CENTENE Corporation - Westmont, IL
Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care settings, provide and/or review intakes and initial evaluations, brief focused treatment interventions, monitor quality of care...
NurseWise/Nurse Response Customer Care Professional I - Bilingual
CENTENE Corporation - Tempe, AZ
Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members regarding program features and changes. Gather and verify demographic information, resolve basic and complex written and...
NurseWise/Nurse Response Customer Care Professional I - Bilingual
CENTENE Corporation - El Paso, TX
Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members regarding program features and changes. Gather and verify demographic information, resolve basic and complex written and...
NurseWise/Nurse Response Registered Nurse - Bilingual
CENTENE Corporation - El Paso, TX
Triage inbound calls for a 24 hour per day/7 day a week operation (gathering problem information, selecting appropriate triage guidelines, disposition(s) and care advice based on data base protocols and department policies and procedures). Provide clinical information and educati...
NurseWise/Nurse Response Registered Nurse - Bilingual
CENTENE Corporation - Fort Lauderdale, FL
Triage inbound calls for a 24 hour per day/7 day a week operation (gathering problem information, selecting appropriate triage guidelines, disposition(s) and care advice based on data base protocols and department policies and procedures). Provide clinical information and educati...
CENTENE Corporation - Westmont, IL
Lead and direct process improvement activities that provide more efficient and streamlined workflow. Knowledge/Experience: Requires a Bachelor's Degree in Nursing or other clinical degree. Five plus years of experience in healthcare operations. Masters' Degree preferred. License/...
NurseWise/Nurse Response Registered Nurse - Bilingual
CENTENE Corporation - Atlanta, GA
Provide information and education for inbound and outbound calls; provide oversight and support to the non-clinical staff when they are assisting members/consumers; may act as a lead on assigned shifts in overseeing and managing clinical call queues and operations; perform duties...
Behavioral Health RN - Bilingual
CENTENE Corporation - Tempe, AZ
Perform telephonic triage of callers in a 24/7 call center operation through application of the nursing process and utilizing standardized clinical decision-making protocols. Use clinical knowledge and skills to provide quality care and health education. Provide excellent custome...
NurseWise/Nurse Response Customer Care Professional I - Bilingual
CENTENE Corporation - Fort Lauderdale, FL
Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members regarding program features and changes. Gather and verify demographic information, resolve basic and complex written and...
VP, Network Development & Contracting
CENTENE Corporation - Tempe, AZ
Direct the provider network and contracting activities. Lead all aspects of provider network strategy including, access analysis, network operations and support decision makers with analysis related to reimbursement and unit cost management. Oversee the coordination and negotiati...
CENTENE Corporation - San Antonio, TX
Coordinate and negotiate hospital, physician (IPAs, PPMs, individual providers, multi-specialty groups) and ancillary service agreements that are in accordance with corporate, health plan and State guidelines. Knowledge/Experience: Bachelor's degree in healthcare administration, ...
Provider Relations Specialist I
CENTENE Corporation - McAllen, TX
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices. Knowledge/Experience: College degre...
NurseWise/Nurse Response Customer Care Professional I - Bilingual
CENTENE Corporation - Atlanta, GA
Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members regarding program features and changes. Gather and verify demographic information, resolve basic and complex written and...
Centene Corporation - Austin, TX
Centene Corporation is a leading multiline healthcare enterprise that provides managedcare programs and related services to individuals receiving benefits under Medicaid including Supplemental Security Income (SSI) and the State Childrens Health Insurance Program (SCHIP) Position...
Provider Services Representative I
CENTENE Corporation - Indianapolis, IN
Responsible for resolving provider inquiries via telephone and written correspondence in a timely and appropriate manner. Knowledge/Experience: High School education or equivalent required. Knowledge of Medicare and/or Medicaid managed care, minimum of 2 years of experience in he...
NurseWise/Nurse Response Customer Care Professional I - Bi-lingual
CENTENE Corporation - Fort Lauderdale, FL
Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members regarding program features and changes. Gather and verify demographic information, resolve basic and complex written and...
Director of Medicare Operations
CENTENE Corporation - Fresno, CA
Oversee and direct Medicare Part D operations utilizing business and IT cross-functional teams to meet strategic objectives for the business unit. Knowledge/Experience: Bachelor's degree in Business Administration or related field. 7+ years of managed care operations or complianc...
Business Systems Analyst-Core/United Member View Projec
Centene Corporation - Saint Louis, MO
Centene Corporation is a leading multiline healthcare enterprise that provides managedcare programs and related services to individuals receiving benefits under Medicaid including Supplemental Security Income (SSI) and the State Childrens Health Insurance Program (SCHIP) Position...
NurseWise/Nurse Response Customer Care Professional I - Bilingual
CENTENE Corporation - Fort Lauderdale, FL - Georgia
Act as the first point of customer contact for incoming healthcare contact center calls. Make outbound customer service calls to provide information to members regarding program features and changes. Gather and verify demographic information, resolve basic and complex written and...
Provider Relations Specialist I
CENTENE Corporation - Hattiesburg, MS
Perform duties to act as a liaison between providers, the health plan and Corporate including investigating and resolving provider claims issues. Perform training, orientation and coaching for performance improvement within physician practices. Knowledge/Experience: College degre...