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

Performs a variety of duties to support and facilitate business operations for Therapy Services. Provides direct customer service and/or clerical/administrative support for the department. Accountabilities Customer Service Answers phone and responds to patient voicemails. \u00A0 Answers general questions regarding therapy and treatments. Greets incoming patients. \u00A0 1

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 Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned.\u00A0 May be responsible for some or all front

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 Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned.\u00A0 May be responsible for some or all front

Responsible for the 24 hour management of a specific patient care unit/s, service/s, or program/s in settings as designated by the Chief Nursing Officer and/or Director, Patient Care Services. The Nurse Manager directs and supervises the functions and activities of the assigned unit/service/program Develops, implements and interprets policies; schedules and supervises ass

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

Responsible for supporting internal and external customer business needs across multiple lines of business Acting as liaison between clients and the I/S organization, providing business direction to systems and programming areas on work efforts Supporting clients through production incidents and Adhoc requests Soft skills Proactive communicator Able to handle a fast paced

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

Incident Investigation Investigate and document all, incidents, accidents, first aid requirements, and near miss reports. Follow up with workers compensation claims if required. Determine effective prevention methods and verify implementation. Document and photograph the incident scene. Internal Auditing Serve as lead auditor for all internal audits per the schedule (With

You are an expert facilitator you open doors, foster communication, and bridge the gap. In this role, the Field Reimbursement Manager (FRM) will operate as the subject matter expert on reimbursement, access, and coverage issues affecting the customers products. The FRM will analyze reimbursement and access issues and act as the local access and reimbursement resource for

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

REACH YOUR POTENTIAL | COLLABORATE WITH AMAZING PEOPLE | MAKE CHANGE HAPPEN Do you have the skills, passion, and commitment to transform our clients for the better? Are you ready to be a changemaker? If so, join us. North Highland is the world's leading change and transformation consultancy. Simply put, we make change happen like no one else. And we're on the hunt for a n

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 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

Senior leader to advance BCBSA's legislative and regulatory policy solutions and market positioning in Medicare, Medicaid, Duals, and Children's Health Insurance Program, impacting the tens of millions of Americans we cover, serve, and support in these programs. This role will be a critical policy voice on the most pressing policy issues, serving as a lead advocate for gov