Case Manager I (Concurrent Review) (Part-Time or Full-Time)
Centene Corporation - Independence, OH

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Position Purpose:
Review inpatient admissions to assure appropriate level of care and medical necessity.

Both part-time and full-time positions are available. Utilization Management experience strongly preferred.

Knowledge/Experience:
At least two years clinical nursing experience.

Position Responsibilities:
• Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.
• Review and audit patient charts through on-site hospital visits.
• Act as clinical resources to referral staff and make appropriate referrals.
• Provide patient and provider education.
• Data enters assessments, authorizations and reviews into the system.
Licenses/Certifications:
RN, LPN or LVN required. Current state nursing license. UM certification
preferred. For Washington only – current state’s driver license.

Centene Corporation - 19 months ago - save job - block
About this company
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Centene is sensitive to the needs of individuals and families enrolled in government-assisted health programs. The company provides managed...