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...
management responsibilities (dependent on whether or not unit manager is an RN for medical case management activities... May be required to oversee case management clinical activities (dependent on whether or not unit manager is an RN...
& Continence, Medical, Surgical, Cardiovascular, etc). Functions in the role of expert clinician, educator, consultant, case... that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health care...
identifies cases needing physician, manager, director or medical director review and routes accordingly. Duties... of care that includes six community medical and urgent care centers, nearly 80 physician practices, more than 9,000 health...
Summary We are currently hiring for a Claims Customer Service Advocate II to join BlueCross BlueShield of South... and/or non-medical appeals. Determines whether to return, deny or pay claims following organizational policies and procedures...
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...
. 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...