Centene Management Company LLC in Illinois is seeking an experienced Registered Nurse to perform concurrent NICU reviews, determine appropriate care levels, and validate medical necessity for Medicaid and Ambetter members. The role involves documenting findings, discharge planning, and collaboration with Medical Affairs to optimize care.
Requires RN licensure and a minimum of 3 years in level III/IV NICU, with NICU certification helpful.
#J-18808-LjbffrUtilization Review Nurse in workfromhome at Unknown Company
This position is listed as full time and onsite.