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1 - 10 of 16 matches in 0.008 seconds
Manager, Referral Services (JC181626742)
Last Updated: 2021-04-16
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

Conduct and manage the day to day operations of the referral specialist department. Communicate with staff to facilitate daily department functions. Create a vision for the department and determine future needs.

+ Develop, implement, and maintain utilization management programs to facilitate the use of appropriate medical resources and…

Behavioral Case Manager- License Required (JC181541072)
Last Updated: 2021-04-15
Employer: Centene Corporation
Location: Burr Ridge, IL

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…

Service Coordinator I (JC181541026)
Last Updated: 2021-04-15
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

+ Identify special needs members through the completion of health screens and other resources.

+ Work with community outreach/member advocates to coordinate member care.

+ Educate providers and community resources on program components and available support services.

+ Educate members with special needs to foster compliance with program…

Information Technology Support Specialist (Remote Deskside S (JC181357476)
Last Updated: 2021-04-13
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

+ Provide first-level on-site support of customers’ software and minor operating system modification requests. Investigate, research, and resolve moderately complex issues

+ The Information Technology Support Specialist (Deskside Services) will provide comprehensive onsite technical support services to new and existing sites across multiple locations across the Eastern United…

Senior Customer Service Representative (JC181234375)
Last Updated: 2021-04-12
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner.

+ Using current reference materials, answer inquiries from members and/or providers regarding claims, eligibility, covered benefits, authorizations and pharmacy related matters

+ Provide assistance to members and/or providers regarding website registration and navigation

+…

Care Manager I (RN) (JC180987855)
Last Updated: 2021-04-07
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care

+ Develop, assess and adjust, as necessary, the care plan and promote desired outcome

+ Assess the member’s…

Care Manager II (RN) (JC176487631)
Last Updated: 2021-04-07
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care.

+ Assess the member’s current health status, resource utilization, past and present treatment plan and services, prognosis, short…

Supervisor, Care Management (RN, LCSW, LMSW, LCPC) (JC179751608)
Last Updated: 2021-04-07
Employer: Centene Corporation
Location: Burr Ridge, IL

Position Purpose:

+ Under the direction of the Director of Care Management, the Supervisor of Care Management is responsible for implementing the Care Management programs in multiple environments including Prior Authorization, Concurrent Review and Care Management.

+ Manages the daily operational processes to assure the continuum of care that addresses…

Care Manager I (RN) (JC179587388)
Last Updated: 2021-04-07
Employer: Centene Corporation
Location: Burr Ridge, IL

This position is a field/office based position out of our Burr Ridge. Currently during the pandemic we are working remote but anticipate to return to the office in September 2021

Position Purpose:

Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the…

Concurrent Review Nurse I (JC178124692)
Last Updated: 2021-04-07
Employer: Centene Corporation
Location: Burr Ridge, IL

This position is located in our Burr Ridge,Illinois office

Position Purpose:

Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to emergent/urgent and continued stay reviews.

+ Perform onsite review of emergent/urgent and continued stay requests for appropriate…

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