Clinical Review Nurse - Concurrent Review at Centene

This role is ideal for a California-licensed Registered Nurse with at least 2 years of acute care experience and a background in Utilization Management (UM). It is specifically designed for clinicians who enjoy the analytical side of healthcare—evaluating medical necessity and discharge planning within a managed care or hospital setting—while working in a structured, remote environment. The position offers excellent work-life balance with a standard Monday–Friday, 8 am–5 pm PT schedule and is fully remote for California residents. Centene provides a robust 12-week ramp-up period with preceptor support, ensuring you are comfortable managing a daily volume of 17–20 concurrent reviews. Benefits are comprehensive, including 401k, stock purchase plans, and tuition reimbursement. **You might be a good fit if you...** * Hold an active, unrestricted California RN license. * Have direct experience with Managed care, Medicaid/Medicare regulations, or hospital UM. * Thrive in a high-volume environment requiring detailed clinical documentation and decision-making. * Are looking for a remote clinical role with a predictable, daytime schedule.