South Carolina Licensed Managed Care Coordinator
VirtualVocationsHollywood, Florida, United Statesjob_description.job_card.variable_hours_ago
serp_jobs.job_preview.job_type
- serp_jobs.job_card.full_time
job_description.job_card.job_description
A company is looking for a Managed Care Coordinator I to evaluate medical or behavioral eligibility regarding benefits and clinical criteria.
Key Responsibilities
Perform medical or behavioral review / authorization process to ensure coverage and evaluate eligibility and medical necessity
Utilize resources for review determinations and participate in data collection for clinical information flow
Provide patient education and advocacy regarding healthcare delivery systems and promote enrollment in care management programs
Required Qualifications
Associates degree in a job-related field or equivalent experience
2 years of clinical experience
Active, unrestricted RN licensure or LMSW licensure from the United States
Working knowledge of Microsoft Office
Ability to work independently and prioritize effectively
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Managed Care Coordinator • Hollywood, Florida, United States
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