Centene Corporation
Lenexa, KS, USA
* Applicants for this job can work remotely anywhere in the United States if they have a Kansas RN license or Compact license *
You could be the one who changes everything for our 26 million members. 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.
Position Purpose: Perform duties to conduct and manage the day to day operations of the utilization management function. Communicate with staff to facilitate daily department functions.
Review analyses of activities, costs, operations and forecast data to determine progress toward stated goals and objectives.
Promote compliance with federal and state regulations and contractual agreements.
Develop, implement and maintain compliance, policies and procedures regarding medical utilization management functions.
Develop, implement, and...