Centene Corporation jobs in Ohio

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Case Manager I (Concurrent Review)
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity Review admissions through on-site and telephonic
Sponsored by HEALTHeCAREERS Network - 29 days ago
Case Manager I (Prior Authorization)
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care Review provider requests
Sponsored by HEALTHeCAREERS Network - 24 days ago

QI Coordinator I

Centene Corporation 164 reviews - Columbus, OH
Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Position Responsibilities: Perform duties and functions to
3 days ago - save job - email - more...

Behavioral Case Manager (Mansfield)

Centene Corporation 164 reviews - Ohio
Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to
11 days ago - save job - email - more...

Behavioral Case Manager (Athens)

Centene Corporation 164 reviews - Ohio
Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to
11 days ago - save job - email - more...

Behavioral Case Manager (Lima)

Centene Corporation 164 reviews - Ohio
Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to
11 days ago - save job - email - more...

Referral Specialist I

Centene Corporation 164 reviews - Akron, OH - +1 location
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate
22 days ago - save job - email - more...

PDM Administrator

Centene Corporation 164 reviews - Columbus, OH
Update and maintain provider computer records for assigned sites Add, change and terminate new or existing provider records in the medical information
3 days ago - save job - email - more...

Program Coordinator II

Centene Corporation 164 reviews - Columbus, OH - +2 locations
Perform duties to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests
3 days ago - save job - email - more...

Plan President & CEO

Centene Corporation 164 reviews - Columbus, OH
Plans and directs all aspects of the company’s operational policies, objectives, and initiatives. Develops polices and procedures for operational processes
3 days ago - save job - email - more...

Manager, Grievance & Appeals

Centene Corporation 164 reviews - Columbus, OH
Ensure appropriate processing of member grievance appeals, provider appeals, or request for a State Fair Hearing. Perform duties as the point of contact with
3 days ago - save job - email - more...

Behavioral Case Manager

Centene Corporation 164 reviews - Toledo, OH - +2 locations
Perform duties related to the day-to-day operations of the High Risk Case Management functions to include working with members identified as high risk to
3 days ago - save job - email - more...
Supervisor, Utilization Management
Centene Corporation 164 reviews - Columbus, OH
Position Purpose: Supervise the daily operations of the utilization management (UM) department Supervise the daily operations of the UM staff Ensure
Sponsored by HEALTHeCAREERS Network - 25 days ago

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