(RN) Managed Care Coordinator I

Title: Coordinator, Managed Care I Location: Columbia SC Duration: 5 months Pay Range : $31/hr (On W2) 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 onsite & Remote after...

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,...

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,...

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...

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...

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,...

Energy Rental Coordinator I position serves as a coordinator for the Rental Energy Division. This position handles transactions for customers over the phone and in person and is direct support for the sales team. The Rental Coordinator plays a critic Rental, Energy, Coordinator, Equipment, Automotive, Construction

Job Description: Mon-Fri 8:30-5. REMOTE Teams interview with two department members 1-week onsite training. NICE TO HAVE skill sets/qualities: Computer and typing skills are a must as we use several different programs and work remotely. Detail Oriented, Good Communication Skills, Time Management, Organization, Team Oriented, but able to work independently. ...

Hybrid Work Opportunity: Potential for remote work options following the training phase. Position Overview: The Patient Care Coordinator I plays a vital role within the patient care team. This position is responsible for managing and coordinating care for patients experiencing transitions in their health status, undergoing treatment, or dealing with moderate...

Opportunity for hybrid work from home options after training period We have openings available within IHA offices; Part Time. POSITION OVERVIEW: The Patient Care Coordinator I plays a crucial role within the patient care team. This position is responsible for managing and coordinating care for patients undergoing treatment or facing moderate to complex...

Hybrid Work Opportunities Available Following Training Period Position Type: Part-Time ROLE OVERVIEW: The Patient Care Coordinator I plays a crucial role within the healthcare team, focusing on managing and coordinating care for patients navigating transitions, undergoing treatment, or dealing with moderate to complex health issues, all while operating with...

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...

We are currently hiring for an Intensive Care Management Coordinator to join BlueCross BlueShield of South Carolina. In this role, you will serve as an Intensive Case Manager (ICM) for members identified with specific conditions. You will assist with Management, Coordinator, Case Manager, Social Worker, Healthcare, Licensed

Energy Rental Coordinator I Job Locations US-SC-West Columbia Job ID 2024-2774 Category Sales & Rental Type Full-Time Overview Energy Rental Coordinator I position serves as a coordinator for the Rental Energy Division. This position handles transactions for customers over the phone and in...

Position Overview:The Oncology Care Coordinator plays a vital role in managing the operational aspects of a dedicated navigation program within the oncology department. This full-time position is essential for ensuring seamless patient care from diagnosis through treatment.Key Responsibilities:Facilitate the coordination of patient care by managing...

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...

Overview: Energy Rental Coordinator I position serves as a coordinator for the Rental Energy Division. This position handles transactions for customers over the phone and in person and is direct support for the sales team. The Rental Coordinator plays a critical role in ensuring customer satisfaction and maximizing machine utilization. Blanchard Machinery...

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...