Job Description
CNSI and Kepro are now Acentra Health! Acentra Health exists to empower better health outcomes through technology, services, and clinical expertise. Our mission is to innovate health solutions that deliver maximum value and impact.
Lead the Way is our rallying cry at Acentra Health. Think of it as an open invitation to embrace the company’s mission, actively engage in problem-solving, and take ownership of your work daily. Acentra Health offers you unparalleled opportunities. In fact, you have all you need to take charge of your career and accelerate better outcomes – making this a great time to join our team of passionate individuals dedicated to being a vital partner for health solutions in the public sector.
Acentra seeks a Clinical Reviewer Immediate Advocacy (Remote) to join our growing team.
Job Summary:
The Clinical Reviewer utilizes clinical expertise for the review of medical records against appropriate criteria in conjunction with contract requirements, critical thinking and decision making skills to determine medical appropriateness, while maintaining production goals and QA standards. Ensures day-to-day processes are conducted in accordance with NCQA, URAC and other regulatory standards.
Job Responsibilities:
Why us?
We are a team of experienced and caring leaders, clinicians, pioneering technologists, and industry professionals who come together to redefine expectations for the healthcare industry. State and federal healthcare agencies, providers, and employers turn to us as their vital partner to ensure better healthcare and improve health outcomes.
We do this through our people.
You will have meaningful work that genuinely improves people's lives nationwide. Our company cares about our employees, giving you the tools and encouragement, you need to achieve the finest work of your career.
Thank You!
We know your time is valuable, and we thank you for applying for this position. Due to the high volume of applicants, only those who are chosen to advance in our interview process will be contacted. We sincerely appreciate your interest in Acentra Health and invite you to apply to future openings that may interest you. Best of luck in your search!
~ The Acentra Health Talent Acquisition Team
Visit us at Acentra.com/careers/
Requirements
Preferred Qualifications/Experience:
Benefits
EOE AA M/F/Vet/Disability
Acentra Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by applicable Federal, State, or Local law.
Benefits
Benefits are a key component of your rewards package. Our benefits are designed to provide additional protection, security, and support for your career and life away from work. Our benefits include comprehensive health plans, paid time off, retirement savings, corporate wellness, educational assistance, corporate discounts, and more.
Compensation
The pay rate for this position is $67,000 - $72,000 per year
“Based on our compensation philosophy, an applicant’s placement in the pay range will depend on various considerations, such as years of applicable experience and skill level.”
...Expansive benefit package including PTO plan, 401k + Match, and insurance coverage Professional development and advancement... ...Language Pathologist or Occupational Therapist Certification in Case Management or Rehabilitation Nursing preferred; for example, Commission...
...Time Salary Range $12.00 - $14.00 Hourly Job Category Event Staff Description Do you have what it takes to work with a... ...currently have an exciting opportunity for a Bartender/ Event Server at our wedding venues. Walters Wedding Estates, a Walters Hospitality...
...Transportation We are looking for a Part Time Delivery Driver to join our Indianapolis, IN Hub!... ...Duties & Responsibilities Safely operate, load, unload and deliver freight utilizing a small box truck or cargo van Adhere to assigned routes and follow time...
...Location: Multi-Site Security Officer in Southfield, MI at Securitas Security Services USA Location * **Experience:** Not Specified **Job Description****Reserve Security Officer** We help make your world a safer place. Securitas is a global company that offers...
** Distributor Sales Manager**** Distributor Sales Manager** Foods people love. Brands people trust. And a career that nourishes your... ...consumers every single day. Here, you will find limitless opportunities to learn and advance your career and feel empowered to succeed...