Phelps Health
1001 - 5000 employees
Founded 1951
⚕️ Healthcare Insurance
🤝 Non-profit
🧘 Wellness
Healthcare Insurance • Non-profit • Wellness
Phelps Health is a healthcare organization dedicated to providing high-quality and accessible medical services. Offering a range of treatments from primary care to specialized services like orthopedic care and weight loss management, they emphasize patient-centered care and community wellbeing. The organization has been recognized as one of Missouri's top employers, highlighting their commitment to employee satisfaction and excellence in healthcare delivery.
Clinical Reviewer / Care Manager
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🔥 1 minute ago
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Phelps Health
1001 - 5000 employees
Founded 1951
⚕️ Healthcare Insurance
🤝 Non-profit
🧘 Wellness
Healthcare Insurance • Non-profit • Wellness
Phelps Health is a healthcare organization dedicated to providing high-quality and accessible medical services. Offering a range of treatments from primary care to specialized services like orthopedic care and weight loss management, they emphasize patient-centered care and community wellbeing. The organization has been recognized as one of Missouri's top employers, highlighting their commitment to employee satisfaction and excellence in healthcare delivery.
📋 Description
• Assists with data collection, entry and generation of reports • Coordinates communication between Patient Financial Services, Third party Payers, patients, and physicians • Performs certifications, authorizations, concurrent reviews, and appeals • Reviews inpatient and observation patients for Medicare, Medicaid, Commercial, and Medicare HMO third party payers.
🎯 Requirements
• Graduate of an approved practical nursing program or an equivalent combination of education and experience • At least two (2) years clinical experience in Utilization Management, Social Services, and/or Quality Management required • Experience working with third party payers is preferred.
🏖️ Benefits
• At Phelps Health, we think we have a better team, benefits, and opportunities for growth than anyone else around.
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