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Managed Care Jobs in South Carolina

1 - 15 of 32
1 - 15 of 32
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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