- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... appeals requests using Medicare criteria. **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by… more
- CenterWell (Spartanburg, SC)
- …professional and personal lives. We promote lifelong well-being by giving our associate fresh perspective, new insights, and exciting opportunities to grow their ... accordance with standards of care. + Follows level of medical care and quality for patients and monitors care...the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of… more
- CenterWell (Greenville, SC)
- … medical expertise with the care team through daily huddles. + Helps Regional Medical Director and Center Administrator in setting a tone of cooperation in ... Doctors, Advanced Practice Professionals, Pharm D, Care Coach Nurses, Medical Assistants, Behavioral Health Specialists, Quality Based Coders, Referral Coordinators… more
- US Tech Solutions (Columbia, SC)
- …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... foundation of Microsoft software skills **Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by… more
- CenterWell (West Columbia, SC)
- …treats center patients in accordance with standards of care. + Follows level of medical care and quality for patients and monitors care using available data and ... limited to specialty referrals, hospital and SNF coordination, durable medical equipment and home health care. + Acts as...the care team through daily huddles. + Helps RegionalMedical Director and Center Administrator in setting a tone of… more