About this role
Clinical Review Clinician - Appeals - Behavioral Health at Centene. Location: Missouri or Tennessee or Nebraska or Wisconsin or Kansas or Arizona or Ohio or Michigan or Florida or North Carolina or New Mexico or Mississippi or Iowa or Louisiana or Texas or Kentucky. Role: performing reviews, processing appeals, preparing reports Requirements: Requires clinical licensure, 2+ years related experience, experience with appeals/clinical review preferred, knowledge of NCQA/Medicare/Medicaid/UM preferred, strong communication and attention to detail. Category: Healthcare Services - Advanced Practice Seniority: Entry Level Tools: Microsoft Co-Pilot, Microsoft Excel, Microsoft Outlook, Microsoft Word, Microsoft OneNote, MS Teams, ZOOM Meeting Commitment: Full Time Workplace: Remote Languages: English