Current jobs related to Clinical Utilization Management Specialist - Bennettsville, South Carolina - CVS Health
-
Nurse Consultant Utilization Management
3 weeks ago
Bennettsville, South Carolina, United States CVS Health Full timeJob Title: Utilization Management Nurse ConsultantCVS Health is seeking a highly skilled and experienced Utilization Management Nurse Consultant to join our team. As a key member of our healthcare team, you will play a critical role in assessing, planning, implementing, coordinating, monitoring, and evaluating options to facilitate appropriate healthcare...
-
Physiatry Specialist
3 weeks ago
Bennettsville, South Carolina, United States Comprehensive Rehab Consultants Full timeUnlock the Future of HealthcareComprehensive Rehab Consultants is revolutionizing the way skilled nursing facility (SNF) care is delivered. As a Physiatry Specialist, you will be part of a team building tomorrow's healthcare.Key Responsibilities:Provide specialized Physiatry/PM&R services as a rehab consultantRepresent CRC in your facility through strong...
-
Youth Care Specialist Supervisor
3 weeks ago
Bennettsville, South Carolina, United States AMIkids Full timeJob SummaryThe Youth Care Specialist Supervisor is responsible for providing leadership and supervision to the Youth Care Specialists, ensuring the safe and secure operations of the program. This role involves developing and managing the performance of direct reports, scheduling, and participating in the recruiting process.Key ResponsibilitiesLeadership and...
-
Physiatry Specialist
3 weeks ago
Bennettsville, South Carolina, United States Comprehensive Rehab Consultants Full timeTransforming Healthcare with Compassion and ExpertiseAt Comprehensive Rehab Consultants, we're dedicated to revolutionizing the way skilled nursing facility care is delivered. Our team of passionate professionals is committed to providing exceptional patient outcomes and promoting a culture of excellence.About the RoleWe're seeking a skilled and...
-
Medical Laboratory Specialist
4 weeks ago
Bennettsville, South Carolina, United States MLee Healthcare Staffing and Recruiting, Inc Full timeMedical Laboratory Technician Job DescriptionWe are seeking a skilled Medical Laboratory Technician to perform diagnostic testing as per physician orders under the supervision of the Clinical Director. The role requires expertise in laboratory procedures, equipment maintenance, quality assessments, and efficient workload management.Key...
-
Medical Laboratory Specialist
3 weeks ago
Bennettsville, South Carolina, United States MLee Healthcare Staffing and Recruiting, Inc Full timeMedical Technologist Job DescriptionThis role is responsible for performing diagnostic testing and laboratory management under the supervision of a Clinical Director. Key responsibilities include venipuncture, testing, and adherence to quality control protocols. The ideal candidate will have a strong understanding of laboratory policies and procedures, as...
-
Nurse Care Specialist
3 weeks ago
Bennettsville, South Carolina, United States Bennettsville Health and Rehabilitation Center Full timeJob Summary:As a Registered Nurse at Bennettsville Health and Rehabilitation Center, you will play a vital role in providing high-quality patient care. Working collaboratively with our nursing team, you will strive to deliver exceptional care to our patients, utilizing your clinical expertise and compassion to make a meaningful difference in their lives.Key...
-
Crane Operator
3 weeks ago
Bennettsville, South Carolina, United States Quercus Forest Products, LLC Full timeJob Summary:The Crane Operator - Wood Handling Specialist will be responsible for safely and efficiently unloading, storing, recovering, and loading tree length and double bunk wood in a mill production environment. The ideal candidate will have experience operating mechanical systems, hydraulic systems, and equipment requiring eyes, hands, and feet...
-
Medical Laboratory Specialist
3 weeks ago
Bennettsville, South Carolina, United States MLee Healthcare Staffing and Recruiting, Inc Full timeJob Title: Medical Laboratory TechnicianWe are seeking a skilled Medical Laboratory Technician to perform diagnostic testing as per physician orders under the supervision of the Clinical Director.Key Responsibilities:Perform venipuncture for all patient age groups, ensuring high specimen quality.Conduct accurate testing in assigned departments and...
-
Physical Therapist Assistant
2 weeks ago
Bennettsville, South Carolina, United States Coastal Rehabilitation Full timeOptimize Patient Mobility and Activities of Daily LivingAt Coastal Rehabilitation, we are seeking a skilled Physical Therapist Assistant to join our team. As a key member of our interdisciplinary team, you will play a vital role in facilitating patient/resident mobility and activities of daily living.Key Responsibilities:• Screen and treat...
-
Occupational Therapy Assistant
3 weeks ago
Bennettsville, South Carolina, United States Coastal Rehabilitation Full timeRehabilitation Services Provider OpportunityCertified Occupational Therapy Assistant, COTA, OTA**Job Summary:** Under the direction of the Occupational Therapist, the Occupational Therapy Assistant supports patient/resident well-being, rehabilitation and recovery. Screens and treats patients/residents, documents services and communicates with families and...
-
Behavioral Therapist
3 weeks ago
Bennettsville, South Carolina, United States Sunbelt Staffing Full timeJob Opportunity:Sunbelt Staffing is seeking a licensed Board Certified Behavior Analyst (BCBA) to fulfill a contract for the upcoming school year. This position is on-site and full-time, requiring a minimum of 1+ years of experience as a Behavior Specialist.Key Responsibilities:Provide behavioral analysis and support to students in a K-12th grade...
