Clinical Review Clinician - Appeals at Centene

Ideal for a licensed nurse or mental health professional with two to four years of experience and a degree from an accredited nursing school or equivalent. You are comfortable managing clinical appeals and medical necessity reviews in a fast-paced environment. **What makes it worth a look...** Centene offers a fully remote schedule with pay ranging from $27.02 to $48.55 per hour. The role includes comprehensive benefits like a 401K, stock purchase plans, and tuition reimbursement, with a work schedule of 8a to 6p CST that requires weekend shifts. **You might be a good fit if you...** * Hold an active RN, LPN, LVN, LCSW, LMHC, LPC, LMFT, or Psychologist license. * Possess a formal degree in Nursing. * Have practical experience navigating NCQA, Medicare, or Medicaid regulations. * Understand utilization management workflows.