ColumbiaRecruiter Since 2001
the smart solution for Columbia jobs

Program Coordinator I

Company: Centene Corporation
Location: Columbia
Posted on: October 18, 2020

Job Description:

Position Purpose Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input services in keeping with the prior authorization list. Research claims inquiry specific to the department and responsibility. Perform tasks necessary to promote member compliance such as verifying appointments, obtaining lab results. Assess and monitor inpatient census. Screen for eligibility and benefits. Identify members without a PCP and refer to Member Services. Screen members by priority for case management (CM) assessment. Perform transition of care duties to include but not limited to, contact the member's attending physician, member or medical power of attorney, other medical providers (home health agencies, equipment vendors) for information pertaining to special needs. Coordinate services with community based organizations. Attend marketing and outreach meetings as directed to represent the plan. Produces and mails routine CM letters and program educational material. Data enter assessments and authorizations into the system. EducationExperience High school diploma or equivalent. 2-3 years managed care or physician's office experience. Thorough knowledge of customer service, utilization review or claims processing practices in a managed care environment and operation of office equipment such as a personal computer. Knowledge of medical terminology. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.SDL2017

Keywords: Centene Corporation, Columbia , Program Coordinator I, Other , Columbia, South Carolina

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Other Jobs


CDLA Team Truck Driving Jobs: Earn up to 80 CPM!
Description: Job DescriptionTeam Drivers: HUGE 30,000 Sign On Bonus/split with TONS
Company: U.S.Xpress
Location: Spartanburg
Posted on: 10/27/2020

Class A CDL Team Truck Drivers: Earn up to 80 CPM!
Description: Job DescriptionTeam Drivers: HUGE 30,000 Sign On Bonus/split with TONS
Company: U.S.Xpress
Location: Spartanburg
Posted on: 10/27/2020

Installation Subcontractor
Description: Job Description LeafFilter Gutter Protection Installers needed for immediate work as independent contractors. We provide in-depth knowledge so you can correctly and efficiently install our gutter protection (more...)
Company: LeafFilter
Location: Summerville
Posted on: 10/27/2020


CDL-A Experienced Flatbed Truck Driver
Description: Job Description FLATBED CDL-A TRUCK DRIVER JOBS Average .65 CPM With Boyd Bros. The best flatbed truck driver jobs are right here at Boyd.
Company: Boyd Bros Transportation
Location: Summerville
Posted on: 10/27/2020

Installation Subcontractor
Description: Job Description LeafFilter Gutter Protection Installers needed for immediate work
Company: LeafFilter
Location: Summerville
Posted on: 10/27/2020

CDL A - OTR Owner Operators - 88% of load - $1,500 Sign On Bonus
Description: WE ARE HIRING OTR CDL A OWNER OPERATORS This position requires you to own a sleeper truck What We Offer CDL Owner Operators: Earn 7,000 Gross Weekly Pay All In Commission Plan - 22 of Gross Profit - (more...)
Company: Maybach International Group LLC
Location: Summerville
Posted on: 10/27/2020

Gutter Protection Installer
Description: Job Description LeafFilter Gutter Protection Installers needed for immediate work as independent contractors. We provide in-depth knowledge so you can correctly and efficiently install our gutter protection (more...)
Company: LeafFilter
Location: Summerville
Posted on: 10/27/2020

CDL-A Team Drivers: Top Team Pay in the Nation!
Description: CDL A Team Drivers: HUGE 30,000 SIGN ON BONUS split with TONS of miles for OTR
Company: U.S. Xpress
Location: Spartanburg
Posted on: 10/27/2020

Neonatal Nurse Practitioner
Description: Envision Physician Services is seeking board certified Neonatal Nurse Practitioners for our advanced Level II NICU practice at Summerville Medical Center SMC in Summerville, SC. Our team has historically (more...)
Company: Envision Physician Services
Location: Summerville
Posted on: 10/27/2020

CLASS A CDL Drivers - HOME DAILY, LOCAL DRIVERS, GREAT PAY with FULL MEDICAL & DENTAL
Description: Class A CDL Drivers Spartanburg, SC COME AND GROW WITH US Eagle Transport Corporation is now seeking Class A CDL Drivers Local Runs / Great Salary / Home Every Day/Night If you're looking for local (more...)
Company: Eagle Transport Corporation
Location: Spartanburg
Posted on: 10/27/2020

Log In or Create An Account

Get the latest South Carolina jobs by following @recnetSC on Twitter!

Columbia RSS job feeds