Top 197 Nurse executive Jobs in Columbia, Sc

RN / Medical Reviewer / Remote
InGenesis —Columbia, SC
- Full-time
- Remote
- Nursing
- RN License
- Mid-level
Healthcare Director / Director of Nursing (LPN)
Harmony Senior Services —Columbia, SC
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- 401(k)
Healthcare Director / Director of Nursing
Harmony Senior Services —Columbia, SC
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- 401(k)
7h
Healthcare Director (LPN)
Harmony Senior Services —Columbia, SC
- Weekends as needed
- CPR Certification
- Nursing
- RN License
- Health savings account
- Referral program
Nurse Practitioner - Weight Management - Columbia
Prisma Health —Columbia, SC
- Contract
- Nursing
- Master's degree
- Experience equivalent to degree accepted
Dir of Qual Mgmt - Acute Care
Lexington Medical Center —West Columbia, SC
- 8 hour shift
- Acute care
- Nursing
- RN License
- 403(b) matching
- Disability insurance
10d
Registered Nurse (RN)-Continuum of Care Mgr, Full-Time, Days
Prisma Health —Columbia, SC
- Full-time
- Nursing
- RN License
- Mid-level
RN Nursing Supervisor (3p-11p, FT, Mon-Fri)
Lexington Medical - Extended Care —Lexington, SC
- $37 - $47 an hour
- Extended hours
- Nursing
- RN License
- Mid-level
- Free parking
- 403(b) matching
Quick Apply
Administrator-Behavioral Health
Prisma Health —Columbia, SC
- Day shift
- Nursing
- RN License
- Word processing
Health and Wellness Director
Ridgeway Manor Healthcare Center —Columbia, SC
- $55,000 - $65,000 a year
- 8 hour shift
- Nursing
- RN License
- Mid-level
- Health insurance
- Dental insurance
Quick Apply
9d
Registered Nurse (RN)-Ambulatory, OB/GYN , FT, Day
Prisma Health —Columbia, SC
- Full-time
- Nursing
- RN License
- No experience needed
11d
Nurse Practitioner - Heart Failure/LVAD
Prisma Health —Columbia, SC
- 8 hour shift
- Nursing
- Mid-level
- Master's degree
Director of Clinical Education & Operational Readiness
Novant Health Urgent Cares LLC —Columbia, SC
- Nursing
- RN License
- Physical & Rehabilitation Medicine
Quick Apply
9d
Registered Nurse (RN) - Trauma Performance Improvement (PI) Coordinator, FT , Days
Prisma Health —Columbia, SC
- Full-time
- Nursing
- RN License
- Hospital
Nurse Practitioner - Internal Medicine Primary Care
Prisma Health —Columbia, SC
- Contract
- Nursing
- Certified Nurse Practitioner
- Internal Medicine
Nurse Practitioner -Cardiology - Advanced Heart Failure Clinic
Prisma Health —Columbia, SC
- 8 hour shift
- Nursing
- Master's degree
- Clinic
NP / PA - Surgery - Trauma - Columbia
Prisma Health —Columbia, SC
- Contract
- Nursing
- Surgery
- Master's degree
Registered Nurse (RN)-Ambulatory-PACE, PRN, Day
Prisma Health —Columbia, SC
- PRN
- Nursing
- RN License
- Urgent Care
Nurse Practitioner - Family Medicine-Chapin
Prisma Health —Chapin, SC
- Contract
- Nursing
- Master's degree
- Clinic
Registered Nurse (RN) - Ambulatory, Internal Resource Pool, FT, Days
Prisma Health —Columbia, SC
- Full-time
- Nursing
- Vital signs
- RN License

