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

Jobleads-US

General Manager - Joint Venture and Independent Distributors Job at Jobleads-US

 ...What Youll Do The Director of Joint Ventures and Independent Distributors owns the company's commercial relationships with all Joint...  ...performance vs. contractual commitments and KPIs. Identify opportunities for channel optimization, consolidation, or strategic... 

NP Now

Pediatric Geneticist Job at NP Now

 ...Job Description Job Description Private Pediatric care group is seeking a Pediatric Geneticist for the Norfolk, Virginia area! (20min from Virginia Beach) Live near the beach and be off 20 days per month! CONTACT: Raymond Stiles (***) ***-**** ****@*****.***... 

Colony Tire Corporation

Delivery Driver - Non-CDL - Atlantic Tire Distributors Job at Colony Tire Corporation

 ...CDL Delivery Drivers Atlantic Tire Distributors has openings for Non-CDL Delivery Drivers...  ...-natured, cooperative attitude. Independence - Job requires guiding oneself with little...  ...Corporation provides equal employment opportunities (EEO) to all employees and applicants... 

Elanco Animal Health

Senior Research Scientist Job at Elanco Animal Health

 ...lines and organoids, to accelerate discovery. External Partnerships & Scientific Advancement: Manage external CRO partnerships and biotech collaborations, providing scientific expertise to support discovery campaigns including DNA-encoded library (DEL), phage display,... 

Mid Minnesota Entertainment

Makeup Artist Job at Mid Minnesota Entertainment

 ...our attendees Minnesota's ultimate horror experience and a full night of entertainment. We are seeking to hire motivated Makeup Artists to join our team. Applicants with experience in special effects makeup, theatrical/character makeup, airbrush makeup, and prosthetic...