- Parexel (Columbia, SC)
- …quality management and inspection management activities. The CQOM will oversee headquarters clinical quality operations and support clinical trial teams ... is complete for all Regulatory Health Authority inspections. Provides guidance and support for Clinical Country Quality Managers (CCQMs) regarding inspections at… more
- Lincoln Financial (Columbia, SC)
- …#:** 75271 **The Role at a Glance** In this role you will provide support to clinical operations by requesting/retrieving medical records from health care ... service standards. + Resolve customer or client escalations with support from management as needed. + Support ...with support from management as needed. + Support and promote change management and departmental/enterprise initiatives within… more
- Humana (Columbia, SC)
- …Job Description **Achieve your best at Humana. Join Us!** The UM Administration Coordinator provides non- clinical support for the policies and procedures ... The Home Solutions UM Team is hiring for a UM Administration Coordinator that will provide non- clinical support for the policies and procedures ensuring best… more
- Sharing Hope SC (West Columbia, SC)
- …are the operative expert for the tissue recovery process. The Tissue Recovery Coordinator performs other clinical support related responsibilities during ... Tissue Recovery Coordinator Job Details Job Location Columbia - West... responds to tissue recovery cases and provides technical support for all aspects of tissue recovery for transplant… more
- Fresenius Medical Center (Columbia, SC)
- …FMS policy requirements. Ensure quality patient care while maintaining cost-effective clinical operations in accordance with all legal, compliance, and regulatory ... outcomes. **PRINCIPAL DUTIES AND RESPONSIBILITIES:** + Provide day to day guidance, support and direction to direct patient care staff, providing informal feedback… more
- University of South Carolina (Columbia, SC)
- …center. + Provide faculty instructors with instructional tools, technical or administrative support to carry out clinical lab and simulation sessions. This ... (35) miles south of Charlotte, NC invites applicants for an Instructor/Simulation Coordinator . This is a full-time 12- month non-tenure track faculty position… more
- Sharing Hope SC (West Columbia, SC)
- FAMILY SERVICES COORDINATOR Job Details Job Location Columbia - West Columbia, SC Description Summary The role of a Family Services Coordinator I (FSC I) is a ... crucial and hands-on position that involves providing on-site support to advocate for organ and tissue donation. This...a difference in the lives of those in need.5. Clinical : Fundamental understanding of situations where brain death and… more
- Sharing Hope SC (West Columbia, SC)
- Family Services Coordinator I - PeeDee Region Job Details Job Location Columbia - West Columbia, SC Description The role of a Family Services Coordinator I (FSC ... a crucial and hands-on position that involves providing on-site support to advocate for organ and tissue donation. This...difference in the lives of those in need. + Clinical : Fundamental understanding of situations where brain death and… more
- InGenesis (Columbia, SC)
- …necessity regarding requested services and benefit. * Ensure accurate documentation of clinical information to support and determine medical necessity criteria ... seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia,...and evaluate medical or behavioral eligibility regarding benefits and clinical criteria and assess and monitor medical necessity using… more
- Cardinal Health (Columbia, SC)
- …obtain authorization for all requested procedures, tests, drugs, etc. The Senior Coordinator , Benefits Eligibility and Authorization may be asked to perform other ... medical necessity. + Communicate effectively with all RCM and clinical staff to ensure appropriate treatment can be provided,...offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision… more
- Cardinal Health (Columbia, SC)
- Coordinator , Financial Counseling **_What Financial Assistance Counseling (RCM) contributes to Cardinal Health_** Practice Operations Management oversees the ... other Financial Counselors, Patient Navigators, front office staff and clinical staff to ensure smooth collection process. + Maintain...offers a wide variety of benefits and programs to support health and well-being. + Medical, dental and vision… more
- US Tech Solutions (Columbia, SC)
- …regarding requested services and benefit exceptions. + Ensures accurate documentation of clinical information to support and determine medical necessity criteria ... + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and… more
- Intermountain Health (Columbia, SC)
- **Job Description:** Responsible for clinical support and coordination related to value based care (VBC) programs. Works in an advisory capacity to support ... standards of care **MUST LIVE IN COLORADO** **This position is day shift with holidays off, no evenings or weekends, Normal Monday to Friday with varying hours from 6:30 to 5 Pm. This is a fully remote position with NO on call requirements.** Assists with… more
- Intermountain Health (Columbia, SC)
- **Job Description:** Responsible for clinical support and coordination related to value based care (VBC) programs. Works in an advisory capacity to support ... standards of care + **MUST LIVE IN COLORADO** **This position is day shift with holidays off, no evenings or weekends, Normal Monday to Friday with varying hours from 6:30 to 5 Pm. This is a fully remote position with NO on call requirements.**… more
- Highmark Health (Columbia, SC)
- …authorization case in Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc. Ensures all accurate information is ... calls, triage cases, and/or build cases if inventory levels require support . **ESSENTIAL RESPONSIBILITIES** + Handle all inbound phone requests from providers… more
- Fresenius Medical Center (Columbia, SC)
- …to ensure ongoing performance of other PCT's. + Collaborates with the Clinical Manager and Education Coordinator in driving organization quality standards ... under the supervision of a nurse. + Provides developmental support to applicable clinical and facility staff. Education/Communication: + Partners with RN and… more
- Veterans Affairs, Veterans Health Administration (Columbia, SC)
- …Responsibilities Total Rewards of a Allied Health Professional The GS-12 Caregiver Support Program (CSP) Senior Social Worker for the Program of Comprehensive ... limited to: The incumbent will provide specialized consultation on the administrative and clinical considerations of the CSP as referenced in VHA Directive 1152 (1).… more
- Amergis (Columbia, SC)
- …of daily living in accordance with the outcomes and goals in the individual's support plan and under the direct supervision of the Team Leader, Program ... Coordinator , or Program Director + Reports any changes in...team conferences and In-services as requested + Provides therapeutic support in daily activities + Performs other duties as… more
- Humana (Columbia, SC)
- …and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication ... appropriate courses of action. The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent critical thinking skills towards… more
- CVS Health (Columbia, SC)
- …and Utilization Management. AHH delivers flexible medical management services that support cost-effective quality care for members. **Key Responsibilities** + This ... clients. + Application and/or interpretation of applicable criteria and clinical guidelines, standardized care management plans, polices, procedures and regulatory… more
