Managed Care Coordinator jobs in South Carolina

Managed Care Coordinator coordinates utilization reviews of managed care contracts using established guidelines and processes. Ensures all clinical operations comply with Medicare and Medicaid guidelines and other managed care policies. Being a Managed Care Coordinator communicates with physicians, discharge planners and others to process referrals, authorization for services, and capture data related to utilization. Maintains managed care contracts and information databases and prepares reports. Additionally, Managed Care Coordinator typically requires an associate degree in nursing. Typically reports to a supervisor or manager. Typically requires Registered Nurse (RN). The Managed Care Coordinator has gained full proficiency in a broad range of activities related to the job. Independently performs a wide range of complex duties under general guidance from supervisors. To be a Managed Care Coordinator typically requires 5-7 years of related experience. (Copyright 2020

RN - Behavioral Health and Utilization Management (003MV1)
  • Techlink Systems
  • North Charleston, SC
  • Managed Care and Utilization Management experience required. Behavioral Health Management ... coordination opportunities and refer those cases to integrated care management as needed. The CCR ...
  • 16 hours ago

RN Hospice
  • Orangeburg, SC
  • ... the coordination of patient care. Consistently performing according to nursing standards, the Hospice Registered Nurse (RN) is accountable in managing patient care and assisting others in the ...
  • 19 hours ago

Behavioral Health Clinical Care Reviewer (LCSW)
  • Total Medical Staffing
  • North Charleston, SC
  • ... care coordination opportunities and refer those cases to integrated care management as needed. * The CCR will apply medical health benefit policy and medical management guidelines to authorize ...
  • yesterday

Office Coordinator
  • MAU Workforce Solutions
  • Greenville, SC
  • ... site management team. BENEFITS: * Competitive pay * Medical, Dental, and Vision Benefits * Paid ... Care Partners Program -trained and experienced counselors who are available 24 hours a day, 365 ...
  • yesterday

Recruitment and Engagement / HR manager - experience required
  • Home Instead
  • Spartanburg, SC
  • We are looking for a Recruitment and Engagement Coordinator, with Human resource and Healthcare ... Management or hiring experience a plus * Knowledge of the senior industry a plus * Must demonstrate ...
  • yesterday

Registered Nurse
  • Palmetto Endoscopy Center LLC
  • Charleston, SC
  • ... to manage situations and minimize risk to patients, self, colleagues and institution. 15. Strives ... COORDINATION 1. Facilitates and coordinates patient care. 2. Able to physically assess patient. 3. ...
  • yesterday

Registered Nurse (RN) - ER - Days
  • Centra Healthcare Solutions
  • Mullins, SC
  • ... delivery and coordination of patient care and the application of the nursing process. The RN ... management of patient care. This is a direct hire / 'perm' opportunity. Minimum Requirements ...
  • 2 days ago

Dental Administrative Assistant-Todays Dental @ Cayce.High Income
  • todays dental
  • Greenville, SC
  • ... care team. As an administrative assistant, you are the person who coordinates the office and ... Answering the phone, responding to e-mail messages, pulling patient charts, and managing the office ...
  • 6 days ago

South Carolina (/ˌkærəˈlaɪnə/ (listen)) is a state in the Southeastern United States and the easternmost of the Deep South. It is bordered to the north by North Carolina, to the southeast by the Atlantic Ocean, and to the southwest by Georgia across the Savannah River. South Carolina became the eighth state to ratify the U.S. Constitution on May 23, 1788. South Carolina became the first state to vote in favor of secession from the Union on December 20, 1860. After the American Civil War, it was readmitted into the United States on June 25, 1868. South Carolina is the 40th most extensive and 23...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Managed Care Coordinator jobs
$42,330 to $72,649

Managed Care Coordinator in Atlanta, GA
Design and provide periodic reporting/analytical identifying payer trends and individual claims concerns.
February 16, 2020
Manage payer contract reviews and negotiations, including annual renewals.
February 05, 2020
Managed Care Coordinator in Amarillo, TX
Understanding of Insurance, prior authorization and patient benefits strongly preferred.
March 26, 2020