• Clinical Review Nurse

    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 (11/19/24)
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  • Utilization Review Clinician - Behavioral…

    Centene Corporation (Jefferson City, MO)
    …BE 8-5 TUESDAY THROUGH SATURDAY POTENTIAL FOR HOLIDAYS **Position Purpose:** Performs a clinical review and assesses care related to mental health and substance ... medical appropriateness in accordance with regulatory guidelines and criteria + Performs concurrent review of behavioral health (BH) inpatient to determine… more
    Centene Corporation (11/15/24)
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