I want to receive the latest job alert for nurse executive in columbia, sc

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

nurse executive jobs near columbia, sc

Registered Nurse jobs in Columbia, SC

Behavioral Specialist jobs in Columbia, SC

Ob Gyn Nurse jobs in Columbia, SC

Nurse Practitioner jobs in Chapin, SC

Director Of Nursing jobs in Columbia, SC

Nurse Practitioner jobs in Columbia, SC

Internal Medicine Physician jobs in Columbia, SC

Director Of Education jobs in Columbia, SC

Licensed Practical Nurse jobs in Columbia, SC

Plastic Surgery Nurse jobs in Indianapolis, IN

New Grad Psychiatric Nurse Practitioner jobs in Massachusetts

Registered Nurse jobs in Greenwood, IN

Registered Nurse jobs in Truckee, CA

Registered Nurse jobs in Dublin, CA

Registered Nurse jobs in Cincinnati, OH

Registered Nurse jobs in Burleson, TX

Registered Nurse jobs in Far Rockaway, NY

Clinical Appeal Rn jobs in California

Advanced Clinical Practitioner jobs in San Francisco, CA

Advanced Clinical Practitioner jobs in Winston Salem, NC

RN / Medical Reviewer / Remote

InGenesis -
Columbia, SC

Apply Now

Job Details

Full-time

Qualifications

RN License

Full Job Description

RN / Medical Reviewer / Remote

Job Details

Professional Discipline :

Registered Nurse

Specialty :

Utilization Review

Employment Type :

Full Time

City :

Columbia

State :

Pay Range :

Job Description:

InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria and assess and monitor medical necessity using your clinical proficiency and claims knowledge.

This is a REMOTE opportunity for candidates living in the state of South Carolina! Apply today and we’ll reach out to answer any questions you may have.

Job Duties

Perform medical review/authorization process.
Ensure coverage for appropriate services within benefit and medical necessity guidelines.
Assess service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans.
Evaluate outcomes of plans, eligibility, level of benefits, place of service, length of stay and medical necessity regarding requested services and benefit.
Ensure accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits.
Utilize allocated resources to back up review determinations.
Identify and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.).
Participate in data collection/input into system for clinical information flow and proper claims adjudication
Perform other duties as assigned.

Minimum Qualifications

Current Registered Nurse / RN license in the State of South Carolina.
Associates degree in nursing or graduate from accredited nursing school.
4 years of clinical experience in specialty areas like: oncology, cardiology, neonatology, maternity, rehab, mental health/chemical dependency or surgery. OR
4 years of utilization review/case management or combination of clinical experience.

EEO Statement:
InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.

InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. If you require a reasonable accommodation during the hiring process, please contact us by visiting our website at https://www.ingenesis.com/careers/site-accommodations.

To learn more about your rights, please refer to the Know Your Rights: Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC).

Company Statement:
With decades of experience, InGenesis has grown into one of North America’s most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.

Apply Now

Refine Your Search

nurse executive jobs in columbia, sc

RN / Medical Reviewer / Remote

Healthcare Director / Director of Nursing (LPN)

Healthcare Director / Director of Nursing

Healthcare Director (LPN)

Nurse Practitioner - Weight Management - Columbia

Dir of Qual Mgmt - Acute Care

Registered Nurse (RN)-Continuum of Care Mgr, Full-Time, Days

RN Nursing Supervisor (3p-11p, FT, Mon-Fri)

Administrator-Behavioral Health

Health and Wellness Director

Registered Nurse (RN)-Ambulatory, OB/GYN , FT, Day

Nurse Practitioner - Heart Failure/LVAD

Director of Clinical Education & Operational Readiness

Registered Nurse (RN) - Trauma Performance Improvement (PI) Coordinator, FT , Days

Nurse Practitioner - Internal Medicine Primary Care

Nurse Practitioner -Cardiology - Advanced Heart Failure Clinic

NP / PA - Surgery - Trauma - Columbia

Registered Nurse (RN)-Ambulatory-PACE, PRN, Day

Nurse Practitioner - Family Medicine-Chapin

Registered Nurse (RN) - Ambulatory, Internal Resource Pool, FT, Days

I want to receive the latest job alert for nurse executive in columbia, sc

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected