Verify plan of care with the RN prior to each visit. Collaborate with physician and RN frequently to ensure patient needs are being met; Notify them as soon as possible when patient condition changes. Teach patients and caregivers self care techniques. Check vital signs. Review all medications and perform a medication reconciliation at each visit. Perform specialized proc

Job Title Medical Reviewer I Location Columbia, SC , 29229 (1 week Onsite training then remote) Duration 4 months assignment with possible extension Shift M F, 8 30 am 5 pm Pay Rate $21/hr Summary Performs medical reviews using established criteria sets and/or performs utilization management of professional, inpatient or outpatient, facility benefits or services, and appe

Job Title Credentialing Specialist Location Columbia, SC. 29229 (Remote after onsite training) Shift Mon Fri, 8 00 4 30 PM or 8 30 5 00 PM (will require some overtime) Duration 12 months assignment with possible extension Pay rate $17/hr. Summary Responsible for the completion of the initial credentialing and re credentialing process of providers to the network for variou

Job Title Managed Care Coordinator I Location Columbia, SC. 29229 (Remote) Duration 3 months assignment with possible extension. Shift Mon Fri, 8 30am 5pm Payrate starts at $31/hr. Summary Reviews and evaluates medical or behavioral eligibility regarding benefits and clinical criteria by applying clinical expertise, administrative policies, and established clinical criter

Seeking a RN to function as a Medical Affairs Coordinator . This position if fully remote. The schedule is M F, 9am 5pm. DUTIES Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implements, and maintains educational tools to help providers reduce the submission of claims for non covered services and reduce the claims pay

Job Title Enrollment Representative I Location Columbia, SC 29203 Duration 3 Months assignment (temp to perm possibly) Shift Timing M F, 8 am 4 30 pm Pay rate is $15/hr. Responsibilities Responsible for daily workflow activities to include the following membership/enrollment activities Processing of applications for new enrollments, terminations/cancellations, changes, re

Include Ensure patient demographic information is accurate and complete Utilize customer hospital systems or approved vendors to research and obtain/verify patient demographic information Validate signature documents such as AOB (Assignment of Benefits), consents, CMN (Certificate of Medical Necessity) Verify patient name is consistent on all documents Verify date of servi

4450 Rosewood Dr,Columbia,South Carolina,29209,United States of America As a Healthcare Operations Manager (Facility Administrator) at DaVita, you'll be a part of a Team that values work life balance and where your personal and professional growth is a top priority. DaVita has an open position for a Healthcare Operations Manager (Facility Administrator) who must be an ambi

Job Title Medical Affairs Coordinator Location Columbia, SC 29203 . (Remote) Duration 12 months assignment with possible conversion Shift Mon Fri, 9am to 5pm EST. May require additional time/effort when needed Payrate $38/hr Note 2 3 rounds of interviews Summary Ensures that the Local Coverage Determination (LCD) process adheres to contract instructions. Creates, implemen

Verify plan of care with the RN prior to each visit. Collaborate with physician and RN frequently to ensure patient needs are being met; Notify them as soon as possible when patient condition changes. Teach patients and caregivers self care techniques. Check vital signs. Review all medications and perform a medication reconciliation at each visit. Perform specialized proc

s and goals for the care center. Ensures implementation of a performance improvement program to drive quality care, positive patient outcomes, and address negative trends. Responsible for the delivery of care for all patients served by the care centers by providing supervision and support to the clinical manager. Other duties as assigned. Qualifications Associates degree i

Reporting to the IRP Nurse Manager, supervises nurses in the system Prisma Health Internal Resource Staffing Pool. Works with nursing management team to ensure internal staffing needs of Prisma Health are met through Prisma Health Resource Staffing. All employees are expected to be knowledgeable and compliant with Prisma Health\u2019s values of compassion, dignity, excell

Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned.\u00A0 May be responsible for some or all front office functions as detailed in the next section.\u00A0 Accountabilities Responsible for complete and accurate patient registration, pre certification, charge capture and accurately coding diagnoses given by physici

Ensures patient assessment visits including all Oasis visits are scheduled and performed timely. Prepares weekly clinician schedules. Reviews clinician schedules daily or more frequently as needed to determine capacity opportunities and ensure productivity standards are being met. Ensures clinicians are assigned and scheduled in most efficient geography, maximizing clinic

Receives and interviews patients to collect and verify pertinent demographic and financial data. Verifies insurance and initiates pre authorization process when required. Collects required payments or makes necessary financial arrangements. Performs all assigned duties in a courteous and professional manner. May perform business office functions. Accountabilities Intervie