Summary We are currently hiring for a Managed Care Coordinator to join BlueCross BlueShield of South Carolina.... In this role as Managed Care Coordinator, care management interventions focus on improving care coordination and reducing the...
Job Title: Managed Care Coordinator UM II Position Summary: The Managed Care Coordinator UM II reviews and evaluates... compliance with ERISA, NCQA, URAC, DOI (State), DOL (Federal). Care & Discharge Planning (25%) Assess service needs...
Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina.... In this role as a Managed Care Coordinator I, you will review and evaluate medical or behavioral eligibility regarding benefits...
InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located... of care Referrals, etc.). Participate in data collection/input into system for clinical information flow and proper claims...
Summary We are currently hiring for a Managed Care Coordinator I to join BlueCross BlueShield of South Carolina.... In this role as Managed Care Coordinator I you will be responsible for reviewing and evaluating appropriateness of medication...
(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data... health care delivery system, utilization on networks and benefit plans. May identify, initiate, and participate in on-site...
patient care. Skill sets/qualities: Same as required skills listed in job description. Looking for someone with excellent..., Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system...
guidelines. Identify and make referrals to appropriate staff such as Medical Directors, Case Managers, and Quality of Care... medical necessity criteria and contract benefits. Collaborate with BCBSSC Care Management and other areas to ensure proper...
Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participate in data collection...), and DOL (Federal). Participate in direct intervention/patient education with members and providers regarding the health care...
-certification as required by healthcare insurers and/or managed care providers. Answer telephone, screen and route callers, retrieve...Position Summary The Office Coordinator provides secretarial support to clinical staff. Coordinates patient...
-certification as required by healthcare insurers and/or managed care providers. Answer telephone, screen and route callers, retrieve...Position Summary The Office Coordinator provides secretarial support to clinical staff. Coordinates patient...
of all orders Meet all requirements in working with Managed Care organizations Monitors Nursing skilled documentation and provides... to enriching the lives of our residents and our team members. If you are passionate about providing exceptional care...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...
607-bed teaching hospital anchors a health care network that includes six community medical centers and employs more than... 8,700 health care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology...
RN Clinical Coordinator - Medical/Surgical Full Time PM/N Shift 7p - 7a Sign-On Bonus: $20,000 Consistently... with Distinction status for excellence in nursing care. The 607-bed teaching hospital anchors a health care network that includes six...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...
teaching hospital anchors a health care network that includes six community medical centers and employs more than 8,700 health... care professionals. The network includes a cardiovascular program recognized by the American College of Cardiology as South...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...
in nursing care. The 607-bed teaching hospital anchors a health care network that includes six community medical centers... and employs more than 8,700 health care professionals. The network includes a cardiovascular program recognized by the American...
Ability to communicate clearly Knowledge of insurance and managed care procedures Work Shift Day (United States of America... clinics assigned. Provides for the direct and indirect patient care and oversees the clinical flow of patients of the...