Facebook ยท 1 day ago
Case Administrator Coordinator
W@H South Carolina
Full-time
Hybrid
Mid Level
3+ years expBlueCross BlueShield of South Carolina is currently hiring for a Case Administrator Coordinator. In this role, you will support and maintain the coordination of daily operations, working closely with medical management on complex utilization review cases.
Computer Software
Responsibilities
Maintains the outpatient authorization process to include ensuring benefit coverage, reviewing/determining eligibility, reviewing of established utilization review criteria, interpreting rules/regulations. Completes authorization by following established policies/procedures
Reviews interdepartmental requests and medical information to complete utilization process
Documents process used and decision in the appropriate system in accurate/timely manner
Establishes/maintains effective business relationships with primary care physician offices, other providers of health services
Qualification
Required
Graduate of Accredited School of Licensed Practical Nursing or Licensed Vocational Nursing
3 years managed care in healthcare, physician's office, or insurance company setting
Ability to work independently, prioritize effectively, and make sound decisions
Good judgment skills
Demonstrated customer service and organizational skills
Demonstrated oral and written communication skills
Ability to handle confidential or sensitive information with discretion
Active, unrestricted LPN/LVN licensure from the United States and in the state of hire, OR, active compact multistate unrestricted LPN license as defined by the Nurse Licensure Compact (NLC)
Microsoft Office
Benefits
Subsidized health plans, dental and vision coverage
401k retirement savings plan with company match
Life Insurance
Paid Time Off (PTO)
On-site cafeterias and fitness centers in major locations
Education Assistance
Service Recognition
National discounts to movies, theaters, zoos, theme parks and more
Company
The Facebook company is now Meta. Meta builds technologies that help people connect, find communities, and grow businesses.
10001+ employees
H1B Sponsorship
Facebook has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2022 (942)
2021 (5811)
2020 (4476)
Funding
Current Stage
Late StageLeadership Team
Arunava Chatterjee
Executive Director of Ghost Black Operations & CEO & CTO
Shubhra Gupta
CEO
Recent News
Business Live
2025-11-03
2025-11-01
Company data provided by crunchbase