Chief Medical Officer Salary at Health Sciences South Carolina BETA

Job Description Job Description Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criteria to service requests or provides health management program interventions. Utilizes clinical proficiency, claims knowledge/analysis, and comprehensive knowledge of healthcare continuum to assess, plan, implement, coordinate, monitor, and evaluate medical necessity, options, and services required to support members in managing their health, chronic illness, or acute illness. Utilizes available resources to promote quality, cost effective outcomes. 50% Performs medical or behavioral review/authorization process. Ensures coverage for appropriate services within benefit and medical necessity guidelines. Utilizes allocated resources to back up review determinations. Identifies and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrog

Job Description Job Description Job Description: Monday-Friday, 8am-4:30pm or 8:30am-5pm. Panel interviews on MS teams will be required to be onsite for the 1st week and then will be deployed to work from home. NICE TO HAVE skill sets/qualities: Working knowledge of spreadsheet, database software. Ability to work independently, prioritize effectively and have critical thinking skills. Experience in case management or care coordination and telephonic care experience is preferred. A typical day would like in this role: A typical day would be managing a case load of members telephonically, coordinating care including discharge planning. Assisting with triage when needed. The candidate needs to have strong communication skills, be an active listener and manage their time well. Our team consist of a variety of healthcare professionals. We work closely together to manage the healthcare needs of our members. Responsibilities: Reviews and evaluates medical or behavioral eligibility regarding b

Our Company: Gentiva Hospice is a member of the Gentiva family – an industry leader in hospice, palliative, home health, and personal home care. Our place is by the side of those who need us, offering physical, spiritual and emotional support to patients and their families so they may make the most of every moment. We believe that better care for caregivers and clinicians means better care for everyone, so we offer ongoing professional training, lower nurse-to-patient ratios, and comprehensive benefits for eligible employees. Here, you'll join gifted colleagues who make a lasting difference in people's lives every day. Overview: Join us to make a difference when life matters most! We believe every day is an opportunity to make care more personal and life more comfortable. That’s why we offer personal care, palliative care and hospice to give people the care they need with dignity, grace, and love.  OFFERING A GENEROUS SIGN ON BONUS! As a Hospice RN/ RN Case Manager, you will: Report di

LPN OR RN LICENSE REQUIRED. Our number one priority is our Residents. We welcome you to join our team and find your place here as we have many opportunities for your career to grow. Benefits: Competitive salary Paid-Time Off Health Insurance, Dental Insurance, Vision Insurance Variety of Supplemental Insurance Career Growth Opportunities Tuition Reimbursement *Some benefits may only be eligible to full-time team members Job Summary: The Resident Care Director is a liaison between Residents, Resident families, and staff. The RCD duties also include problem-solving Resident concerns and coordinating care with Caregivers. Minimum Eligibility Requirments: Must be a Licensed Practical Nurse Ability to communicate effectively with Residents, families, staff, vendors, and the general public Must have compassion for and desire to work with the elderly and understand that for each resident the facility is considered the Resident's home Must demonstrate the ability to work responsibly as a team

Overview: Join us in the enchanting town of Camden, for an extraordinary career as a Flight Nurse with Air Methods. Nestled amidst the majestic landscapes of Camden, SC offers a perfect blend of natural beauty and cultural richness. As a pivotal member of our team, you'll play a crucial role in providing life-saving medical transport to the community. With a minimum of 36 months of experience in a busy ICU, ER, Flight, or Critical Care Transport setting within the last 5 years, your expertise will be invaluable. Operating on a schedule of two 24-hour shifts per week, you'll deliver top-notch critical care, adhering to the highest standards set by Air Methods Community Base Services (CBS) Medical Director(s). Your responsibilities will encompass assessment, triage, and treatment, ensuring the safe transport of critical patients to the appropriate medical facility. From the unique vantage point of a helicopter, you'll enjoy breathtaking views of the scenic South Carolina landscape, enhan

Description Company Overview: SENTA Partners is a rapidly growing management services company focused on providing best-in-class support to ENT and Allergy practices across the Southeast United States. With over 70 locations across multiple states, we are dedicated to delivering exceptional patient care and empowering our practices through operational excellence. Position Summary: Medical Assistant performs administrative and clinical duties under the direction of a physician. Administrative duties may include scheduling appointments and maintaining medical records. Clinical duties include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician. Key Responsibilities: - Interacts professionally with patients. - Accompanies and settles patients in the exam room in advance of the physician's visit. - Takes vitals such as blood pressure, pulse, temperature, weight, and height and enter

Description Company Overview: SENTA Partners is a rapidly growing management services company focused on providing best-in-class support to ENT and Allergy practices across the Southeast United States. With over 70 locations across multiple states, we are dedicated to delivering exceptional patient care and empowering our practices through operational excellence. Position Summary: Medical Assistant performs administrative and clinical duties under the direction of a physician. Administrative duties may include scheduling appointments and maintaining medical records. Clinical duties include taking and recording vital signs and medical histories, preparing patients for examination, drawing blood, and administering medications as directed by physician. Key Responsibilities: - Interacts professionally with patients. - Accompanies and settles patients in the exam room in advance of the physician's visit. - Takes vitals such as blood pressure, pulse, temperature, weight, and height and enter

Job Description: Onsite interviews. Onsite Training will last up to 6 weeks but could be extended. Will have option to work remote Skill sets/qualities: Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy experience A typical day would like in this role: Process prior authorization requests for Medicare Advantage line of business. Previous Medicare experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or Appeals Soft skills: ability to process authorization requests in timely fashion/ must communicate with team members to facilitate movement of authorization requests/ must have strong written clinical skills Team: Fast paced, Interactive team works with multiple applications to process authorization and appeals requests using Medicare criteria. Responsibilities: Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by