Remote Inpatient Utilization Review Nurse Job at Centene Management Company LLC, Louisiana, MO

  • Centene Management Company LLC
  • Louisiana, MO

Job Description

Centene Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and pediatric/adult case reviews to validate medical necessity and appropriate level of care. The position involves documenting findings, coordinating discharge plans, and collaborating with medical leadership to ensure high-quality care for Medicaid members. Responsibilities include educating providers on utilization processes, sharing feedback with leadership for process improvements, and #J-18808-Ljbffr

Job Tags

Remote work

Similar Jobs

Solace

Remote Telehealth Physician Job at Solace

 ...of time, you know this. Solace connects people to healthcare advocates who solve the problems they face in accessing care, and the physician plays an important role in this. As a Solace Physician, you will build strong relationships and facilitate an unparalleled... 

Giant Eagle

Experienced Baker Job at Giant Eagle

Join Giant Eagle as an Experienced Baker and bring your craft to a regional leader in grocery retail. In this role, youll prepare and bake high-quality breads, pastries, and desserts, following strict food safety, quality, and presentation standards. Youll assist with... 

Amazon

Data Center Technician - Night Shift Job at Amazon

 ...ideas and empowers you to own them to completion. This is a night shift/overnight role: It will require working overnight hours...  ...experiences, don't let it stop you from applying. Why AWS? Amazon Web Services (AWS) is the world's most comprehensive and broadly... 

CNY Family Care, LLP

Medical Office Receptionist Job at CNY Family Care, LLP

 ...Medical Office Receptionist Per Diem (Less than 20 hours per week) Monday - Friday: 2 - 3 days/week (late afternoon schedule start time)...  ...HIPAA guidelines. Medical Office Receptionist Education/Experience: High school diploma or general education degree (GED)... 

Southern Illinois Healthcare

Medical Office Receptionist - Part Time Job at Southern Illinois Healthcare

 ...Receptionist Location: Harrisburg, IL Shift: Days Time Type: Part Time Facility/Clinic Name: Primary Care Harrisburg Position Summary: Responsible for performing receptionist duties. Education: High School diploma or equivalent Licenses and Certification:...