Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Behavior Health Registered Nurse Are you an experienced Behavior Health Registered Nurse looking for a new challenge? Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive? If so, you might be our next new team member! Who we need: Our Behavioral Health 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 if the Standard of care of met during the episode of care in question, while maintaining...

Description Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Behavioral Health Nurse Practitioner Are you an experienced Behavioral Health Nurse Practitioner looking for a new challenge? Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive? If so, you might be our next new team member! Who we need: Our Behavioral Health Nurse Practitioner 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 if the Standard of care of met during the episode of care...

Description Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Registered Nurse - Nursery - PRN - Contractor (Remote U.S.) Are you an experienced Registered Nurse - Nursery looking for a new challenge? Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive? If so, you might be our next new team member! Who we need: Our Registered Nurse - Nursery 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 if the Standard of care of was met during the episode...

Description for Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Registered Nurse - NICU - PRN - Contractor Are you an experienced Registered Nurse - NICU looking for a new challenge? Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive? If so, you might be our next new team member! Who we need: Our NICU RN 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 if the Standard of care was met during the episode of care in question while maintaining...

for Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Registered Nurse - NICU - PRN - Contractor Are you an experienced Registered Nurse - NICU looking for a new challenge? Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive? If so, you might be our next new team member! Who we need: Our NICU RN 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 if the Standard of care was met during the episode of care in question while maintaining production goals and QA...

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Behavioral Health (Active IN LCSW) Clinical Reviewer Full-Time (Remote U.S.) Are you an experienced Behavioral Health (BH) Clinical Reviewer (LCSW) looking for a new challenge? Are you looking to join a team that ensures a collaborative and inviting culture where everyone can thrive? If so, you might be our next new team member! ** This position requires the selected candidate to work four 10-hour days weekly (working the majority of the shift during core hours 8:00 AM to 5:00 PM Eastern daily). For example: Working every Saturday and Sunday, plus two other weekdays of your choice. Working alternating...

Following a 2022 merger of CNSI and Kepro, Acentra Health combines clinical services, technology solutions, and data analytics to accelerate better health outcomes. This is a great time to join our team of passionate individuals working together to pursue the most effective solutions to today’s complex healthcare challenges. Our culture is fueled by passion and driven by purpose. Why us? At Acentra Health, we are a team of experienced and caring leaders, clinicians, pioneering technologists, customer service professionals 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. At Acentra Health, we invest in your skills, offering abundant resources and opportunities for professional development and personal growth. As a rapidly growing national quality improvement and care management...

Customer Service Representative (Remote) Are you an experienced Customer Service Representative 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! Who we need: The Customer Service Representative is responsible for supporting the prior authorization process by answering incoming telephone calls, resolving customer questions, complaints and requests while adhering to internal policies and procedures and utilizing working knowledge of the organization’s services to meet productivity and quality 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 Driven. Shape the future of healthcare with us. We are mission driven to improve lives...

Description RN Reviewer/Clinical Assessor (Remote) Are you an experienced RN Reviewer/Clinical Assessor 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! Who We Need: The RN Reviewer/Clinical Assessor reviews prior authorization requests for medical services. The reviewer is required to review clinical information, select the appropriate medical necessity review criteria, and determine if medical necessity is met. Clinical justification for approval or failure to meet criteria must be documented. Note: This is a fully remote position. 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...