InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral ...
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60 Ingenesis Jobs Hiring Near You
InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral ...
Physical Therapist
El Paso, TX · On-site
$1.5K - $1.9K/wk
InGenesis is currently seeking a Physical Therapist to work at Fort Bliss. In this role, you will assess, plan, organize and participate in rehabilitative programs that improve mobility, relieve pain ...
Physical Therapist
El Paso, TX · On-site
$1.5K - $1.9K/wk
InGenesis is currently seeking a Physical Therapist to work at Fort Bliss. In this role, you will assess, plan, organize and participate in rehabilitative programs that improve mobility, relieve pain ...
Medical Assistant (11365)
El Paso, TX · On-site
$16 - $20.75/hr
InGenesis is currently sourcing Medical Assistant candidates to work for our potential client. In this role, you will function as a team member, coordinating patient care with other healthcare staff.
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Medical Assistant (11365)
El Paso, TX · On-site
$16 - $20.75/hr
InGenesis is currently sourcing Medical Assistant candidates to work for our potential client. In this role, you will function as a team member, coordinating patient care with other healthcare staff.
Speech Therapist
Georgetown, DE · On-site
$36.75 - $50/hr
DE Pay Range : 55,000 - 60,000 InGenesis is currently seeking a dedicated and compassionate part-time Speech Therapist to provide professional speech therapy services to residents at Stockley Center ...
Speech Therapist
Georgetown, DE · On-site
$36.75 - $50/hr
DE Pay Range : 55,000 - 60,000 InGenesis is currently seeking a dedicated and compassionate part-time Speech Therapist to provide professional speech therapy services to residents at Stockley Center ...
InGenesis is currently seeking a Nuclear Medicine Technologist to work with our client. In this role, you will provide skilled technical performance and oversight of Nuclear Medicine and Positron ...
InGenesis is currently seeking a Nuclear Medicine Technologist to work with our client. In this role, you will provide skilled technical performance and oversight of Nuclear Medicine and Positron ...
Dental Hygienist - (13270)
Fort Riley, KS · On-site
$35.50 - $46.75/hr
InGenesis is currently seeking a Dental Hygienist to work with our client located at Fort Riley, KS . In this role, you will utilize your training and skills to examine patient's oral cavity and ...
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Dental Hygienist - (13270)
Fort Riley, KS · On-site
$35.50 - $46.75/hr
InGenesis is currently seeking a Dental Hygienist to work with our client located at Fort Riley, KS . In this role, you will utilize your training and skills to examine patient's oral cavity and ...
Dental Hygienist - (13270)
Fort Riley, KS · On-site
$35.25 - $46.50/hr
InGenesis is currently seeking a Dental Hygienist to work with our client located at Fort Riley, KS. In this role, you will utilize your training and skills to examine patient's oral cavity and refer ...
Dental Hygienist - (13270)
Fort Riley, KS · On-site
$35.25 - $46.50/hr
InGenesis is currently seeking a Dental Hygienist to work with our client located at Fort Riley, KS. In this role, you will utilize your training and skills to examine patient's oral cavity and refer ...
Registered Nurse - (13244)
Savannah, GA · On-site
InGenesis is currently seeking Registered Nurses to work with our client in Savannah, Georgia. In this role, you will perform comprehensive behavioral health nursing services to hospital patients. If ...
Registered Nurse - (13244)
Savannah, GA · On-site
InGenesis is currently seeking Registered Nurses to work with our client in Savannah, Georgia. In this role, you will perform comprehensive behavioral health nursing services to hospital patients. If ...
Physician (12491)
Fremont, CA · On-site
$133.66/hr
InGenesis is seeking a Physician to work with our client. In this role, you will work as part of a multi-disciplinary team of healthcare providers delivering primary medical and educational care in a ...
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Physician (12491)
Fremont, CA · On-site
$133.66/hr
InGenesis is seeking a Physician to work with our client. In this role, you will work as part of a multi-disciplinary team of healthcare providers delivering primary medical and educational care in a ...
Physician (12490)
Gilroy, CA · On-site
InGenesis is seeking a Physician to work with our client. In this role, you will work as part of a multi-disciplinary team of healthcare providers delivering primary medical and educational care in a ...
Physician (12490)
Gilroy, CA · On-site
InGenesis is seeking a Physician to work with our client. In this role, you will work as part of a multi-disciplinary team of healthcare providers delivering primary medical and educational care in a ...
Licensed Practical Nurse / LPN - (13233)
Columbia, SC · On-site
$23.75 - $32.50/hr
InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using ...
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Licensed Practical Nurse / LPN - (13233)
Columbia, SC · On-site
$23.75 - $32.50/hr
InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical Review of clinical information using ...
InGenesis is currently seeking a Registered Nurse (RQR) to work with our client located in Savannah , Georgia . In this role, you will perform comprehensive assessments of patient healthcare needs ...
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InGenesis is currently seeking a Registered Nurse (RQR) to work with our client located in Savannah , Georgia . In this role, you will perform comprehensive assessments of patient healthcare needs ...
InGenesis is currently seeking skilled Registered Nurse - Emergency Department (ER) to work at Portsmouth Naval Medical Center. In this role, you will support a high-acuity military medical center ...
InGenesis is currently seeking skilled Registered Nurse - Emergency Department (ER) to work at Portsmouth Naval Medical Center. In this role, you will support a high-acuity military medical center ...
InGenesis is currently seeking Registered Nurses to work with our client in Savannah, Georgia . In this role, you will perform comprehensive behavioral health nursing services to hospital patients.
