Managed Care Jobs in Columbia
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Search Results - Managed Care Jobs in Columbia
Hornet Staffing-Columbia
CODING
COLLECTION
Additional
CONTRACTS
CUSTOMER SERVICE
DATA COLLECTION
DATABASE
DOCUMENTATION
EXCEL
MANAGED CARE
MENTAL HEALTH
MICROSOFT EXCEL
MICROSOFT OFFICE
ONCOLOGY
PATIENT EDUCATION
PRESENTATION SKILLS
PROGRAM MANAGEMENT
RN
RN...
resume-library.com -
Prisma Health-Columbia
otherwise.
5. 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 with Physician’s...
appcast.io -
Hornet Staffing-Columbia
of one's home. May involve some travel within one's community.
Required Skills:
UTILIZATION REVIEW
RN LICENSE
DOCUMENTATION
MANAGED CARE
RN
Additional
CARDIOLOGY
CUSTOMER SERVICE ORIENTED
CONTRACTS
MICROSOFT EXCEL
DISCHARGE PLANNING
RETAIL...
resume-library.com -
Prisma Health-Columbia
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 with Physician’s...
appcast.io -
Hornet Staffing-Columbia
within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care...
resume-library.com -
Prisma Health-Columbia
there is an agreement otherwise.
5. 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 -
Experis-Columbia
by assessing and coordinating medical and behavioural healthcare services. The Clinical Case Manager will apply their clinical expertise, review eligibility for benefits, and ensure quality, cost-effective outcomes through personalized care plans.
Key...
Prisma Health-Columbia
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 with Physician’s...
appcast.io -
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 -
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 -
Prisma Health-Columbia
in responding to requests for proposals for managed care contracts.
• Participates in:
• Establishment of quality assurance programs
• Establishment of utilization management programs
• Selection of management information systems
• Development of patient...
appcast.io -
Conduent Business Services, LLC-Columbia
or Managed Care industry is preferred.
• Must possess the following characteristics: self-motivation, resourceful, detail-oriented, sense of accountability and must be a team player.
• Must possess strong skills in the following areas: organizational...
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