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Centene Corporation-Columbia, SC, 29201
Centene Corporation is a leading multi-line healthcare enterprise that provides managed-care programs and related services to individuals receiving benefits under Medicaid, including Supplemental Security Income (SSI) and the State Children’s Health Insurance Program (SCHIP). Position Purpose: Perform duties to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Knowledge/Experience: High school diploma or equivalent; 2-3 years managed care or physician’s office experience. Thorough knowledge of customer service, utilization review or cl...
Program Coordinator Jobs in Columbia, South Carolina Jobs
South Carolina Hospital Association | Columbia, SC, 29210 | 3-5
AccessHealth SC (AHSC), a department of the SC Hospital Association, is recruiting for a program coordinator. AHSC provides technical assistance for South Carolina communities developing networks of care for low income uninsured people. The program coordinator position works with minimal supervision organizing and coordinating functions of AHSC. The program coordinator reports to the executive director of AHSC. Main Duties · Coordinate and write proposals for AHSC · Present AHSC to various community groups across the state · Maintain Access database and file system of AccessHealth SC progra...
Centene Corporation Jobs
Centene Corporation | Tempe, AZ, 85280 | >2
The selected candidate will review inpatient admissions to assure appropriate level of care and medical necessity. Position Responsibilities: - Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care. - Act as clinical resources to referral staff and make appropriate referrals. - Provide patient and provider education. - Data enters assessments, authorizations and reviews into the system.. Job Requirements: - At least two years clinical nursing experience. - RN, LPN or LVN required. - Current state nursing and driver’s license. - UM ...
Centene Corporation | Smyrna, GA, 30082 | >3
Centene Corporation is a leading multi-line healthcare enterprise that provides managed-care programs and related services to individuals receiving benefits under Medicaid, including Supplemental Security Income (SSI) and the State Children’s Health Insurance Program (SCHIP). Position Purpose: Perform collaborative duties to assess, plan and coordinate continuum of care for select members at high risk in order to promote quality, cost effective programs. Knowledge/Experience: Bachelor’s degree preferred. At least two years clinical nursing experience. At least two years experience managed c...
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