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Chi Medical Management Group Jobs (NOW HIRING)

We specialize in group fitness options, personal training, swim lessons, gym management, and gym ... Tai Chi Teacher needed to teach weekly recurring class: * Day and time are flexible (prefers AM)

Med Mgmt Nurse

Indianapolis, IN · On-site

$44.56 - $85.11/hr

... group life, voluntary life insurance, short‑term disability, long‑term disability, and 401(k). Equal Employment Opportunity BCForward is an equal opportunity employer. All qualified applicants ...

Gastroenterologist

Roseburg, OR · On-site

$382K/yr

Boost your income as a member of the outpatient surgery management group. * Immigration Support: J1 ... Medical Group, a division of CHI Mercy Health. Located in Roseburg, Oregon, our team of 3 ...

We specialize in group fitness options, personal training, swim lessons, gym management, and gym ... Tai Chi Teacher needed for two weekly recurring classes * Weekly recurring class every Tuesday at ...

Gastroenterology Hospitalist

Roseburg, OR · On-site

$119.50 - $157.75/hr

At CHI Mercy Health, you'll discover a place where your professional growth is deeply valued within ... Boost your income as a member of the outpatient surgery management group. * Immigration Support: J1 ...

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Chi Medical Management Group information

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How much do chi medical management group jobs pay per hour?

As of Sep 5, 2026, the average hourly pay for chi medical management group in the United States is $44.26, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $57.69 per hour, depending on experience, location, and employer.

What is Chi Medical Management Group?

Chi Medical Management Group is a healthcare management company that provides administrative and operational support to medical practices, clinics, and healthcare providers. Their services often include billing, revenue cycle management, compliance, staffing, and practice optimization. By handling these non-clinical tasks, they allow healthcare professionals to focus more on patient care. Chi Medical Management Group may also offer consulting and technology solutions to improve efficiency and profitability. Their expertise helps practices navigate the complex healthcare landscape and remain compliant with industry regulations.

What are the key skills and qualifications needed to thrive as a medical practice manager, and why are they important?

To thrive as a Medical Practice Manager, you need expertise in healthcare administration, financial management, and regulatory compliance, often supported by a bachelor's degree in healthcare administration or a related field. Familiarity with practice management software, electronic health records (EHR) systems, and billing/coding standards is typically required. Strong leadership, organizational skills, and effective communication are vital for managing staff and ensuring smooth clinic operations. These skills and qualities are crucial for maintaining efficient workflows, ensuring regulatory compliance, and delivering high-quality patient care.

What are some common challenges faced by professionals working at Chi Medical Management Group, and how can they be addressed?

Professionals at Chi Medical Management Group often encounter challenges related to managing complex healthcare administrative tasks, such as coordinating between medical providers, insurance companies, and patients. Navigating ever-changing healthcare regulations and ensuring compliance can also be demanding. These challenges can be addressed by staying updated with industry best practices, participating in regular training sessions, and fostering open communication within the multidisciplinary team. Additionally, leveraging technology solutions and support from experienced colleagues helps streamline processes and improve overall efficiency.

What is the difference between Chi Medical Management Group vs Chi Medical Billing Specialist?

AspectChi Medical Management GroupChi Medical Billing Specialist
CertificationsMedical management certifications, healthcare administrationMedical billing and coding certifications, CPC or equivalent
Work EnvironmentHealthcare management offices, clinics, hospitalsMedical billing departments, healthcare provider offices
Employer & Industry UsageHealthcare management companies, clinics, hospitalsMedical billing companies, healthcare providers

Chi Medical Management Group focuses on overseeing healthcare operations and administrative management, while Chi Medical Billing Specialist handles billing, coding, and insurance claims processing. Both roles are essential in healthcare but differ in responsibilities, certifications, and work settings.

Infographic showing various Chi Medical Management Group job openings in the United States as of July 2026, with employment types broken down into 3% As Needed, 70% Full Time, 24% Part Time, and 3% Contract. Highlights an 85% Physical, 1% Hybrid, and 14% Remote job distribution, with an average salary of $92,054 per year, or $44.3 per hour.

