- Centene Corporation (Columbus, OH)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Supervises Prior Authorization, Concurrent Review , and/or Retrospective Review Clinical ... between utilization management team, members, and providers + Monitors prior authorization, concurrent review , and/or retrospective clinical review nurses… more
- Elevance Health (Cincinnati, OH)
- …standard procedures that do not require the training or skill of a registered nurse . **How you will make an impact:** + Confirms medical services are appropriate ... plans and/or contracts. + Conducts and may approve precertification, concurrent , retrospective, out-of-network, and/or appropriateness of treatment setting reviews… more
- Elevance Health (Independence, OH)
- …complex case types that do not require the training or skill of a registered nurse . **How you will make an impact.** Primary duties may include, but are not limited ... plans and/or contracts. + Works on reviews that may require guidance by more senior colleagues and/or management. + May serve as a resource to less experienced… more
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