- 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 ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). * Participate in data collection/input into system for… more
- US Tech Solutions (Columbia, SC)
- …and to coordinate with team, providers, and patient representatives regarding patient care . + Skill sets/qualities: Same as required skills listed in job ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). + Participates in data collection/input into system for… more
- CVS Health (Columbia, SC)
- …country. **Position Summary/Mission** As a vital member of our Special Needs Plan (SNP) care team, the Care Coordinator (CC) is responsible for coordinating ... about care management within Medicare and Medicaid managed care . + Familiarity with community resources...capable of utilizing these tools effectively in the CM Coordinator role + Access to a private, dedicated workspace… more
- Humana (Columbia, SC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Knowledge of Medical Terminology and/or ICD-10 ... codes + Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Bilingual (English & Spanish) fluent in… more
- Humana (Columbia, SC)
- …+ Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization + Proficient utilizing electronic medical record ... caring community and help us put health first** The UM Administration Coordinator contributes to administration of utilization management. The UM Administration … more
- Highmark Health (Columbia, SC)
- …degree + Pharmacy technician certification certificate + Experience working in a managed care medication formulary management environment + Working knowledge of ... retail pharmacy and/or third party prescription procession + Strong background and understanding of medications and formulary terminology + Pharmacy technicians must be familiar with multiple Medicaid drug benefit design offerings and rules/regulations across… more
- AmeriHealth Caritas (Columbia, SC)
- …goals and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver ... to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health… more