• Managed Care Coordinator UM II

    ManpowerGroup (Columbia, SC)
    …back up review determinations. Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... **Title:** **Managed Care Coordinator UM II** **Location: Columbia SC (Onsite)** **Duration: 3...Remote after training **Job Responsibilities:** + Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria… more
    ManpowerGroup (09/19/24)
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  • LPN Utilization Mgmt Reviewer

    Guthrie (Binghamton, NY)
    …as necessary with the hospital Business Office, physician offices, Care Coordination, Medical Director and other hospital departments as appropriate. a) Serves ... work within specified time frames. Knowledge of health benefit plans and related UM requirements preferred. Experience with CPT/ICD coding, medical record or… more
    Guthrie (09/11/24)
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  • Coordinator, Managed Care I

    ManpowerGroup (Columbia, SC)
    …up review determinations. + Identifies and makes referrals to appropriate staff ( Medical Director , Case Manager, Preventive Services, Subrogation, Quality of ... clients. **Note:-** + Must Have Behavioral Health Experience + Previous Utilization Management ( UM ) or Case Management (CM) experience + Training will be onsite &… more
    ManpowerGroup (09/12/24)
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