InGenesis is currently seeking Registered Nurses to work with our client in Savannah, Georgia . In this role, you will perform comprehensive behavioral health nursing services to hospital patients.
Oral/Max Surgery Dental Assistant
Schofield Barracks, HI · On-site
$19.75 - $25.75/hr
HI Pay Range : 45,000 - 50,000 InGenesis is currently seeking a Dental Assistant to work in the Oral Surgery department with our client located in Schofield Barracks, HI. In this role, you will serve ...
Oral/Max Surgery Dental Assistant
Schofield Barracks, HI · On-site
$19.75 - $25.75/hr
HI Pay Range : 45,000 - 50,000 InGenesis is currently seeking a Dental Assistant to work in the Oral Surgery department with our client located in Schofield Barracks, HI. In this role, you will serve ...
Contract Services Manager - (12170)
El Paso, TX · On-site
$80K - $107K/yr
InGenesis is currently sourcing for a Contract Services Manager (CM) to join our team. As the onsite point of contact for the medical personnel for the staffing contract with IHSC (Immigration Health ...
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Contract Services Manager - (12170)
El Paso, TX · On-site
$80K - $107K/yr
InGenesis is currently sourcing for a Contract Services Manager (CM) to join our team. As the onsite point of contact for the medical personnel for the staffing contract with IHSC (Immigration Health ...
InGenesis is currently seeking Surgical Technicians/OR Techs to work with our client in San Antonio, TX . In this role, you will be responsible for circulating the full range of surgical procedures ...
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InGenesis is currently seeking Surgical Technicians/OR Techs to work with our client in San Antonio, TX . In this role, you will be responsible for circulating the full range of surgical procedures ...
Health Aide- 7 AM-7:30 PM
Savannah, GA · On-site
$13.50 - $17.50/hr
GA Pay Range : InGenesis is currently seeking Health Aides to work with our client located in Savannah, Ga In this role, you will be workings providing support and handling various task for ...
Health Aide- 7 AM-7:30 PM
Savannah, GA · On-site
$13.50 - $17.50/hr
GA Pay Range : InGenesis is currently seeking Health Aides to work with our client located in Savannah, Ga In this role, you will be workings providing support and handling various task for ...
InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral ...
InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral ...
UTHSCH Registered Dietitian II
Houston, TX · On-site
$29.75 - $40/hr
InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including ...
UTHSCH Registered Dietitian II
Houston, TX · On-site
$29.75 - $40/hr
InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including ...
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Registered Nurse - Managed Care Coordinator - (13234)
Columbia, SC • On-site
InGenesis
Full-time
Re-posted 6 days ago
Key responsibilities
Perform medical review and authorization processes to evaluate medical or behavioral eligibility and clinical criteria.
Assess service needs, develop and coordinate action plans with members, and monitor services to ensure medical necessity and benefit coverage.
Evaluate outcomes of plans, eligibility, level of benefits, and medical necessity, and document clinical information to support review determinations.
Job description
InGenesis is currently seeking a Registered Nurse / RN - Managed Care Coordinator to work for our client located in Columbia, SC. In this role you will review and evaluate medical or behavioral eligibility regarding benefits and clinical criteria and assess and monitor medical necessity using your clinical proficiency and claims knowledge.
This is a REMOTE opportunity for candidates living in the state of South Carolina! Apply today and we’ll reach out to answer any questions you may have.
Job Duties
- Perform medical review/authorization process.
- Ensure coverage for appropriate services within benefit and medical necessity guidelines.
- Assess service needs, develops and coordinates action plans in cooperation with members, monitors services and implements plans.
- Evaluate outcomes of plans, eligibility, level of benefits, place of service, length of stay and medical necessity regarding requested services and benefit.
- Ensure accurate documentation of clinical information to support and determine medical necessity criteria and contract benefits.
- Utilize allocated resources to back up review determinations.
- Identify and makes referrals to appropriate staff (Medical Director, Case Manager, Preventive Services, Subrogation, Quality of care Referrals, etc.).
- Participate in data collection/input into system for clinical information flow and proper claims adjudication
- Perform other duties as assigned.
Minimum Qualifications
- Current Registered Nurse / RN license in the State of South Carolina.
- Associates degree in nursing or graduate from accredited nursing school.
- 2+ years of clinical experience.
Equal Employment Opportunity Statement:
InGenesis is an equal opportunity employer committed to fostering a diverse, inclusive, and equitable workplace. We comply with all applicable federal, state, and local employment laws, including recent executive orders, and strictly prohibit discrimination, harassment, or retaliation based on race, color, religion, sex, sexual orientation, gender identity, national origin, disability, genetic information, age, veteran status, or any other characteristic protected by law.
InGenesis is dedicated to making reasonable accommodations for qualified individuals with disabilities and ensuring that all employment decisions are based on qualifications, merit, and business needs. Please visit our website at https://www.ingenesis.com/careers/site-accommodations for more information.
To learn more about your rights, please refer to the Know Your Rights: Workplace Discrimination is Illegal poster issued by the U.S. Equal Employment Opportunity Commission (EEOC).
Company Statement:
With decades of experience, InGenesis has grown into one of North America’s most trusted Healthcare Services Firms, which includes comprehensive health and workforce solutions. As the industry landscape shifts with new challenges in patient care, quality and compliance requirements, workforce retention, and operational efficiencies, we deliver strategic, data-driven solutions that include redefining workforce management and clinical service delivery. Explore InGenesis to discover how our expertise, innovative strategies, and commitment to excellence are shaping the future of healthcare workforce solutions. Join us in celebrating the professionals who define the next era of healthcare.