South Carolina RN Managed Care Coordinator

Job Summary

A company is looking for a RN Managed Care Coordinator I - Part Time.

Key Responsibilities

• Perform medical or behavioral review/authorization processes to ensure coverage for appropriate services
• Utilize resources for review determinations and participate in data collection for clinical information flow
• Provide patient education and serve as a member advocate regarding health care delivery systems and benefit plans

Required Qualifications, Training, and Education

• Associates degree in a job-related field
• Graduate of an accredited School of Nursing or 2 years of job-related work experience
• 2 years of clinical experience
• Active, unrestricted RN licensure or equivalent in the state of hire
• Working knowledge of Microsoft Office and ability to work independently