Managed Care Jobs in South Carolina
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Search Results - Managed Care Jobs in South Carolina
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-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 -
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-Sumter
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...
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-Sumter
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...
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-Sumter
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...
AmeriHealth Caritas-Charleston (SC)
integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at www.amerihealthcaritas.com.
The Market Chief Medical Officer (CMO)...
Prisma Health-Sumter
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...
Prisma Health-Greenville (SC)
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 -
Prisma Health-Sumter
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...
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 -
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 -
Broad River Rehabilitation-Myrtle Beach
Noting the chart each time a new verification is received from Managed Care. The in the chart includes the dates verified through and the HIPPs Code if applicable.
Following LOA for re-admission and new authorizations, when necessary, in accordance...
jobvertise.com -
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