Centene Corporation jobs

Senior Clinical Auditor (RN)

Position Purpose: Develop, conduct, administer and analyze clinical training programs, conduct audits of clinical systems entry and/or processes, and assist in development of audit tools Develop and conduct clinical education courses, including case management education and training for new employees Develop and maintain complex audit processes and audit tools related to authorizations, appeals, quality, case management, inter-rater reliability and data entry Audit established guidelines (...

Behavioral Case Mgr

Description: Position Purpose\: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge plann...

Behavioral case manager

Pipeline GeneralPosition Purpose: Perform duties related to the day to day operations of the Integrated Case Management functions to include working Associated topics: business development, case management, development, manage, office manager, plan, project, program development, project development, resource development

Community Health Services Representative I – Carbondale

Position Purpose: Responsible for delivering of a range of activities for individuals who are enrolled in the health plan for Medicaid or and Medicare in order to impact individual health outcomes and provide assistance to the clinical team of nurses and social workers. Activities include, but are not limited to outreach, community education, informal guidance and member support. Educate, coach and support members to understand disease prevention and achieve good health outcomes, including di...

Behavioral Case Mgr

Description:Position Purpose\: Perform duties related to the day to day operations of the Integrated Case Management functions to include working with members identified as high risk to identify needs and goals to achieve empowerment and improved quality of life for both behavioral and physical health issues. Assess members current functional level and, in collaboration with the member, develop and monitor the Case Management Care Plan, monitor quality of care; assisting with discharge planni...

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