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May 23 Field Health Coach Centene Akron, OH

Field Health Coach Job Title: Field Health Coach Job Type: Contract Location: Akron, OH Job Description: Position Purpose: Perform in-home respiratory assessments to patients and... more

Apr 06 Utilization Manager (Cenpatico). Centene Toledo, OH

Utilization Manager (Cenpatico). Job Title: Utilization Manager (Cenpatico). Job Type: Full-Time Location: Toledo, OH Job Description: Position Purpose: Perform duties to... more

Mar 28 Case Manager I (Pre-Cert) Centene Toledo, OH

Position Purpose: Review requests for prior authorization of medical services such as surgeries, pain management, home health care. Knowledge/Experience: At least two years... more

Mar 25 Case Manager II Centene Independence, OH

Case Manager II Job Title: Case Manager II Job Type: Full-Time Location: Independence, OH Job Description: Position Purpose: Perform collaborative duties to assess, plan and... more

Mar 15 Case Manager I (Concurrent Review) Centene Akron, OH

Position Purpose: Review inpatient admissions to assure appropriate level of care and medical necessity. Knowledge/Experience: At least two years clinical nursing experience. more

Mar 05 Manager, Provider Relations Centene Ohio

Position Purpose: Responsible for maintaining existing and developing new provider relations, and assisting with contracting activities. Knowledge/Experience: Bachelors Degree or... more

Mar 05 QI Coordinator Centene Columbus, OH

Position Purpose: Analyze, develop, implement and monitor clinical QI initiatives to achieve healthy outcomes. Knowledge/Experience: Bachelors degree in nursing preferred. At... more

Mar 05 Provider Services Representative I Centene Columbus, OH

Position Purpose: Responsible for resolving provider and customer inquiries via telephone and written correspondence in a timely and appropriate manner. Knowledge/Experience: High... more

Mar 05 Program Specialist I (Social Worker) Centene Independence, OH

Position Purpose: Conduct screening and risk assessment interventions per program guidelines. Knowledge/Experience: Bachelors degree in social work, nursing, health, behavioral... more

Mar 05 Program Coordinator II Centene Independence, OH

Position Purpose: Perform duties to assist in activities related to the medical and psychosocial aspects of utilization and coordinated care. Knowledge/Experience: High school... more

Mar 04 Coding Analyst (HP) Centene Columbus, OH

Position Purpose: Perform review of high dollar claims. Review for appropriate place of service, accurate coding, length of stay, match to authorization, and possible outlier DRG... more

Mar 04 Compliance Coordinator Centene Columbus, OH

Position Purpose: Assist with ensuring compliance with contractual requirements and federal and state government reporting and regulations. Knowledge/Experience: Bachelors degree... more

Mar 03 Credentialing Specialist I Centene Columbus, OH

Credentialing Specialist I Job Title: Credentialing Specialist I Job Type: Full-Time Location: Columbus, OH Job Description: Position Purpose: To assist the plan in credentialing... more

Feb 29 Utilization Manager (Cenpatico) Centene Independence, OH

Utilization Manager (Cenpatico) Job Title: Utilization Manager (Cenpatico) Job Type: Full-Time Location: Independence, OH Job Description: Position Purpose: Perform duties to... more

Dec 31 Data Analyst III Centene Columbus, OH

Data Analyst III Job Title: Data Analyst III Job Type: Full-Time Location: Columbus, OH Job Description: Position Purpose: Responsible for analytical data needs of the business... more

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