Top 545 Health Net Jobs

Clinical Review Clinician - Appeals - Behavioral Health
Centene —Missouri
- $27.02 - $48.55 an hour
- Full-time
- Remote
- LMFT
- Nursing
- Microsoft Excel
- Paid holidays
- Health insurance
4d
Corporate Ethics & Compliance Investigator
Centene —New York, NY
- $107,700 - $199,300 a year
- Full-time
- Remote
- 7 years
- Management
- HIPAA
- Paid holidays
- Health insurance
Inpatient Utilization Review Clinician, Behavioral Health
Centene —Louisiana
- $27.02 - $48.55 an hour
- Full-time
- Remote
- LMFT
- Nursing
- Addiction Medicine
- Paid holidays
- Health insurance
6d
Utilization Review Clinician - Behavioral Health
Centene —Oklahoma
- $27.02 - $48.55 an hour
- Full-time
- Remote
- LMFT
- Nursing
- Addiction Medicine
- Paid holidays
- Health insurance
6d
SIU Investigator
Centene —New York, NY
- $56,200 - $101,000 a year
- Full-time
- Remote
- 5 years
- Fair chance
- Senior level
- Paid holidays
- Health insurance
Senior Compliance Investigator
Centene —New York, NY
- $70,100 - $126,200 a year
- Full-time
- Remote
- Writing skills
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
Supervisory Medical Director, National Physical Health Appeals Outpatient UM
Centene —New York, NY
- $236,500 - $449,300 a year
- Full-time
- Remote
- Medicine
- 5 years
- Fair chance
- Paid holidays
- Health insurance
12d
SIU Investigator
Centene —Ohio
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Fair chance
- Associate's degree
- Paid holidays
- Health insurance
Care Management Support Coordinator III (NICU)
Centene —Missouri
- $20.39 - $34.71 an hour
- Full-time
- Remote
- Mid-level
- High school diploma or GED
- Fair chance
- Paid holidays
- Health insurance
6d
SIU Investigator
Centene —California
- $56,200 - $101,000 a year
- Full-time
- Remote
- Mid-level
- Analysis skills
- Fair chance
- Paid holidays
- Health insurance
Psychologist Reviewer
Centene —California
- $87,700 - $157,800 a year
- Full-time
- Remote
- Addiction Medicine
- Mid-level
- Outpatient experience
- Paid holidays
- Health insurance
5d
Senior Director, Clinical Data Science
Centene —Washington, DC
- $185,700 - $352,500 a year
- Full-time
- Remote
- Computer Science
- Master's degree
- SQL
- Paid holidays
- Health insurance
Supervisor, Behavioral Health Utilization Management
Centene —Louisiana
- $75,300 - $135,400 a year
- Full-time
- LMFT
- Nursing
- RN License
- Paid holidays
- Health insurance
6d
Senior Adversarial Emulation - Red Team Operator
Centene —New York, NY
- $87,000 - $161,300 a year
- Full-time
- Remote
- Computer science
- Azure
- Computer Science
- Paid holidays
- Health insurance
Manager, Sales Investigations
Centene —New York, NY
- $87,700 - $157,800 a year
- Full-time
- Remote
- High school diploma or GED
- Fair chance
- 1 year
- Paid holidays
- Health insurance
Senior HEDIS Quality & Audit Analyst
Centene —Texas
- $70,100 - $126,200 a year
- Full-time
- Remote
- Master's degree
- Bachelor's degree
- US work authorization
- Paid holidays
- Health insurance
Associate Actuary - Medicaid
Centene —New York, NY
- $87,700 - $157,800 a year
- Full-time
- Remote
- Research
- Mid-level
- Analysis skills
- Paid holidays
- Health insurance
14d
Vice President, Provider Engagement
Fidelis Care —Long Island City, NY
- $188,900 - $359,800 a year
- Full-time
- Master's degree
- Bachelor's degree
- Mentoring
- Paid holidays
- Health insurance
Senior Compliance Corrections Specialist
Centene —Missouri
- $70,100 - $126,200 a year
- Full-time
- Remote
- 5 years
- Bachelor's degree
- Data entry
- Paid holidays
- Health insurance
Associate Actuary, Strategic Analytics
Centene —Washington, DC
- $87,700 - $157,800 a year
- Full-time
- Remote
- Mid-level
- SQL
- Math
- Paid holidays
- Health insurance

