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

CHS Inc

Store Manager Job at CHS Inc

 ...agriculture. Summary Are you ready to fuel your career and make an impact in your local community?Come join CHS, Inc as an Store Manager for our Cenex Zip Trip convenience store location in Buffalo, WY today! We're seeking a Store Manager to join our team at... 

AMN Healthcare

Emergency Medicine Nurse Practitioner or Physician Assistant (NP/PA) Job at AMN Healthcare

Requirements Emergency Medicine Nurse Practitioner or Physician Assistant (NP/PA) StartDate: ASAP Available Shifts: Regular Pay Rate: $97.00 - $105.00 This facility is seeking an Emergency Medicine Nurse Practitioner or Physician Assistant locums tenens support as... 

Franklin Barbecue

Content Writer Job at Franklin Barbecue

Job OverviewWe are seeking an experienced Content Writer to join our team. The successful candidate will have a strong background in writing, excellent research and communication skills, and the ability to work in a fast-paced environment.Key Responsibilities:1.... 

State of Connecticut

Education Consultant 1 (B.E.S.B.) - TVI Job at State of Connecticut

 ...individuals to join the Bureau of Education and Services for the Blind (BESB) as an Education Consultant 1.As a key educational partner,...  ...access to NYCSchedule and Work EnvironmentSchedule: Monday through...  ...statewide travel to student homes and schoolsCertification and Requirement... 

Securitas Security Services USA, Inc.

Campus Security Manager Job at Securitas Security Services USA, Inc.

 ...We are a dynamic, dedicated team that provides management and support for a global guarding services account that spans across 30+ countries...  ...best-in-class solutions through our teams made up of Security Operations, Business Operations, Shared Services, Threat and Incident...