Utilization Management Jobs in Charleston, SC

Job Description SummaryThe Program Coordinator II is responsible for providing supportive duties to the National Crime Victims Research and Treatment Center by coordinating the program evaluation activities for the EQUIPTT Center a SAMHSA-funded Center that is part of the National Child Traumatic St...

At Guidehealth our mission is simple but powerful: to make great healthcare affordable for all. Were a technology-forward company that believes in accountability continuous learning innovation and ensuring every voice is heardall while leading with empathy.Were looking for Customer Service Guides wh...

Job Description SummaryThis position acts as a coordinator and case manager for approximately 100 patients at a time. The nurse coordinator serves as a central figure in the multidisciplinary ALS care team ensuring seamless coordination of clinical services patient education and administrative suppo...

Community Health Center seeking a Medical Director in the Orangeburg SC area!Easily live close to either Columbia or Charleston!Contact:Raymond Stiles ) Company:Federally Qualified Health Center dedicated to helping their patients and communityMultispecialty group providing high quality primary care...

Job Description SummaryERAS and ACSQVP Clinical Data Analyst responsibilities include collecting analyzing and reviewing clinically relevant data to monitor and identify potential surgical quality and safety issues and to support quality improvement (QI) for Pre-surgery during surgery and post-surge...

OverviewSelect Specialty HospitalCritical Illness Recovery Hospital (LTACH)Director of Case ManagementFull Time: Monday - Friday 8-5pmClinical license as a registered nurse or respiratory therapist or masters in social work and minimum three (3) years of medical case management or similar experience...

Job Description SummaryThis Program Coordinator Il position will be responsible for assisting a team of professionals in the development of content that will be used to create technology-based resources and to provide program coordination organization report writing and administrative duties. They w...

Job Description SummaryThe Program Coordinator is responsible for the day to day management of the South Carolina Education in Neurodevelopmental and Related Disabilities training program and the management for the MHCB Developmental-Behavioral Pediatrics Training grant. The Coordinator will be resp...

Job Description SummaryIn collaboration with other Program Coordinator(s) within the research team this individual will work across a range of studies (approx 5-8) across a range of designs (either human lab studies and/or clinical trials often remote clinical trials) coordinating short-term needs (...

Job Description SummaryThe Medical University of South Carolina is seeking a Pediatric Medical Director to guide and grow our expanding community pediatric primary care ambulatory network which includes approximately 40 providers across multiple practice locations in the Charleston area including Mo...

Job Description SummaryThe Medical University of South Carolina is seeking a Pediatric Medical Director to guide and grow our expanding community pediatric primary care ambulatory network which includes approximately 40 providers across multiple practice locations in the Charleston area including Mo...

Job Description SummaryThe Program Coordinator II supports the Enterprise Project Management Office (EPMO) through the coordination of activities scheduling meetings documenting/compiling reports and other project and program-related activities.EntityMedical University Hospital Authority (MUHA)Worke...

Job Description SummaryThe incumbent will provide technical programmatic and administrative services on an OVC award supporting the National Mass Violence Center (NMVC). This position will be responsible for administering programmatic and administrative activities related to the Response Recovery an...

Job Description SummaryThe GME Accreditation Coordinator II is responsible for developing and analyzing accreditation tracking and monitoring processes for our institution and over 100 programs including ACGME Non-ACGME CODA and Non-MD programs. This position will counsel program leadership on educ...

Medical Director DVM - clinically practicingProficient in general medicine surgery and dentistryExperience preferred but new graduates seeking mentorship are encouraged to apply!We offer our veterinarians:Flexible Scheduling & Medical AutonomyComprehensive Benefits (paid vacation/sick time/holidays...

Appeals Pharmacist Ensure Fair Medication Access for PatientsA confidential managed care organization is seeking an experienced Appeals Pharmacist to review evaluate and process medication coverage appeals. This role is ideal for pharmacists who want to leverage their clinical knowledge and critica...

Remote Prior Authorization Pharmacist Work From Home in Managed CareA confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests ensure medical necessity and improve patient access to safe and effective therapies. This work-...