Medical Management Coordinator (Remote)

Spartanburg Regional Medical Center

Spartanburg, SC • On-site, Remote

Full-time

Posted 9 days ago


Spartanburg Regional Healthcare System rating

6.7

Company rating: 6.7 out of 10

Based on 117 frontline employees who took The Breakroom Quiz

534th of 898 rated healthcare providers


Job description

Job Requirements
Position Summary
The Medical Management Coordinator coordinates all utilization management, and case management activities for the Spartanburg Regional Healthcare System group. The position provides support function to the RHP Medical Management Committee. Must meet productivity standards, complete work in a timely manner. Must be flexible and adapt to changes in the work environment; manage competing demands; change the approach or method to best fit the situation; be able to cope with delay or unexpected events. Take responsibility; keep commitments; complete tasks on time. Volunteer readily; take independent actions; ask for and offer help when needed.
* Only Applicants from the following states: Alabama, Arizona, Connecticut, Delaware, Florida, Georgia, Indiana, Kansas, Kentucky, Louisiana, Maryland, Michigan, North Carolina, Pennsylvania, Rhode Island, South Carolina, Virginia, West Virginia, Wisconsin.
Minimum Requirements
Education
  • Registered Nurse

Experience
  • 5 years clinical experience
  • 3 years Utilization Management or Case Management Experience

License/Registration/Certifications
  • Valid Driver's license with good driving record

Core Job Responsibilities
  • Responsible for the delegated Utilization Review activities for SRHS Health Plan, and others as needed.
  • Coordinates outpatient service review, precertification review, and certification review activities.
  • Review all incoming clinical for outpatient service precertification using specified criteria.
  • Facilitate discussions with RHP Medical Director of cases that require clinical review related to active cases, extended length of stay, catastrophic cases, difficult discharge dispositions, and appropriate levels of care. Refer any cases to external specialist for review when needed.
  • Performs subsequent reviews based on criteria guidelines.
  • Communicates daily with outside facilities/providers results of requested review. Displays appropriate communicates avenues with facilities, case managers and DCP's.
  • Maintains documents and service in a manner that achieves and maintains member confidentiality and is consistent with HIPAA guidelines.
  • Maintain and update data bases logging Medical Director Reviews, Appeal and statistics in compliance with URAC standards.
  • Research and review any claims issues related to utilization management and / or medical necessity from Third Party Administrator. Communicate results of review to Third Party Administrator.
  • Maintain and update data bases logging Medical Director Reviews, Appeal and statistics in compliance with URAC standards.
  • Professionally manages member/customer requests and complaints. Seeks to resolve customer complaints and problems. Provides information regarding the appeal process to members as requested, and serves as a resource to members, providers, and RHP.
  • Provide notification to Stop Loss carrier and Third-Party Administrator of any plan participant with potential high dollar claims based on medical reviews.
  • Provide clinical updates as requested
  • Work w/ Plan Administrators on unique cases that may require special considerations/exceptions to provide a sound quality and fiscal outcome.
  • Meets with appropriate physicians and other providers to gain physician understanding and support for the CarePlus Medical Management Utilization Management Process.
  • Negotiates rate with any out-of-network services as needed.
  • Identify potential care management cases through readmissions, emergency room utilization, catastrophic diseases, high dollar treatments, and/or referrals from other CarePlus team members.
  • Determine any appropriate referrals to other CarePlus team members, not limited to, Transitional Care Program, Disease Management Program, Health Coach, or Community Programs.
  • All documents and data are timely, complete, and accurate.
  • Performs all duties within a timely manner.
  • All other duties as assigned.

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About Spartanburg Regional Healthcare System

Sourced by ZipRecruiter

Spartanburg Regional Healthcare System is a leader in the healthcare industry, located in Spartanburg, SC, US. As a comprehensive health system, it offers services encompassing everything from wellness, prevention, and care coordination to specific medical treatments for a wide range of diseases and health issues. Spartanburg Regional Healthcare System was founded in 1921 and has since developed a reputation for excellence and innovative care, growing to include six hospitals, 100 medical offices, 8,000 associates and more than 900 medical staff.

Industry

Recruiting and staffing services

Company size

5,001 - 10,000 Employees

Headquarters location

Spartanburg, SC, US

Year founded

1921