Managed Care Jobs in South Carolina
1 - 15 of 22
Search Results - Managed Care Jobs in South Carolina
LanceSoft Inc-Columbia
interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing...
resume-library.com -
Top Candidate Search Group-Columbia
and closing on targeted account customers consisting of Health Care Professional (Endocrinologists, Certified Diabetes Educator’s), key diabetes institutions and managed care organizations. Managing & 7 Sales Representatives and 3 clinical Service...
mindmatch.ai -
LanceSoft Inc-Columbia
to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data collection/input into system for clinical...
resume-library.com -
Prisma Health-Greenville (SC)
there is an agreement otherwise.
• Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
LanceSoft Inc-Columbia
interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in managing...
resume-library.com -
Prisma Health-Columbia
there is an agreement otherwise.
• Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
America's Best-Summerville (SC)
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
Prisma Health-Columbia
there is an agreement otherwise.
• Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
America's Best-Columbia
in accordance with National Vision protocol.
Processes and understands managed care plans while obtaining document information from the insurance company as needed.
Provides customers basic and accurate information.
Schedules and confirms appointments, follow...
resume-library.com -
MedPro Healthcare Staffing-Charleston (SC)
programs, rehabilitation centers, schools, and case management companies Coordinate continuity of care for patients often as a liaison between the patient’s family and healthcare organization Strives to promote self-managed care and the use of healthcare...
Prisma Health-Columbia
there is an agreement otherwise.
• Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
CorVel Corporation-Myrtle Beach
background, such as utilization review or managed care is helpful.Strong interpersonal, time management and organizational skills.Computer proficiency and technical aptitude with the ability to utilize MS Office including Excel spreadsheets.Ability to work...
Prisma Health-Greenville (SC)
there is an agreement otherwise.
• Complies with standards of accepted medical practice, the rules and regulations of managed care organizations and other payors, including but not limited to Medicare and Medicaid (except to the extent those rules conflict...
appcast.io -
Prisma Health-Columbia
initiatives to meet the challenges of academic medicine, clinical practice, managed care and be able to work cooperatively and collegially within a diverse, complex, and dynamic environment.
• Exceptional leadership skills, with the proven ability to foster...
mindmatch.ai -
National Coalition Of Healthcare Recruiters-Aiken (SC)
Management strategies.
Experience: At least 3+ years Nursing Management experience in an acute care setting required
Hospital Case Management experience required
Managed Care Organization (MCO) experience preferred
Education: Bachelor of Science in Nursing...
nchcr.com -
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