Patient Access Facility Lead, FT Days Prisma HealthPatient Access Facility Lead, FT DaysColumbia, SCEducation Substitutes: BS degree plus one (1) year at the lead level or Associates degree with three (3) years at the lead level will substitute for four (4) years with two (2) years at the lead level if coming from a service-related position such as customer service, banking, or finance ORBS degree plus one (1) year at the lead level will substitute for four (4) years with two (2) years at the lead level. These forms/documents include but are not limited to Advance Directives, Lewis Blackman Patient Safety Act, Notice of Privacy Practices, Patient Rights and Responsibilities, Permission to Treat, Limited Visitation Policy, Medicare Admission Questionnaire, Medicare Important Message and Medicare Outpatient Observation Notice.
Senior Claims Adjuster II | GA, NC, SC, VA Employers Holdings IncSenior Claims Adjuster II | GA, NC, SC, VASCRemote$80,000–$120,000 / yearCompletes detailed settlement analysis and recommends appropriate settlement value, utilizing in-depth knowledge of appropriate workers' compensation insurance principles and laws, subrogation recoveries, offsets and deductions, claim and disability duration, cost containment principles; including medical management practices and Social Security and Medicare application procedure as applicable. With minimal oversight, the Senior Workers Compensation Claims Adjuster II is responsible for timely and accurate management of workers' compensation claims with high or catastrophic medical and indemnity benefits, involving litigation and complex issues and exposures.
RN Behavioral Health Concierge Care Manager BlueCross BlueShield of South CarolinaRN Behavioral Health Concierge Care ManagerSouth CarolinaRemoteIn this role as an RN Behavioral Health Concierge Care Manager, you will provide care management services to more than 2 million members in South Carolina and nationally, administer complex, high-touch concierge case management for members identified into specialized programs such as high-risk maternity, NICU, ESRD, Cancer, Palliative Care or Behavioral Health, identify risks and provides outreach services to facilitate the coordination of healthcare services and gap closure, and provide individualized care plans to ensure cost-effectiveness, overall care satisfaction, and improved quality of life. Required Licenses and Certificates: Active, unrestricted RN licensure from the United States and in the state of hire; OR active, compact, multistate, unrestricted RN license as defined by the Nurse Licensure Compact (NLC); OR active licensure as a social worker, psychologist, or counselor in state of hire.