Clinical Review Nurse - Concurrent Review at Centene

This role is ideal for an LPN or Registered Nurse with at least two years of acute care experience who wants to transition out of bedside care and into the insurance side of healthcare. You should have a strong grasp of medical necessity and feel comfortable navigating utilization management processes for Medicare and Medicaid populations. The standout feature of this position is the fully remote flexibility, specifically seeking candidates in Michigan or those with a Compact Nursing License. It offers a structured hourly pay scale with a comprehensive corporate benefits package, including a stock purchase plan and tuition reimbursement, which is a rare find for many clinical roles. **You might be a good fit if you...** * Hold an active LPN license (State Licensure required) and ideally a Compact Nursing License. * Have 2+ years of experience in acute care settings and understand discharge planning. * Are detail-oriented and enjoy clinical documentation over direct patient-facing physical labor. * Are comfortable working independently in a remote environment while collaborating with Medical Directors.