Top 27 Utilization review Jobs in Columbia, Sc

Utilization Review Coordinator
THREE RIVERS BEHAVIORAL HEALTH —West Columbia, SC
- Full-time
- Nursing
- Adults
- Mid-level
- Disability insurance
- Health insurance
10h
Utilization Review Specialist RN PRN
Lexington Medical Center —West Columbia, SC
- PRN
- Nursing
- RN License
- Bachelor of Science
- 403(b) matching
- Disability insurance
8d
Telephonic Case Manager I - Columbia, SC
CorVel Corporation —Columbia, SC
- $63,739 - $95,264 a year
- Full-time
- Remote
- Nursing
- RN License
- Computer literacy
- Health savings account
- Disability insurance
Quick Apply
CDI Specialist RN
Lexington Medical Center —West Columbia, SC
- Full-time
- Nursing
- RN License
- Mid-level
- 403(b) matching
- Disability insurance
Case Worker, Behavioral Care, PRN, Days
Prisma Health —Columbia, SC
- PRN
- Acute care
- Nursing
- Hospital
Registered Nurse -Community Care Case Manager
US Veterans Health Administration —Columbia, SC
- $80,126 - $145,031 a year
- Online Application
- Background check
- Nursing
- Doctoral degree
- Paid holidays
- Dental insurance
5d
Physician Assistant
Trident Pain Center —West Columbia, SC
- $90,000 - $140,000 a year
- Full-time
- Bilingual
- BLS Certification
- Mid-level
- Disability insurance
- Health insurance
Quick Apply
14d
Outcomes Coordinator RN - Surgery
Lexington Health —West Columbia, SC
- Full-time
- Background check
- Nursing
- Surgery
- Free parking
- Continuing education credits
Quick Apply
8d
Outcomes Coordinator RN - Surgery
Lexington Medical Center —West Columbia, SC
- Full-time
- Acute care
- Nursing
- Surgery
- 403(b) matching
- Disability insurance
Registered Nurse (RN)-Hospital Case Manager, Full-Time, Days
Prisma Health —Columbia, SC
- Full-time
- Acute care
- Nursing
- RN License
Behav Care Prog Therapist II, Internal Medicine-Primary Care, FT, Days
Prisma Health —West Columbia, SC
- Full-time
- LMFT
- Internal Medicine
- Primary Care
Medical University of South Carolina Physician, Part Time (MD/DO) Lexington County Detention Center, Lexington, SC
MUSC —Columbia, SC
- Part-time
- Medicine
- Acute care experience
- Senior level
- Retirement plan
Behav Care Prog Therapist II FT, Day
Prisma Health —Columbia, SC
- Full-time
- LMFT
- Licensed Clinical Social Worker
- LPC
7d
Licensed Clinical Director/LPHA
Behavioral Health Agency —Columbia, SC
- From $55,000 a year
- Full-time
- Background check
- LMFT
- Doctoral degree
- Health insurance
- Dental insurance
Quick Apply
2d
Pharmacist - Per Diem
Ernest Health —Elgin, SC
- Per diem
- Hospital
- Word processing
- Computer literacy
Pediatric Endocrinology APP (NP/PA)
Prisma Health —Columbia, SC
- Contract
- Nursing
- Master's degree
- Pediatrics
Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)
UT Health Science Center at San Antonio —United States
- Hospital
- Outpatient experience
- 3 years
Quick Apply

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Ability to travel locally with a valid drivers’ license and automobile insurance. A bachelor’s degree in a health-related field is strongly preferred.
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Utilization Review Specialist - Autism
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Appeals Nurse Consultant (Remote)
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utilization review jobs near columbia, sc

Utilization Review Coordinator

THREE RIVERS BEHAVIORAL HEALTH
West Columbia, SC

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Job Details

Full-time
10 hours ago

Benefits

Disability insurance
Health insurance
Dental insurance
Flexible spending account
Tuition reimbursement
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Employee discount
Life insurance
Referral program
Pet insurance

