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Centene 16

16 Centene Job Openings in Detroit, MI.

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Concurrent Review Nurse I
Detroit, Michigan
Concurrent Review Nurse I - Detroit Position Purpose: Perform review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the ...
Credentialing Specialist I
Detroit, Michigan
Credentialing Specialist I Position Purpose: - Perform credentialing and re-credentialing activities according to plan specifications and in compliance with NCQA standards - Communicate with professionalism with physicians, office managers, ...
Service Coordinator I
Detroit, Michigan
Service Coordinator I 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 ...

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Pharmacy Technician I
Detroit, Michigan
Pharmacy Technician I Position Purpose: Work directly under the Pharmacist's supervision to accurately prepare prescription orders to ship to patients in a timely manner. - Position Responsibilities: - Locate correct medication and strength ...
Supervisor, Care Management
Detroit, Michigan
Supervisor, Care Management Position Purpose: Responsible for day-to-day oversight of the Integrated Care Managers and coordination of necessary resources for members. This may include adequate clinical, behavioral, acute/chronic, and ...
Utilization Manager Behavioral Health
Detroit, Michigan
Utilization Manager Behavioral Health - Clinical licensure required Position Purpose: Perform duties to authorize and review utilization of mental health and substance abuse services provided in inpatient, outpatient and intermediate care ...
Supervisor, Utilization Management RN
Detroit, Michigan
Supervisor, Utilization Management RN - Detroit, MI THIS POSITION WILL WORK IN THE DETROIT OFFICE ONCE WE RETURN TO WORKING FROM THE OFFICE AFTER 1/1/21. Position Purpose: Supervise the daily operations of the utilization management (UM) ...
Intern (Clinical Programs Undergraduate
Detroit, Michigan
Intern (Clinical Programs Undergraduate - Summer) Position Purpose: - Learn various job functions within the Managed Care industry and explore various career opportunities - Apply academic knowledge and learn new skills by contributing to ...
Customer Service Representative II
Detroit, Michigan
Customer Service Representative II SHL Position Purpose: - Resolve customer inquiries via telephone and written correspondence in a timely and appropriate manner - Reference current materials to answer escalated and complex inquiries from ...
Data Analyst III
Detroit, Michigan
Data Analyst III (Healthcare Analytics) Position Purpose: The Data Analyst (Healthcare Analytics) will have the opportunity to make a significant impact through the discovery, development, and implementation of leading-edge analytics that ...
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