Coordinator, Managed Care I

Job Overview:We are seeking a dedicated Managed Care Coordinator I to support our team in delivering exceptional healthcare services. This role is primarily remote, with an initial training period conducted onsite. The successful candidate will possess strong computer skills and the ability to manage multiple tasks efficiently.Key Responsibilities:Evaluate...

Title: Coordinator, Managed Care I Location: Columbia SC Duration: 06 Month’s Contract Pay Range $25.00 to $31.00/hr. We are looking for a “Coordinator, Managed Care I” to join one of our Fortune 500 clients. Note:- Must Have Behavioral Health Experience Previous Utilization Management (UM) or Case Management (CM) experience Training will be...

Job OverviewWhy consider a career with BlueCross BlueShield of South Carolina? For over seventy years, we have established ourselves as a cornerstone of the health insurance landscape in South Carolina. Our strong presence in the community and our A.M. Best rating of A+ (Superior) underscores our commitment to excellence. As the largest health insurance...

Overview of the Care Coordinator RoleThe Care Coordinator role is pivotal in delivering care coordination services to individuals eligible for 1915(i) programs as outlined by the North Carolina Department of Health and Human Services. This position entails proactive engagement, comprehensive assessment, and effective care coordination to guarantee that...

Job Description: Required to be onsite the 1st week of training and then will go remote, will provide equipment no more than 2 hours from the client location. Monday-Friday, 8:30am - 5:00pm manager will conduct MS teams’ interviews Skill sets/qualities: Must have at least 2 years hospital experience, any other utilization review experience is great,...

Job Overview:This position involves working Monday through Friday from 8:30 AM to 5:00 PM in a remote capacity. Candidates will participate in a virtual interview process with two members of the department, followed by a week of on-site training.Preferred Qualifications:Proficient computer and typing skills are essential, as multiple software applications...

Duties Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency and claims knowledge/analysis to assess, plan, implement,...

Key ResponsibilitiesConducts assessments and evaluations of medical or behavioral eligibility for benefits and clinical criteria by leveraging clinical expertise, administrative policies, and established guidelines to service requests or implement health management interventions. Employs clinical knowledge and claims analysis to assess, plan, implement,...

Overview of the Care Coordinator RoleThe Care Coordinator position is essential for delivering care coordination services to individuals qualified for 1915(i) programs as designated by the North Carolina Department of Health and Human Services. This role encompasses proactive engagement, evaluation, and management of care to guarantee that members access the...

The Quality/Ticket Coordinator I, as part of a 24x7 Service Desk, perform the activities associated with the management of dedicated ticket queues to include prioritization of work and assignment to technical resources for resolution of end user concerns while ensuring service levels and objectives are met. Responsibilities include: -Monitoring dedicated...

Job OverviewPhoenix Home Care and Hospice is a leading provider of home care services in the healthcare industry. We are seeking a motivated and compassionate In Home Care Coordinator to join our dedicated team in Columbia, MO.This role plays a key part in ensuring the delivery of high-quality care to our clients while upholding our company values of...

The Quality/Ticket Coordinator I, as part of a 24x7 Service Desk, perform the activities associated with the management of dedicated ticket queues to include prioritization of work and assignment to technical resources for resolution of end user concerns while ensuring service levels and objectives are met. Responsibilities include: -Monitoring dedicated...

Job Overview:This position involves working Monday through Friday from 8:30 AM to 5:00 PM in a remote capacity. Candidates will participate in a Teams interview with two members of the department, followed by a week of onsite training.Key Qualifications:Proficiency in computer usage and typing is essential, as multiple software applications are utilized in...

Key Responsibilities:Project Planning and CoordinationCompile and analyze project requirements from clients and stakeholders to identify design process needs and schedule information flow.Monitor project progress to ensure timely issuance of deliverables.Site Visit ManagementAttend site visits to gather relevant information for proposal preparation.Ensure...

Job DescriptionJob DescriptionPhoenix Home Care and Hospice is a leading provider of home care services in the Hospital & Health Care industry. We are currently seeking a motivated and compassionate In Home Care Coordinator to join our dedicated team in Columbia, Mo!As an In Home Care Coordinator, you will play a key role in ensuring the delivery of...

About the RoleVaya Health is seeking a highly motivated and compassionate Care Management Extender to join our team. As a Care Management Extender, you will play a vital role in supporting our care managers in delivering high-quality, person-centered care to our members.Key ResponsibilitiesPerform general outreach, engagement, and follow-up with members to...

About the RoleVaya Health is seeking a highly motivated and compassionate Care Management Extender to join our team. As a Care Management Extender, you will play a vital role in supporting our care managers in delivering high-quality, person-centered care to our members.Key ResponsibilitiesPerform general outreach, engagement, and follow-up with members to...

Job SummaryGriswold Care Pairing for Columbia is seeking a highly skilled and compassionate Care Coordinator to join our team. As a Care Coordinator, you will play a vital role in the daily operations of our office, working closely with clients and caregivers to ensure outstanding client satisfaction.Key ResponsibilitiesClient Referrals: Assist clients with...

Empower Health. Serve with Empathy. Make an Impact.Position OverviewOversees targeted patient demographics to ensure efficient and effective healthcare delivery by adhering to Case Management standards as defined by the Case Management Society of America.Involves the coordination, facilitation, monitoring, and evaluation of interventions to achieve desired...

Position Overview:As a key member of the 24x7 Service Desk team, the Quality Coordinator I is responsible for overseeing the management of dedicated ticket queues. This role involves prioritizing tasks and allocating them to technical personnel to address end-user issues while ensuring that service levels and objectives are consistently achieved.Key...