Qualifications

Medicare
Master's degree
Medicaid health insurance
Pre-authorization review for utilization management
Utilization management
Resource utilization in healthcare
Medicaid
Patient interaction

Full Job Description

Three Rivers Behavioral Health is a 136-bed treatment facility that specializes in quality behavioral health and substance abuse services for adolescents and adults. We offer a full continuum of care through an integrated system of inpatient, partial hospitalization and intensive outpatient programs. Conveniently located between I-20 (Exit 61) and I-26 (Exit 110) in West Columbia, SC, our team of 300+ high quality employees describe working here as " family atmosphere," "supportive leadership," and "life-changing." Progressive professionals in the fields of psychiatry, medicine, nursing, social services, and activity therapy serve hundreds of adults and adolescents each month with the common goal of creating new beginnings. Healthcare professionals have a unique opportunity to affect lives for the better each and every day. Choose Three Rivers and start your life-changing journey today.

Job Duties/Responsibilities:

This position provides precertification and verification of benefits for incoming patients.
Coordinates the utilization management functions of a patient caseload through collaboration with the interdisciplinary treatment team and performance of reviews, with external review organizations/managed care companies.
Discuss with patient various forms and obtain signatures from the patients.
Complete insurance verification from various payors and obtain correct information to complete precertification as well as appeals.

BENEFITS:

Career development opportunities across UHS and our 300+ locations!
Diverse programming to expand your experience
Competitive Compensation & Generous Paid Time Off
Excellent Medical, Dental, Vision and Prescription Drug Plans
Employee Assistance Program
401(K) with company match and discounted stock plan
Pet Insurance
SoFi Student Loan Refinancing Program
Tuition Assistance
Employee Referral Program
More information is available on our Benefits Guest Website: benefits.uhsguest.com

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 $15.8 billion in 2024. UHS was again recognized as one of the World’s Most Admired Companies by Fortune; listed in Forbes ranking of America’s Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 99,000 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. www.uhs.com

Job Requirements:

Education: Masters’ degree in a recognized mental health field or Registered Nurse.
Experience:
Minimum of two years psychiatric experience in chart analysis and in the utilization review field. Excellent oral and written communication skills required in order to communicate in a clear and concise manner with patients, physicians, staff and payors.
Knowledge of external review organizations, payor sources, financial planning and contracting (i.e., managed care, Medicare, Medicaid, etc.)
Must be able to work in a fast-paced environment with frequent interruptions.

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.

Avoid and Report Recruitment Scams

At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS

and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.

If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

Work Remotely

Job Type: Full-time

Benefits:

401(k) matching
Dental insurance
Disability insurance
Employee assistance program
Employee discount
Flexible spending account
Health insurance
Life insurance
Paid time off
Referral program
Tuition reimbursement
Vision insurance

Education:

Master's (Required)

Work Location: In person

Apply Now

Refine Your Search

utilization review jobs in columbia, sc

Utilization Review Coordinator

Utilization Review Specialist RN PRN

Telephonic Case Manager I - Columbia, SC

CDI Specialist RN

Case Worker, Behavioral Care, PRN, Days

Registered Nurse -Community Care Case Manager

Physician Assistant

Outcomes Coordinator RN - Surgery

Outcomes Coordinator RN - Surgery

Registered Nurse (RN)-Hospital Case Manager, Full-Time, Days

Behav Care Prog Therapist II, Internal Medicine-Primary Care, FT, Days

Medical University of South Carolina Physician, Part Time (MD/DO) Lexington County Detention Center, Lexington, SC

Behav Care Prog Therapist II FT, Day

Licensed Clinical Director/LPHA

Pharmacist - Per Diem

Pediatric Endocrinology APP (NP/PA)

Hospital - Clinical Pharmacist Specialist (Bone Marrow Transplant)

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