Clinical Review Nurse - Concurrent Review
Remote-MSremote$56K – $101K
Posted today · via Workday
About this role
Candidates must reside in Mississippi. Standard schedule is Monday through Friday. Reviews inpatient admissions and elective procedures to determine medical necessity. Supports the Utilization Management team for Magnolia Health Plan. Position Purpose: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.…
What we'd score you on
reqspace match rubricFive dimensions, recruiter-grade. Upload your resume and we'll generate a written explanation of where you fit and where the gaps are.
1
Skills match
For this role: monday
2
Level fit
We check your title trajectory against the seniority signal of the role.
3
Domain experience
Your work in the role's domain matters more than your years total. We weight recent and direct experience.
4
Recency
A skill you used last quarter weighs more than one from five years ago. We grade on recency, not lifetime.
5
Location fit
This role is remote-eligible — we factor in your stated location and time-zone overlap.
Score yourself on this role.
Free · no card · written explanation included
Skills in this role
Pulled from the job description. These are the keywords we'll weight when scoring your fit.
monday
More at Centene
- View →Clinical Review Nurse - Concurrent ReviewRemote-FL
- View →Utilization Review Clinician - Behavioral HealthRemote-FL
- View →Senior Consumer Experience AnalystRemote-MO
- View →Care Coordinator II (Foster Care)Remote-MO
- View →RN, Senior LTSS Service Care ManagerRemote-TX
- View →RN, Senior LTSS Service Care ManagerRemote-TX