Duties:• Responsible for conducting timely reviews of all requests for services required to meet medical necessity criteria to include reviewing pre-certification for outpatient and inpatient services.• Applying criteria to inpatient admissions and performing concurrent review functions, i...
Location: 4390 Belle Oaks DrNorth Charleston, SC 29405, USA, South Carolina, USA
Duties: Principal Accountabilities: • Screens information received and refers members to the appropriate provider and/or contacts the provider directly for members. • Facilitates the authorization process for requests that do not require clinical criteria application or judgment. • Pr...
Location: 4390 Belle Oaks Dr, North Charleston, SC 29405, South Carolina, USA
Scope of the project: Share Point And Infopath Technology Development Project For Extranet, Internet, And Intranet Portals. Daily duties / responsibilities: AS PART OF A TEAM AND WITH MINIMAL SUPERVISION, DEVELOP SHARE POINT BASED SOFTWARE SOLUTIONS, BUILD DATA STRUCTURES, DEVELOP INFOPATH FORMS, AN...
Location: SOUTH CAROLINA DEPARTMENT OF TRANSPORTATION – HEADQUARTERS, South Carolina, USA
Cope Of The Project: THIS POSITION INCLUDES THE POTENTIAL FOR WORKING ON MULTIPLE PROJECTS RELATED TO THE MEDICAID SYSTEM OF S.C. THIS POSITION INVOLVES COORDINATING PROJECTS WITH SC DHHS MEDICAID IT STAFF AND THE MEDICAID IT SERVICES STAFF AT CLEMSON UNIVERSITY.  Daily Duties / Respons...
Location: 934 OLD CLEMSON HWY, SENECA, SC 29672-8061, South Carolina, USA
Scope of the project: THE CFS PROJECT TEAM S RESPONSIBLE FOR DEVELOPING, THE CFS PROJECT IS PART OF THE DEPARTMENT OF SOCIAL SERVICES (DSS) AND IS RESPONSIBLE FOR DEVELOPING, IMPLEMENTING, MAINTAINING, AND OBTAINING FEDERAL CERTIFICATION OF A FEDERALLY-MANDATED CHILD SUPPORT ENFORCEMENT SYSTEM (...
Location: BROWNING ROAD, COLUMBIA SC, South Carolina, USA
Scope of the project: THE CFS PROJECT TEAM S RESPONSIBLE FOR DEVELOPING, THE CFS PROJECT IS PART OF THE DEPARTMENT OF SOCIAL SERVICES (DSS) AND IS RESPONSIBLE FOR DEVELOPING, IMPLEMENTING, MAINTAINING, AND OBTAINING FEDERAL CERTIFICATION OF A FEDERALLY-MANDATED CHILD SUPPORT ENFORCEMENT SYST...
Location: BROWNING ROAD, COLUMBIA SC, South Carolina, USA