Case Manager I (Concurrent Review)
Centene Corporation - Columbia, SC

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

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 required. Current state nursing license. UM certificationpreferred.

Centene Corporation - 2 years ago - save job - copy to clipboard
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...