Centene Management Company LLC is seeking a qualified nurse reviewer to conduct concurrent inpatient and pediatric/adult case reviews to validate medical necessity and appropriate level of care. The position involves documenting findings, coordinating discharge plans, and collaborating with medical leadership to ensure high-quality care for Medicaid members. Responsibilities include educating providers on utilization processes, sharing feedback with leadership for process improvements, and #J-18808-Ljbffr
...authorized HAM rate for this classification is P $8,678, Q $9,319. Under the general direction of the Supervising Psychiatric Social Worker, CF, the Clinical Social Worker (Health/CF) Safety, conducts assessments and summarizes case information to use in diagnosis,...
...Roofing Project Manager Full-Time | Vacaville, CA SERVPRO of Vacaville / Dixon, Fairfield / Suisun, Davis, and West Sacramento is hiring a Roofing Project Manager to lead residential and commercial roofing work from estimate through closeout. What you will do:...
...Position Summary Performs medical record review for severity of illness and intensity of service... ...skills Education and Training: Nurse, Registered (RN) licensure BSN preferred. 2-5 years previous Utilization Review experience preferred. Current CPR...
At the heart of our work is a simple belief: We are passionate about... ...have a daytime jobWork from Home (WFH): Remote work must be... ...courses, flexible schedules, and an online campus, we aim to empower the... ...Duties and Responsibilities:Teaching:Available to teach...
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