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Keywords: Coordinator, Managed Care I, Location: Columbia, SC

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Coordinator, Managed Care II/CM-DM - Request

philosophy, consider joining our team! Job Title: Coordinator, Managed Care II/CM-DM Position Notes: CONTRACT TO HIRE..., Quality of care Referrals, etc.). Participates in data collection/input into system for clinical information flow and proper...

Posted Date: 26 Jan 2025
Salary: $32.01 - 38 per hour

Coordinator, Managed Care II/CM-DM

Additional * WORD PROJECT MANAGEMENT CONTRACTS CUSTOMER SERVICE DATA COLLECTION DATABASE DOCUMENTATION EXCEL MANAGED CARE... to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care II/CM-DM

CUSTOMER SERVICE DATA COLLECTION DATABASE DOCUMENTATION MANAGED CARE MENTAL HEALTH MICROSOFT EXCEL MICROSOFT OFFICE... (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care I

some travel within one's community. SKILLS: Required * MANAGED CARE RN UTILIZATION REVIEW RN LICENSE DOCUMENTATION... coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care I

Additional * DATABASE MANAGED CARE CONTRACTS MICROSOFT EXCEL DISCHARGE PLANNING RETAIL SALES DOCUMENTATION ONCOLOGY... coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care I

Additional * DATABASE MANAGED CARE CONTRACTS MICROSOFT EXCEL DISCHARGE PLANNING RETAIL SALES DOCUMENTATION ONCOLOGY... coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care I

DOCUMENTATION COLLECTION RN CARDIOLOGY CUSTOMER SERVICE ORIENTED PRESENTATION SKILLS MANAGED CARE PATIENT EDUCATION... coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services...

Location: Columbia, SC
Posted Date: 29 Jan 2025

Coordinator, Managed Care I

coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services..., Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care I

coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services..., Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Managed Care Coordinator UM II

referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals... to support and determine medical necessity criteria and contract benefits. Collaborates with BCBSSC Care Management...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care II/CM-DM

(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...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care I

coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services..., Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Coordinator, Managed Care II/CM-DM

(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...

Location: Columbia, SC
Posted Date: 30 Jan 2025

Clinical Coordinator RN Weekends - (Lex)

designated for patient care staff that work weekends only. Work 24 hours and get paid for 36, eligible for Full-time benefits... hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching hospital...

Posted Date: 06 Feb 2025

Clinical Administrative Coordinator - (Remote)

EB RTM Program assists the state with the Medicaid Managed Care health plan for North Carolina beneficiaries in addition...Description & Requirements Maximus is currently hiring a Clinical Help Desk Administrative Coordinator to support the...

Company: Maximus
Location: Columbia, SC
Posted Date: 02 Feb 2025

RN Quality Improvement Coordinator

the need for and implement corrective actions. Strong understanding of managed care. Microsoft Office. Active...Summary We are currently hiring for a RN Quality Improvement Policy Coordinator to join BlueCross BlueShield of South...

Posted Date: 31 Jan 2025

Clinical Coordinator (Lex)

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...

Posted Date: 30 Jan 2025

Outpatient Admissions Coordinator

to the facility are met. Acts as a liaison to managed care companies, facilitating admissions, and hospital returns.... We are seeking an Outpatient Admissions Coordinator to join our team of passionate patient caregivers! As a participating hospital...

Company: Ernest Health
Location: Cayce, SC
Posted Date: 19 Jan 2025

Clinical Coordinator - weekends (Lex)

schedule designated for patient care staff that work weekends only. Work 24 hours and get paid for 36, eligible for Full-time... first hospital in the state to achieve Magnet with Distinction status for excellence in nursing care. The 607-bed teaching...

Posted Date: 29 Nov 2024

RAC & Payer Audit Coordinator

Managed Care & Payer Relations Full Time Day Shift Day Consistently named best hospital, Lexington Medical Center... Integrity Program, as well as all other Managed Care payer reviews for medical necessity, DRG and coding validation...

Posted Date: 07 Dec 2024