- ManpowerGroup (Columbia, SC)
- Our client, a leading healthcare organization, is seeking a Managed Care Coordinator UM II to join their team. As a Managed Care Coordinator UM ... which will align successfully in the organization. **Job Title:** Managed Care Coordinator UM II...regarding healthcare delivery systems. + Maintain current knowledge of contracts and network status of all service providers. **What's… more
- Elevance Health (Winston Salem, NC)
- ** Managed Care Coordinator Clinician...members case, as required by applicable state law and contract , contributes to the care coordination process ... hours of 9 am - 6 pm CST. The ** Managed Care Coordinator Clinician Non-RN...May require state-specified certification based on state law and/or contract . **Preferred Skills, Capabilities and Qualifications:** + MA/MS in… more
- Elevance Health (Wichita, KS)
- ** Managed Care Coordinator - Foster...of position, as required by applicable state law and contract . **How you will make an impact:** + Responsible for ... Kansas - Sedgewick County **$2,500 Sign On Bonus** The ** Managed Care Coordinator - Foster...experience may be required based upon state law and contract requirements. + Travels to worksite and other locations… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will ... of clinical information to support and determine medical necessity criteria and contract benefits. * Utilize allocated resources to back up review determinations. *… more
- US Tech Solutions (Columbia, SC)
- **Job Description:** + Hours/Schedule - Monday-Friday, 8:30AM - 5:00PM + Contract to hire - no timeframe on when that will happen. + Will be required to be onsite ... plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in… more
- US Tech Solutions (Columbia, SC)
- …Nurse UM II** **Location: Columbia SC 29229** **Duration: 3+ month's Contract ** **Job Description:** + Reviews and evaluates medical or behavioural eligibility ... clinical information to support and determine medical necessity criteria and contract benefits. Provides telephonic support for members with chronic conditions, high… more
- Immigration and Customs Enforcement (Los Fresnos, TX)
- …Managers, BH Medical Assets Support Team), and other IHSC personnel (ie, Field Medical Coordinator , Managed Care Coordinator , etc.), other health ... civil servants, and contract staff. The IHSC provides on-site direct patient care to ICE detainees at 20 detention facilities throughout the country and manages… more
- Option Care Health (Carmel, IN)
- …Legal, Sales, and any other departments that are involved with or impacted by managed care contracts . Complete credentialing applications when necessary for ... of importance and/or time spent)** Manage the negotiation of managed care and health system contracts...new contract access as back up to contract coordinator . Participate in regional meetings as… more
- Prime Healthcare (Weslaco, TX)
- …to maintain the physical/original and electronic managed care contract files; tracks and monitors contracts throughout procurement process; updates and ... related field. 3. Require minimum 1 year experience with credentialing physicians or managed care contracts . 4. Strong organizational and follow-up skills.… more
- Sharp Electronics Corporation (Renton, WA)
- … set up or any subsequent update to the contract arrangement, the contract coordinator must ensure all contracts , amendments, addendums, and any other ... **Overview** The Senior Contract Coordinator position is responsible for... contracts for signature and/or when modifying existing contracts , to ensure efficiency in contract set… more
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