- 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)
- **Title: Coordinator , Managed Care I** **Location: 4101 Percival Road Columbia SC 29229 US (Hybrid)** **Duration: 04+ Contract** **Pay Range $25.00 to ... 40 hrs/week (Monday - Friday, 8:30 AM - 5:00 PM)** We are looking for a " Coordinator , Managed Care I" to join one of our Fortune 500 clients. **Job Summary**… 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
- ManpowerGroup (Columbia, SC)
- …for benefits, and ensure quality, cost-effective outcomes through personalized care plans. **Key Responsibilities:** **Case Management:** + Conduct active case ... management by assessing members' service needs, developing coordinated care plans, and monitoring outcomes. + Evaluate medical necessity, service eligibility, and… more
- Humana (Columbia, SC)
- …Experience with Utilization Review and/or Prior Authorization, preferably within a managed care organization. **Additional Information** **Work Schedule:** + ... policies and procedures ensuring best and most appropriate treatment, care or services for members. UM Administration Coordinator... care or services for members. UM Administration Coordinator 2 + Support the UM Nurses to process… more