I want to receive the latest job alert for Health Net

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Health Net jobs near

Clinical Review Clinician - Appeals - Behavioral Health

Centene -
Missouri

Apply Now

Job Details

Full-time
$27.02 - $48.55 an hour
4 days ago

Benefits

Paid holidays
Health insurance
401(k)
Tuition reimbursement
Paid time off

Qualifications

Research

Full Job Description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

NOTE: Candidates must be fully licensed with one of the approved license/certifications listed below upon the submission of the Centene application.

Required Work Schedule: 8:00 am - 5:00 pm (CST) and a Rotating On-Call schedule

Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.

Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal
Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards
Communicates with members, providers, facilities, and other departments regarding appeals requests
Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards
Works with leadership to increase consistency, efficiency, and appropriateness of responses of all appeals requests
Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices
Performs other duties as assigned
Complies with all policies and standards

Required Education/Experience:

Requires Graduate from an Accredited School of Nursing or
Master's degree in related Behavioral/Counseling field AND minimum of 2 – 4 years of related experience

Preferred Experience:

6+ years of Behavioral Health experience managing Behavioral Health member caseloads, IOP Clinical Counseling/Social Work, or direct Psychiatric Nursing in Outpatient, ALF, SNF, Community Mental Health and/or Managed Care settings preferred.
Direct work experience with clinical data, clinical review, and specifically the APPEALS process and procedures preferred.
Knowledge of NCQA, Medicare and Medicaid regulations preferred.
Knowledge of Utilization Management principles and processes preferred
Role requires openness, adaptability, and flexibility to business changes, distribution of work, training, and technology processes
Strong communication, attention to detail, organizational and time management skills
Skilled at utilizing Microsoft Office applications (Co-Pilot, Excel, Outlook, Word, OneNote) and other digital communication tools (e.g. instant messaging, email, video conferencing, digital phone)
Comfortable using video conferencing platforms (ZOOM Meeting, MS Teams)

License/Certification - Required:

RN - Registered Nurse - State Licensure and/or Compact State Licensure required or
LCSW- License Clinical Social Worker required or
LMHC-Licensed Mental Health Counselor required or
LPC-Licensed Professional Counselor required or
Licensed Marital and Family Therapist (LMFT) required or
Licensed Psychologist required
For Health Net of California: RN license required

Pay Range: $27.02 - $48.55 per hour

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

Apply Now

Refine Your Search

Health Net jobs

Clinical Review Clinician - Appeals - Behavioral Health

Corporate Ethics & Compliance Investigator

Inpatient Utilization Review Clinician, Behavioral Health

Utilization Review Clinician - Behavioral Health

SIU Investigator

Senior Compliance Investigator

Supervisory Medical Director, National Physical Health Appeals Outpatient UM

SIU Investigator

Care Management Support Coordinator III (NICU)

SIU Investigator

Psychologist Reviewer

Senior Director, Clinical Data Science

Supervisor, Behavioral Health Utilization Management

Senior Adversarial Emulation - Red Team Operator

Manager, Sales Investigations

Senior HEDIS Quality & Audit Analyst

Associate Actuary - Medicaid

Vice President, Provider Engagement

Senior Compliance Corrections Specialist

Associate Actuary, Strategic Analytics

I want to receive the latest job alert for Health Net

Related Searches

Explore jobs in more locations

Job Seeker Tools

Employer Tools

Browse

Stay Connected