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Managed Care Jobs in South Carolina

1 - 15 of 35
1 - 15 of 35
Search Results - Managed Care Jobs in South Carolina
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...
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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
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...
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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...
Mindlance-Columbia
program 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...
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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)
We offer 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...
America's Best-Beaufort (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...
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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...
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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.  •  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...
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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...
Angels of Care Pediatric Home Health-Spartanburg (SC)
team has a significant presence in both the Texas Association of Home Care and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managed care organizations...
Angels of Care Pediatric Home Health-Columbia
team has a significant presence in both the Texas Association of Home Care and Hospice and the Home Care Association of Colorado. Our team is frequently involved in meetings with legislatures, home care state executives, managed care organizations...
Allergy Partners-Mount Pleasant (SC)
AND EXPERIENCE:*  •  Minimum of two years of experience in a medical office or customer service position.  •  Proven success asking for payment, making change, and balancing a cash drawer.  •  Working knowledge of basic managed care terminology and practices...
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