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Case Manager I / RN – Prior Auth (Columbia, SC)

One of America ’s premiere managed Medicaid companies has created a ground-floor career opportunity. This is a chance to join a major corporation, yet still impact the daily care of the neediest people. You’ll get to learn managed care operations, practice your clinical skills, and become an expert patients turn to without working in direct patient care. Based in Columbia , SC , you’ll enjoy office hours in a comfortable, modern office setting, a comprehensive corporate benefits plan, a competitive salary with bonus, and the knowledge that you are impacting the quality of care for thousands of people daily.
As a Case Manager/Prior Authorization RN your responsibilities will include, but not be limited to, the following:
- review requests for prior authorization for radiology services (MRI’s, CAT Scans, etc.)
- Act as clinical resources to referral staff and make appropriate referrals.
- Provide patient and provider education.
- Enters authorizations into the system

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