- ManpowerGroup (Columbia, SC)
- + **Title:** Managed Care Coordinator UM II + **Location:** Initial on-site work required for the first week, followed by remote work. + **Hours:** ... determine medical necessity and contract benefits. + Collaborate with Care Management and other areas for timely care... Care Management and other areas for timely care management execution. + Manage assigned members and authorizations… more
- ManpowerGroup (Columbia, SC)
- …internal teams to support health management programs and facilitate timely care . **Key Responsibilities** **Service Review & Authorization:** + Review medical and ... needed, including Medical Directors and Case Managers. **Discharge Planning & Care Coordination:** + Collaborate with providers and facilities to determine service… more
- Humana (Columbia, SC)
- …procedures ensuring best and most appropriate treatment, care or services for members. UM Administration Coordinator 2 + Support the UM Nurses to process ... Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Work Schedule:** +… more