Centene Corporation jobs in Westmont, IL

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Program Coordinator I

Centene Corporation 238 reviews - Westmont, IL  +1 location
Assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Initiate authorization requests for output or input

Program Specialist I (Social Work)

Centene Corporation 238 reviews - Westmont, IL
Conduct screening and risk assessment interventions per program guidelines. Assist with non medical aspects of the member’s care, including referrals to

Project Coordinator I

Centene Corporation 238 reviews - Westmont, IL
Provides support with various activities and projects. Track and coordinate projects to ensure prescribed activities are carried out in accordance with

Behavioral Case Manager

Centene Corporation 238 reviews - Westmont, IL  +1 location
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

Concurrent Review Nurse I

Centene Corporation 238 reviews - Westmont, IL  +1 location
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services

Care Manager II (RN)

Centene Corporation 238 reviews - Westmont, IL  +1 location
Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members

Program Specialist II (Social Worker)

Centene Corporation 238 reviews - Westmont, IL  +1 location
Conduct screening and risk assessment interventions per program guidelines. Act as primary liaison for members and staff. Assist with non medical aspects of

Lead Customer Service Representative

Centene Corporation 238 reviews - Westmont, IL
Serve as a liaison between Customer Service Representatives CSRs), management and other various departments. Resolve customer inquiries via telephone and

Denial Coordinator

Centene Corporation 238 reviews - Westmont, IL
Generate and process denial letters and Notice of Action (NOA) for pre services, leveling of care and denied medical services. Maintain the denial and/or

Referral Specialist I

Centene Corporation 238 reviews - Chicago, IL  +1 location
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate

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