Coordinator, Managed Care - Columbia, SC

6th South Medical · Full Time · AM/PM Shift · 7a-7p · Sign-On Bonus: 20,000.00 · Lexington Health is a comprehensive network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care professionals and Lexington ...

Job Description: Care Manager – Registered Nurse · Monogram Health is looking for skilled Registered Nurse eager for the opportunity to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provide ...

+We are looking for skilled Registered Nurses to make a difference in patients' lives. The Care Manager RN is a key member of an integrated Care Team which includes an Advanced Practice Provider and a Social Worker. · ...

Summary · Care management interventions focus on improving care coordination and reducing the fragmentation of the services the recipients of care often experience, especially when multiple health care providers and different care settings are involved. Taken collectively, care m ...

+ Provides care management services to more than 2 million members in South Carolina and nationally.<+ Administers complex, high-touch concierge case management for members identified into specialized programs such as high-risk maternity, NICU, ESRD, Cancer or Palliative Care.+ I ...

We are seeking a Client Care Manager to oversee the day-to-day activities of our team. The successful candidate will have strong leadership skills, excellent analytical abilities, and advanced knowledge of US Customs rules and regulations. · Certified Customs Specialist (CCS) Des ...

Onsite training for the first 1-2 weeks followed by remote position. · Reviews and evaluates medical eligibility. · Evaluates outcomes of plans, eligibility. · ...

The Care Manager RN will lead patient care teams in collaboration with other healthcare professionals to ensure holistic plans of care for patients.They will provide ongoing leadership support guidance to nursing staff while advocating for patients families. · ...

Accountable for the patient's holistic plan of care in collaboration with other members of the health care team. Provides ongoing leadership, support and guidance to all nursing staff. · ...

Totalmente remoto en Columbia SC. Responsable para revisar servicios médicos. · Aplique conocimiento contractual e informes de utilización para apoyar resultados del miembro · ...

We're building a world of health around every individual — shaping a more connected convenient and compassionate health experience. · Dedicate 50-75% of the day to engaging with members and coordinating their care. · Maintain meticulous documentation of care management activities ...

This role provides care management services to over 2 million members in South Carolina and nationally. · ...

+Job summary · Coordinates health management programs for members with chronic conditions. · +Evaluates medical eligibility regarding benefits and clinical criteria. · Assesses service needs and develops action plans in cooperation with members. · ...

The Coordinator Managed Care I will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. They will utilize clinical proficiency and claims knowledge/analysis to assess, plan, implement health coach, coordinate monitor and evaluate medica ...

This role offers a blend of clinical expertise and administrative responsibilities. · Review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to servi ...

Join our team in Columbia SC a vibrant city known for its rich history cultural diversity and warm Southern hospitality Experience a fulfilling career while enjoying the charm and amenities of this beautiful location · ...

Join our dynamic team in Columbia SC where you will have the opportunity to make a meaningful impact on members health and well-being Our organization is committed to providing quality care and ensuring cost-effective outcomes for our members. · ...

We are currently hiring for an Intensive Care Management Coordinator to join BlueCross BlueShield of South Carolina. In this role as an Intensive Case Manager (ICM) for members identified with specific conditions and assist with implementation of case management activities/progra ...

Join our team in Columbia SC a vibrant city known for its rich history cultural attractions and a welcoming community. · ...

Join our team in Columbia SC a vibrant city known for its rich history cultural attractions and a welcoming community. · , , , Maintain current knowledge of contracts and network status of all service providers · , , , ...