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

Similar Jobs

Penn State University

Part time Research Assistant - Public Health Sciences Job at Penn State University

 ...AND POSITION REQUIREMENTS: The Penn State College of Medicine, Department of Public Health Sciences, in Hershey, Pa, is seeking a Part time Reseach Assistant. This is a Summer Internship Opportunity: AI/ML and Clinical Informatics Research focusing on Ischemic Stroke... 

Tapestry, Inc.

Premium Fashion Sales Associate & Stylist Job at Tapestry, Inc.

 ...service standards.The ideal candidate has over 1 year of sales experience, preferably in luxury retail, and a strong knowledge of fashion trends. This position requires effective communication skills and the ability to work a flexible schedule.#J-18808-Ljbffr Tapestry... 

Bobcat Transport

CDL A Dedicated Travel Fleet American Owned SAP OK .90 cpm Job at Bobcat Transport

 ...for drivers who don't mind staying out for several weeks while earning top pay and excellent bonuses. Pay & Bonuses ~ Earn 90 CPM ~$20 stop pay ~$35 per load ~ Average $1,703 per week ~ Average $90,000 annually ~5 CPM pay increase after one year of service... 

Cote Korean Steakhouse - 550 Madison

Butcher (550 Madison) Job at Cote Korean Steakhouse - 550 Madison

 ...Madison project is their most ambitious to date: a multi-level, 15,000-square-foot dining destination inside the iconic landmark Sony building. The project brings together three distinct concepts the second New York location of the Michelin-starred COTE Korean Steakhouse... 

Flagstar Nursing

Psychiatric Nurse Practitioner (PMHNP) - Staten Island Job at Flagstar Nursing

 ...Job Description Job Description We are a healthcare staffing agency seeking an experienced Psychiatric Nurse Practitioner to support a college counseling center at a CUNY campus in Staten Island, New York. This is a flexible, very low-hours opportunity designed for...