RN Managed Care Coordinator South Carolina
Company: VirtualVocations
Location: Concord
Posted on: November 19, 2024
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Job Description:
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 Responsibilities
Perform medical or behavioral review/authorization processes to
ensure appropriate service coverage
Evaluate outcomes of plans, eligibility, and medical necessity
regarding requested services
Provide patient education and promote enrollment in care management
programs
Required Qualifications, Training, and Education
Associates degree in a job-related field or two years of relevant
work experience
Two years of clinical experience
Active, unrestricted RN licensure or equivalent from the United
States
Working knowledge of word processing software and Microsoft
Office
Ability to work independently and prioritize effectively
Keywords: VirtualVocations, Woodland , RN Managed Care Coordinator South Carolina, Healthcare , Concord, California
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