Clinical Review Nurse - Concurrent Review (RN) at Centene

You're an experienced nurse with an RN or LPN license and at least two years of acute care experience. You need a nursing degree and a current Nevada state or compact license to handle these inpatient necessity reviews. **What makes it worth a look...** Centene offers this fully remote position with a flexible approach to work and a comprehensive benefits package including a stock purchase plan and tuition reimbursement. It is a stable, mid-level role that lets you transition out of bedside care while staying deeply involved in clinical decision-making. **You might be a good fit if you...** * Have an active RN or LPN license specifically valid for the state of Nevada. * Spent 2+ years working in high-acuity hospital settings. * Understand Medicare and Medicaid regulations and utilization management workflows. * Can navigate health management systems to document medical necessity and discharge plans.