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QUALITY OF CARE COORDINATOR
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Centene Corporation
Ohio
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...
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Summary
About the job:
clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Hours are Monday-Friday 8am-5pm CST. Position Purpose: Review medical records for potential Quality of Care (QOC) incidents, applying clinical criteria to determine if a lack of care was present. Utilize clinical knowledge to provide summary of findings and severity level to physicians. - Review medical records for...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Associate's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
Certified Professional in Healthcare Quality
Licensed Clinical Social Worker
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
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Community Health Worker
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Centene Corporation
Ohio
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Summary
About the job:
clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Provide a link between members and available resources to provide the necessary resources in a cost effective manner. - Provide home visits to risk members and families for evaluation of needs in an effort to provide direction of care for desired outcomes in a cost effective manner. - Report specific...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Community Health Workers
Career Level / Education:
Bachelor's degree
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Driver's License
Licensed Clinical Social Worker
Community Health Worker Certification
Workkeys
Applied Math
N/A
Graphic Literacy
N/A
Workplace Documents
N/A
apply
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Sr. SSIS App Dev Engineer
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Centene Corporation
Ohio
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About the job:
using technology to improve health outcomes around the world. As a diversified, national organization, Centene's technology professionals have access to competitive benefits including a fresh perspective on workplace flexibility. Position Purpose: Designs, develops, and implements complex enterprise solutions for data management using SSIS, SSRS and SQL Server. - Develops or prototypes data management solutions - Designs, develops, tests, and deploys software solutions and process flows complying with standards,...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Software Developers
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
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Provider Growth Consultant - Medicare Sales
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Centene Corporation
Ohio
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About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Job Description Position Purpose: The Provider Growth Consultant leads large scale, cross-functional initiatives to strategize, plan, and execute on growth activities and co-branded marketing campaign. - Engage and build relationships with key provider groups for growth initiatives. - Assists business case...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Management Analysts
Career Level / Education:
Bachelor's degree
Salary:
Six Figure Jobs (more than $100K)
Certifications / Licenses:
N/A
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
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Pharmacy Tech - Clinical Services (MTM) - Bilingual Spanish
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Centene Corporation
Ohio
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Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. Pharmacy Tech - Clinical Services (MTM) - Bilingual Spanish - Remote - 11am - 8pm M-F Position Purpose: Supports the efforts of the clinical team through collaboration with prescribers and targeted beneficiaries in order to ensure appropriate, evidence-based drug selection and resolve medication-related...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Pharmacy Technicians
Career Level / Education:
High school diploma or equivalent
Salary:
Middle Income Jobs ($30K-$49K)
Certifications / Licenses:
Certified Pharmacy Technician
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
4
apply
Detailed Job Information
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Care Manager I (RN) Bergen and/or Passaic County NJ
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Centene Corporation
Ohio
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You could be the one who changes everything for our 28 million members as a
...
Details
Summary
About the job:
clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. - Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria - Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Medical and Health Services Managers
Career Level / Education:
Associate's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Licensed Practical Nurse
Workkeys
Applied Math
5
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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Clinical Trainer- DRG Auditor
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Centene Corporation
Ohio
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You could be the one who changes everything for our 28 million members.
...
Details
Summary
About the job:
Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you’ll have access to competitive benefits including a fresh perspective on workplace flexibility. ** Applicants for this position have the flexibility to work remotely from their home anywhere within the United States ** This role will be creating and delivering training to DRG auditors. Previous inpatient billing/coding, DRG auditing, and CIC or CCS certification is strongly preferred. Position Purpose:...
Location:
Ohio
Job Type:
Full-Time
Permanent
Occupation:
Training and Development Specialists
Career Level / Education:
Bachelor's degree
Salary:
High Income Jobs ($80K-$99K)
Certifications / Licenses:
Certified Customs Specialist
Compliance Certification Management System
Workkeys
Applied Math
4
Graphic Literacy
4
Workplace Documents
5
apply
Detailed Job Information
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