- 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)
- …plan, implement, health coach, coordinate, monitor, and evaluate medical necessity and/or care plan compliance, options, and services required to support members in ... staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection/input into system for… more
- Humana (Columbia, SC)
- …**Required Qualifications** + Experience with Utilization Review and/or Prior Authorization within a managed care call center + Experience with CGX, Genesys and ... and help us put health first** The UM Administration Coordinator 2 provides non-clinical support for the policies and...care or services for members. As a UM Coordinator you will be part of our fast paced… more
- Cardinal Health (Columbia, SC)
- …healthcare management industry including Prior Authorizations, Appeals, Medicare Part D, Medicaid, Managed Care , and Commercial plans is preferred. + Experience ... (TM) Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy… more
- Humana (Columbia, SC)
- …term care and/or Home and Community based services and/or working with managed care organizations. + Intermediate to advanced computer skills and experience ... with resources appropriate for the care and wellbeing of members. The Care Coach Coordinator work assignments are often straightforward and of moderate… more
- AmeriHealth Caritas (Columbia, SC)
- … care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral ... and resolving problems. + Coordinates care and services with the Care Coordinator , Community Health Navigator, and member, member care giver as… more