of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health... care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It...
that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care... professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It was selected by Modern...
network of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than... 9,000 health care professionals and Lexington Medical Center, a 607-bed teaching hospital in West Columbia, South Carolina. It...
adjustments and related reprocessing actions. Reviews and adjudicates claims and/or non-medical appeals. Determines whether... and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims...
, pick, distribute, and deliver general, medical, surgical supplies and equipment throughout the perioperative and procedural... and other medical settings. Manage consignment, vendor-owned inventory, and implants in accordance with policy. Performs receipt...
and maintains positive working relations with potential referral sources. Perform nursing visits as needed. Notify case manager... such as completing medical forms, reports, evaluations, studies, charting, etc., as necessary. Qualifications: Must possess a degree...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... and processes claims and/or non-medical appeals according to business/contract regulations, internal standards and examining...
nurse and medical staff to assist in facilitating safe and effective surgical procedures. Conducts work under conditions... that all items used are replaced in inventory, charged for, and reported to the circulator of the case. Assists with maintaining...
Manager (CISM), Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (CRISC... and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does...
Manager (CISM), Certified Information Systems Auditor (CISA), Certified in Risk and Information Systems Control (CRISC... and continued salary growth, and compensation decisions are dependent on the circumstances of each case. This salary range does...
Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals, etc.). Participates in data collection... Medicare criteria. Responsibilities: Reviews and evaluates medical or behavioral eligibility regarding benefits...
timeliness guidelines. Identifies and makes referrals to appropriate staff (Pharmacist, Case Manager, Preventive Services... with internal and external customers and the Pharmacy Benefit Manager (PBM) to resolve issues that may arise in the provision...
. Identify and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality... in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility regarding benefits and clinical...
date. Scope of Practice Highlights Full Team support includes Case Manager, Hyperbaric Oxygen Therapy Nurses, Office Manager... and drainage (I&D), or surgical procedures is required. Procedural case logs will be required as part of the credentialing process...
the case. Maintains competency in each role, utilizing evidence-based practices and research consistent with an acute care... direct patient pre-procedure assessment for sedation. This includes the following: assessment of the patient's medical...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... actions according to department guidelines. Examine and process 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... review and adjudication of claims and/or non-medical appeals, determining whether to return, deny or pay claims...
to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of Care Referrals... for first 1-2 weeks then remote training. Reviews and evaluates medical or behavioral eligibility regarding benefits...
patients and their families with dignity, comfort, and love. What You'll Do as a Hospice RN / RN Case Manager: Be the..., Registered Nurse, hospice RN jobs, case manager nurse, end-of-life care RN, home health RN, compassionate nursing jobs, hospice...
for cases by opening sterile supplies, setting up table, arranging instruments and supplies according to type of case. Assists.../Management Responsibilities This is a non-management job that will report to a supervisor, manager, director, or executive...