KePRO

  • Lincoln,NE
KePRO Remote * (Nashville, TN, USA)
Sep 21, 2021
Proposal Writer Are you an experienced proposal writer looking for a new challenge? Do you value careful editing and quality writing? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member!Note: This is a hybid remote role with time split between our office in Nashville, TN and working remote from home.Who we need:Our proposal writer will serve as a key member of the proposal team, responsible for building proposals using existing content and identifying gaps where SME content is needed. Interviews SMEs as required to close content gaps. Handles formatting original response document and identifying gaps to proposal manager. Pulls content from database or previous bids and revises/edits to meet the specific proposal requirements. Works with proposal manager to pull together appendices and assist in completing or reviewing any forms that need to be submitted with the proposal. Works closely with the proposal manager...
KePRO Remote * (Birmingham, AL, USA)
Sep 17, 2021
Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. Kepro is seeking resumes for a highly experienced professional.Clinical Reviewer*This is a work from home role, but you must reside in and be licensed in Alabama.Summary DescriptionUtilizes 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.Why us?Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting.People Focused. Mission...
KePRO Remote * (Nashville, TN, USA)
Sep 15, 2021
Proposal Manager Are you an experienced proposal manager looking for a new challenge? Do you value careful editing and quality writing? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member!Note: This is a hybrid role, with time split between our office in Nashville, TN and working remote from home.Who we need:Our Proposal Manager is responsible for the management of the entire proposal lifecycle in response to all RFPs, RFIs and RFQs, including leading strategy development, development of the noted outline, writing and writing assignments, schedules, graphics coordination, color team reviews, editing/formatting, and submission of proposals. This position is essential to Kepro's growth plan and will play a key role in winning new business for our organization. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the...
KePRO Remote * (Orlando, FL, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (Tampa, FL, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (Seattle, WA, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (Miami, FL, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (St. Louis, MO, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (Dallas, TX, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (Chicago, IL, USA)
Sep 11, 2021
Description RN Clinical Supervisor - Utilization Management Are you an experienced RN Clinical Supervisor looking for a new challenge? Do you value utlization management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member! This is a fully remote position but you might bea licensed RN in CO or have a compact license. Who We Need Under general supervision of the UM manager and in collaboration with the administrative team and Medical Director, the UM Supervisor oversees clinical staff performing UM Reviews of inpatient and outpatient services for Medicaid Members in accordance with the goals of the Colorado HCPF Utilization Management Contract. This position plans, organizes, and directs the work activity of the review team, consistent with organizational policies and procedures and in compliance with state and federal guidelines. Why us? Kepro is a rapidly growing...
KePRO Remote * (Richmond, VA, USA)
Sep 11, 2021
Operations Manager Are you an experienced Healthcare Operations Manager looking for a new challenge? Do you value care management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member!Note: This is a fully remote role but you must have an active, unrestricted RN license in the state of VA. Who we need: Manages the day-to-day operations for the assigned contract or program, assuring quality customer service and support for clients and staff. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. People Focused. Mission Driven. Shape the future of healthcare with us. We are mission driven to improve lives through healthcare quality and clinical expertise. We do this through our people. At Kepro, you can do meaningful work that makes a real...
KePRO Remote * (Richmond, VA, USA)
Sep 11, 2021
Clinical Reviewer, Registered Nurse Are you an experienced Registered Nurse looking for a new challenge? Do you value care management and quality improvement? Are you motivated, energetic, and excited to become part of the Kepro team? If so, you might be our next new team member!Note: This is a fully remote role. You must have an active unrestriced RN license in SC or a compact license. Who we need: Our Clinical Reviewer will use 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. Why us? Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the...
KePRO Remote * (South Portland, ME, USA)
Sep 06, 2021
Kepro is a rapidly growing national quality improvement and care management organization. We work to ensure that over 20 million people receive the right care, at the right time, in the right setting. Kepro is seeking resumes for a highly experienced professional.Full Time Clinical Reviewer - Remote LCPS or LCSWThis is a remote position, where you can work from home. However you must live in the state Maine and have an active LCPC and/or LCSW is required.Summary DescriptionUtilizes 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.Accountabilities Reviews and interprets patient records and compares against criteria to determine medical necessity and appropriateness of care;...