Clinical Review Nurse - Correspondence at Centene

You're a licensed practical nurse or a registered nurse with 2-4 years of experience, holding a degree from an accredited nursing school or a Bachelor's in Nursing. You're comfortable drafting official correspondence based on clinical reviews and understand the importance of NCQA standards. **What makes it worth a look...** Centene is hiring for this fully remote, full-time Clinical Review Nurse - Correspondence role, offering an hourly pay range of $27.02 to $48.55. They provide competitive benefits and a flexible work environment. **You might be a good fit if you...** * Perform clinical reviews and draft denial letters in line with NCQA standards. * Investigate denials by reviewing clinical documentation, guidelines, and policy. * Have knowledge of Medicare and Medicaid regulations. * Possess a current LPN license, or an RN license for specific states.