 hour shifts,...
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RN Telemetry Nurse
3 weeks ago
Columbia, South Carolina, United States Travel Nurse Across America Full timeTravel Nursing Job OverviewIn this travel nursing opportunity, you will have the chance to provide exceptional patient care as a Telemetry RN in Richland, Washington. This 13-week assignment offers a unique experience for skilled professionals seeking new challenges and exciting locations.Salary and BenefitsWe offer a competitive salary, guaranteed pay, and...
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Critical Care Travel Nurse RN Specialist
3 weeks ago
Columbia, South Carolina, United States Travel Nurse Across America Full timeJob SummaryWe are seeking a highly skilled Critical Care Travel Nurse RN Specialist to join our team at Travel Nurse Across America. As a travel nurse, you will have the opportunity to work in various locations across the country, providing exceptional patient care and developing your skills in a dynamic environment.About the RoleThe ideal candidate will...
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Medical Nurse Specialist
3 weeks ago
Columbia, South Carolina, United States Concentric Healthcare Staffing Full timeConcentric Healthcare Staffing is a premier staffing firm dedicated to matching outstanding Registered Nurses with exceptional opportunities in the Medical/Surgical/Telemetry field.We are currently seeking candidates for a 13-week contract in the Richland, WA area. This role offers a unique opportunity for skilled Registered Nurses to utilize their expertise...
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Nurse Consultant
3 days ago
Columbia, South Carolina, United States MUSC Health & Medical University of SC Full timeMUSC Health & Medical University of SC is committed to delivering exceptional patient care and is seeking a skilled Registered WOC Nurse to join our team. As a key member of our interdisciplinary team, you will provide comprehensive care to patients with wounds, ostomies, or continence issues and play a vital role in promoting positive patient outcomes.Job...
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Nursing Professional
3 weeks ago
Columbia, South Carolina, United States Maxim Healthcare Full timeMaxim Healthcare Services, a trusted partner in delivering exceptional patient care for over 30 years, is seeking a skilled Registered Nurse to join their team. This role offers the opportunity to make a meaningful difference in the lives of patients and their families.About the RoleWe are hiring for a Nursing Professional to work with Pediatric and/or Adult...
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Cardiac Care Specialist
3 weeks ago
Columbia, South Carolina, United States Travel Nurse Across America Full timeJob SummaryWe are seeking a skilled Cardiac Care Specialist to join our team at Travel Nurse Across America. This exciting opportunity is based in Columbia, SC and offers the chance to work with a dynamic group of healthcare professionals.About the RoleThe successful candidate will provide high-quality patient care in a fast-paced Progressive Care Unit (PCU)...
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Critical Care Nurse Specialist
2 weeks ago
Columbia, South Carolina, United States LeaderStat Full timeLeaderStat, a National staffing, recruiting, and consulting firm dedicated to the healthcare industry, is seeking a skilled Critical Care Nurse Specialist for a travel nursing assignment in Washington.The ideal candidate will have 1 year of experience working as a full-time Registered Nurse and clinical experience within the last 2 years. A current State...
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Radiologic Technologist
3 weeks ago
Columbia, South Carolina, United States Travel Nurse Across America Full timeJob Title:Radiologic Technologist - Travel Opportunity in Richland, WashingtonAbout the Job:We are seeking a skilled Radiologic Technologist to join our team on a travel assignment in Richland, Washington. As a key member of our imaging team, you will be responsible for operating computed tomography equipment and ensuring that images are accurate and...
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Nurse Specialist Labor and Delivery Opportunity
3 weeks ago
Columbia, South Carolina, United States LeaderStat Full timeLabor and Delivery Registered Nurse Job DescriptionWe are seeking a dedicated and experienced Labor and Delivery Registered Nurse to join our team. As a travel nurse, you will have the opportunity to work in various healthcare settings across the country.About the JobWork as a Labor and Delivery Registered Nurse in Richland, WAContract duration: 13...
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Senior Intensive Care Unit Nurse Specialist
3 weeks ago
Columbia, South Carolina, United States LeaderStat Full timeJob Summary:We are seeking a highly skilled and experienced Senior Intensive Care Unit Nurse Specialist to join our team at LeaderStat. This is a 13-week contract position in Columbia, SC.About the Role:This is a Med Surg / Telemetry position that requires a Registered Nurse with at least 1 year of experience working as a full-time Registered Nurse.The ideal...
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Staff Nurse
3 days ago
Columbia, South Carolina, United States MUSC Health & Medical University of SC Full timeJob SummaryMUSC Health & Medical University of SC is seeking a highly skilled and compassionate Registered Nurse II to join our team. As a key member of our healthcare staff, you will provide exceptional patient care and support to families at the competent level. With a strong focus on individualized goal-directed care, you will utilize the principles and...