Job Title: Managed Care Coordinator UM II

Location: Columbia, SC (Six weeks onsite training, fully remote after training )

Schedule: Full-Time, Monday - Friday, 8:30 AM - 5:00 PM

Pay Rate: $30. - 34$ /hour

Duration: 3 months on W2

Imp Note: This position begins with 6 weeks of onsite training in 17 Technology Circle, AG, Columbia, SC, followed by a fully remote schedule.

Note: Candidate must supply internet access with download speeds of at least 18 Mbps, upload speeds of at least 20 mbps, less than 150 millisecond latency, and stable service from your internet provider (non-satellite).

Job Summary:

• Utilization management experience and /or Appeals experience /strong clinical skills Behavioral Health or infusion therapy experience

• Please provide a few sentences describing what a typical day would like in this role.

• Process prior authorization requests for Medicare Advantage line of business.

• Previous Medicare experience and /or UR experience/Process Appeals requests/can have experience in either Utilization management or Appeals.

• Please add a few bullets of what you’re NOT looking for experience wise (this really helps the vendors in their search and narrowing down the candidate pool): multiple jobs in short time span/does not live locally/ does not have medical clinical experience.

• Please list any ‘soft skills.

• (communication, leadership, adaptable etc.) that you would like candidates to have and the importance of these skills for this role (ex – do they need strong communication skills because they will be a part of team presentations?) ability to process authorization requests in timely fashion/ must communicate with team members to facilitate movement of authorization requests/ must have strong written clinical skills.

• Please add a few bullets/sentences about your team? Fast paced, Interactive team works with multiple applications to process authorization and appeals requests using Medicare criteria.

Qualifications:

• Associate Degree in Nursing or Graduate of an Accredited School of Nursing, OR

• Master’s degree in social work, Psychology, or Counselling.

• Active, unrestricted RN license, LMSW, or relevant counselling/psychology licensure.

• Preferred Education : Bachelor's Degree in Nursing.

• Experience:?

• Required: At least 2 years of clinical experience.

• Preferred: 7 years of healthcare program management, utilization review, or clinical experience in specialties such as oncology, cardiology, mental health, or general medicine/surgery.

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If this is a role that interests you and you’d like to learn more, click apply now and a recruiter will be in touch with you to discuss this great opportunity. We look forward to speaking with you!

About ManpowerGroup, Parent Company of: Manpower, Experis, Talent Solutions, and Jefferson Wells

ManpowerGroup? (NYSE: MAN), the leading global workforce solutions company, helps organizations transform in a fast-changing world of work by sourcing, assessing, developing, and managing the talent that enables them to win. We develop innovative solutions for hundreds of thousands of organizations every year, providing them with skilled talent while finding meaningful, sustainable employment for millions of people across a wide range of industries and skills. Our expert family of brands –? Manpower, Experis, Talent Solutions, and Jefferson Wells ?– creates substantial value for candidates and clients across more than 75 countries and territories and has done so for over 70 years. We are recognized consistently for our diversity - as a best place to work for Women, Inclusion, Equality and Disability and in 2022 ManpowerGroup was named one of the World's Most Ethical Companies for the 13th year - all confirming our position as the brand of choice for in-demand talent.

ManpowerGroup is committed to providing equal employment opportunities in a professional, high quality work environment. It is the policy of ManpowerGroup and all of its subsidiaries to recruit, train, promote, transfer, pay and take all employment actions without regard to an employee's race, color, national origin, ancestry, sex, sexual orientation, gender identity, genetic information, religion, age, disability, protected veteran status, or any other basis protected by applicable law.