Remote/Hybrid Clinical Appeals Coordinator
Centene Management Company LLC
Centene Management Company LLC in Wisconsin seeks a licensed RN or LPN/LVN to act as liaison for statewide appeals, fair hearings, and external reviews. The role ensures that medical necessity determinations meet State and NCQA standards and requires coordination with Medical Directors for clarification of clinical rationale.
The position emphasizes maintaining thorough records, ensuring compliance, and collaborating with multiple departments to support members and providers throughout the
#J-18808-LjbffrVacancy posted 18 hours ago
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