to fill a Medical Case Manager position in the Columbia, SC area. Work from home, and on the road. Monday – Friday, regular... business hours. As a Medical Case Manager you will make a meaningful difference in the lives of injured workers...
and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims... be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... adjustments and reprocessing actions according to department guidelines. Examines and processes claims and/or non-medical...
and reprocessing actions according to department guidelines. Examines and processes claims and/or non-medical appeals according... and guidelines and refers these to a lead or manager for resolution. Identifies and promptly reports and/or refers suspected...
and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims... be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly...
and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures... adjustments and reprocessing actions according to department guidelines. Examines and processes claims and/or non-medical...
and/or non-medical appeals according to business/contract regulations, internal standards and examining guidelines. Enters claims... be resolved following desk procedures and guidelines and refers these to a lead or manager for resolution. Identifies and promptly...
Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.). Participate in data collection... as a Case Manager. Preferred Education Bachelor's degree in Nursing Preferred Work Experience 7 years in healthcare...
. Performs case management responsibilities involved with patient care. This includes, but is not limited to, Utilization Review... as assigned. Supervisory/Management Responsibility This is a non-management job that will report to a supervisor, manager...