- Centene Corporation (Jefferson City, MO)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… more
- Centene Corporation (Jefferson City, MO)
- …EXPERIENCE OR HAVE WASHINGTON STATE BEHAVIORAL HEALTH LICENSURE **Position Purpose:** Performs a clinical review and assesses care related to mental health and ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
- Centene Corporation (Jefferson City, MO)
- …**_ Remote Role _** **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical Review team ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review … more