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Job Description SummaryResponsible for providing quality nursing care while maintaining accountability for the coordination of patient care. EntityCarolina Family Care, Inc. (CFC) Worker TypeEmployee Worker Sub-TypeRegular Cost CenterCC005453 MHP In-Basket Team Pay Rate TypeHourly Pay GradeHealth-27
Summary We are currently hiring for an RN Behavioral Health Concierge Care Manager to join BlueCross BlueShield of South Carolina. In this role as an RN Behavioral Health Concierge Care Manager, you will provide care management services to
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the
UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate care for members. The role involves assessing needs, planning care, and collaborating with clinical teams to deliver high-quality
Remote Nursing Opportunity Are you looking for an exciting way to utilize your nursing skills and expertise to deliver quality nursing care in a remote setting? AccessNurse, where technology meets compassionate care, is looking for professional
Post Discharge Patient Outreach Coordinator Inspire health. Serve with compassion. Be the difference. Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience and recovery, and providing needed follow up
Summary Performs medical reviews using clinical/medical information provided by physicians/providers and established criteria/protocol sets or clinical guidelines. Documents decisions using indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices.
Summary We are currently hiring for a Senior Medical Reviewer to join BlueCross BlueShield of South Carolina. In this role as a Senior Medical Reviewer, you will act as Team Lead for specialty programs, medical review,
Become a part of our caring community The Field Care Manager, Behavioral Health 2 assesses and evaluates members needs. We do this to achieve and maintain optimal wellness state. The care manager guides members/families toward resources
Healthcare Recruiter (Full-Cycle | High-Performance | Commission-Based): South Carolina (You Do Not Have To Be Located In South Carolina)- Remote Does This Sound Like You? A confident, outgoing communicator who builds relationships with ease Results-driven and
Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents,
Essential Duties and Responsibilities: - Responsible for reviewing favorable, and partially favorable, determinations in accordance with applicable regulations. - Render medical necessity determinations for Medicare State East cases assigned. - Resolve all other technical issues within
Essential Duties and Responsibilities: - Provides advanced clinical inquiry responses (verbal and written) to health-related inquiries from consumers, educators or medical/health professionals. - Provides medical subject matter expertise. - Performs advanced database searches. - Composes documents,
JOB DESCRIPTION Job Description Description Become a Medical Scribe First Scribe-X offers unparalleled clinical experience and preparation for medical school. * Receive extensive paid training that will help you master EMR systems and patient documentation procedures.