to fill a Medical Case Manager position in the Columbia, SC area. Work from home, and on the road. Monday – Friday, regular... business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers...
Or an equivalent combination of education and experience Education & Experience Preferred Two years Client Manager, Account... circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information...
Or an equivalent combination of education and experience Education & Experience Preferred Two years Client Manager, Account... circumstances of each case. This salary range does not include any potential incentive pay or benefits, however, such information...
. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality...Duties: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... actions according to department guidelines. Examines and processes claims and/or non-medical appeals according to business...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... actions according to department guidelines. Examines and processes claims and/or non-medical appeals according to business...
. Performs case management responsibilities involved with patient care. This includes, but is not limited to, Utilization Review... as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and reprocessing actions according to department guidelines. Examines and processes claims and/or non-medical appeals according...
(Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participates in data... Management Certification must be obtained within 4 years of hire as a Case Manager. Preferred Education: Bachelor's degree...
system, and educate the staff on changes. Assist manager with assignments and special projects. To Qualify...: Knowledge of medical terminology. Knowledge of Medicare Part B regulations/policies/instructions/provisions. Working...
Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participate in data collection... as a Case Manager. Preferred Education Bachelor's degree in Nursing Preferred Work Experience 7 years in healthcare...