A company is looking for a (RN) Managed Care Coordinator I - UM to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria.
Key ResponsibilitiesPerform medical or behavioral review / authorization processes to ensure appropriate service coverageEvaluate outcomes of plans, eligibility, and medical necessity regarding requested servicesProvide patient education and promote enrollment in care management programsRequired Qualifications, Training, and EducationAssociates degree in a job-related field or two years of relevant work experienceTwo years of clinical experienceActive, unrestricted RN licensure or equivalent from the United StatesWorking knowledge of word processing software and Microsoft OfficeAbility to work independently and prioritize effectively
RN Managed Care Coordinator South Carolina
A company is looking for a (RN) Managed Care Coordinator I - UM to review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria. ...
RN Care Coordinator-Indiana
Coordinate care management in collaboration with the Mid-Level Practitioner (MLP). Ensure ICT meeting occur regularly and include the MLP, Provider Physician, RNCC, SNF staff and. Triage care needs based on the member's HRA scores and information from other sources. Provide in-service education to s...
Louisiana Licensed Care Coordinator RN
Key Responsibilities:Provide patient-centered interventions and develop care plansMonitor member adherence to care plans and collaborate with the multidisciplinary teamAssist members with scheduling appointments and follow-up careRequired Qualifications:Licensed RN or compact RN license in Louisiana...
RN, Registered Nurse 5K Sign on Bonus
All Direct Care Care Team Members can earn an additional $5 per hour for all hours worked paid each pay day. Majestic Care of South Bend -. Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve. Nurse RN (Registered Nurse) 5k Sign on Bonus!!. ...
Care Coordinator, RN #3 (District 9,11,12,[8 Boone, Hendricks, Johnson])
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Associate benefits are designed to encourage personal wellness and smart health...
RN, Registered Nurse 5K Sign on Bonus
All Direct Care Care Team Members can earn an additional $5 per hour for all hours worked paid each pay day. Majestic Care of South Bend -. Through the hearts of our Care Team Members, we provide excellent healthcare to those we serve. Nurse RN (Registered Nurse) 5k Sign on Bonus!!. ...
Care Coordinator, RN #3 (District 1,4)
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Associate benefits are designed to encourage personal wellness and smart health...
RN Field Care Manager, Care Coordinator
Through our Humana insurance services and CenterWell healthcare services, we make it easier for the millions of people we serve to achieve their best health – delivering the care and service they need, when they need it. Associate benefits are designed to encourage personal wellness and smart health...
Licensed Clinical Social Worker (LCSW) (No Associates) - Remote
Must be licensed as a Licensed Clinical Psychologist, Licensed Clinical Social Worker (LCSW) or Licensed Mental Health Counselor (LMHC). ...
Insurance Customer Service Representative
A company is looking for an Insurance Customer Service Representative to support brokers and clients with insurance-related inquiries and processes. ...