-
Behavioral Therapist
3 weeks ago
Bennettsville, South Carolina, United States Sunbelt Staffing Full timeJob Title: Board Certified Behavior AnalystJob Summary:We are seeking a Board Certified Behavior Analyst (BCBA) to join our team at Sunbelt Staffing. As a BCBA, you will be responsible for providing behavioral therapy services to students in a school setting.Responsibilities:Provide behavioral therapy services to students in a school settingCollaborate with...
-
Adult and Child Counselor
3 weeks ago
Bennettsville, South Carolina, United States State of South Carolina Full timeJob SummaryWe are seeking a highly skilled and compassionate Adult and Child Counselor to join our team at Highway to Hope Tri-County CMHC. As a key member of our team, you will provide essential mental health services to individuals and families in rural areas, utilizing evidence-based interventions and methods.Key ResponsibilitiesProvide outpatient mental...
-
Occupational Therapy Assistant
2 weeks ago
Bennettsville, South Carolina, United States Coastal Rehabilitation Full timeCoastal Rehabilitation is seeking a dedicated and skilled Occupational Therapy Assistant to join our team. This is a rewarding opportunity to work with patients in a geriatric rehabilitation setting, promoting their well-being and empowering them to participate in daily activities.About the RoleThe Occupational Therapy Assistant will work under the...
-
Nurse Practitioner
4 weeks ago
Bennettsville, South Carolina, United States Matrix Medical Network Full timeAbout Matrix Medical NetworkMatrix Medical Network is a leading provider of clinical services and care management solutions. Our team of healthcare professionals is dedicated to improving the quality of care for at-risk individuals and communities.Job SummaryWe are seeking a skilled Nurse Practitioner to join our team on a PRN/Part Time basis. As a Nurse...
-
Physician Assistant
1 month ago
Bennettsville, South Carolina, United States Comprehensive Rehab Consultants Full timeUnlock Your Potential in Post-Acute CareComprehensive Rehab Consultants (CRC) is a physician-owned and operated group dedicated to providing high-quality patient care in the post-acute setting. We are seeking a skilled Nurse Practitioner to join our team as a Physiatry Clinician in a skilled nursing facility (SNF) setting.About the RoleThis is a 16-hour,...
-
LPN - Bennettsville SC
3 weeks ago
Bennettsville, South Carolina, United States Nitelines USA, Inc Full timeJob SummaryWe are seeking a highly skilled Licensed Practical Nurse (LPN) to join our team at the Federal Correctional Institution (FCI) in Bennettsville, SC. As an LPN, you will provide high-quality patient care to inmates, working closely with a Supervisory Clinical Nurse, MLP, and Physicians to ensure the best possible outcomes.ResponsibilitiesProvide...
-
Home Health Professional
3 weeks ago
Bennettsville, South Carolina, United States MLee Healthcare Staffing and Recruiting, Inc Full timeHome Health / Hospice Nurse Job OpportunityWe are seeking a dedicated and compassionate Home Health/Hospice Nurse to join our esteemed client's team.Key Responsibilities:Receive patient assignments from the Operations Leader or Clinical Resource Team Leader.Communicate effectively regarding patient care, business operations, and topics that foster a positive...
-
Nurse Practitioner
3 weeks ago
Bennettsville, South Carolina, United States Matrix Medical Network Full timeAbout UsMatrix Medical Network is a leading provider of clinical services and care management solutions. Our team of experienced clinicians and healthcare professionals work together to deliver high-quality care to patients in their homes and communities.We are committed to improving health outcomes and reducing healthcare costs through our innovative...
Clinical Utilization Management Specialist
2 months ago
CVS Health is seeking a skilled Utilization Management Nurse Consultant to join our team. As a key member of our healthcare services team, you will play a critical role in ensuring that our members receive the most appropriate and effective care.
Key Responsibilities- Utilize clinical expertise to assess, plan, implement, coordinate, monitor, and evaluate options to facilitate appropriate healthcare services and benefits for members.
- Apply clinical criteria, guidelines, policies, procedures, and judgment to render coverage determinations and recommendations.
- Communicate with providers and other stakeholders to facilitate care and treatment.
- Identify opportunities to promote quality and effectiveness of healthcare services and benefit utilization.
- Consult and lend expertise to internal and external constituents in the coordination and administration of utilization and benefit management functions.
- 3+ years of experience as a Registered Nurse (RN)
- 1+ year of inpatient hospital experience
- Active, current, and unrestricted RN licensure in the state of residence
- Able to work in multiple IT platforms and systems
- Must be willing and able to work Monday through Friday, 9:30am to 6:00pm EST, with occasional weekend and holiday rotations
- Experience working with Medicare and Medicaid populations
- MCG experience
- Managed care experience
- UM Certification
- MedCompass experience
- Associate's Degree required
- BSN preferred
The typical pay range for this role is $65.66 per hour. This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors, including experience, education, geography, and other relevant factors.
This position is eligible for a CVS Health bonus, commission, or short-term incentive program in addition to the base pay range listed above.
CVS Health offers a comprehensive benefits package, including medical, dental, and vision benefits, 401(k) retirement savings plan, employee stock purchase plan, term life insurance, short-term and long-term disability benefits, and paid time off.
