Case Manager Information | TalentOne Jobs

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Centene Corporation

Founded as a single health plan in 1984, Centene Corporation (Centene) has established itself as a national leader in the healthcare services field. Today, through a comprehensive portfolio of innovative solutions, we remain deeply committed to delivering results for our stakeholders: state governments, members, providers, uninsured individuals and families, and other healthcare and commercial organizations. Read More

Address	Centene Corporation Centene Plaza 7700 Forsyth Blvd. St. Louis, MO 63105
Website	www.centene.com/
Holding	No Holding Details

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Case Manager

Position Purpose: RN licensed required.
Review inpatient admissions to assure appropriate level of care and medical necessity.

Knowledge/Experience:
At least two years clinical nursing experience.

Position Responsibilities:

• Review admissions through on-site and telephonic review to ensure medical necessity and appropriate level of care.

• Review and audit patient charts through on-site hospital visits.

• Act as clinical resources to referral staff and make appropriate referrals.

• Provide patient and provider education.

• Data enters assessments, authorizations and reviews into the system.

Licenses/Certifications:
RN license required. Current state nursing and driver’s license. UM certification
preferred.

Other Job Information

Vacancy type:	Full Time	Contact Mode:	not provided
Fax:	not provided	Contact Name:	not provided
Job Duration:	not provided	Phone:	(314) 725-4477
Email:	not provided