Case Manager I/pre-certification Nurse
Centene Corporation (Indianapolis, Indiana)

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Centene Corporation is a leading multi-line healthcare enterprise that provides managed-care programs and related services to individuals receiving benefits under Medicaid, including Supplemental Security Income (SSI) and the State Children’s Health Insurance Program (SCHIP). Position Purpose Perform duties to support comprehensive coordination of medical services, including making initial eligibility and coverage determinations, screening for medical necessity appropriateness and referrals to correct department function. Position Qualification Requirements Knowledge/Experience: At least 3 years recent clinical nursing experience in an acute care setting particularly in medical/surgical, pediatrics, obstetrics or home health. Prefer previous HMO or managed care environment work history. Skills/ Competencies: Thorough knowledge of a specialized or technical field such as clinical nursing knowledge in medical/surgery, obstetrics, or pediatrics, plus the application of basic managed care theory. Ability to use computer skills for the management of medical information and reporting; good communication skills; pleasant, professional interpersonal skills; problem-solving orientation and skills; good analytical and mathematical skills, strong team player; self-starter, initiate assignments with minimal supervision Licenses/Certifications: RN, LPN or LVN required. Current state nursing license. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. 2 or more years of expericence,Amisys,Associate's Degree,Communication Skills,Microsoft Excel,Microsoft Outlook,Microsoft Word,Required Certifications/Licenses