Clinical Review Nurse - Correspondence at Centene

You're a licensed practical nurse (LPN) or registered nurse (RN) with 2-4 years of experience, potentially holding a Bachelor's degree in Nursing. **What makes it worth a look...** Centene is offering a fully remote, full-time Clinical Review Nurse position with an hourly pay range of $27.02 to $48.55. They provide a competitive benefits package including health insurance, 401K, and tuition reimbursement. **You might be a good fit if you...** * Draft correspondence letters based on clinical review outcomes and NCQA standards. * Investigate denials by reviewing clinical documentation, criteria, and policy. * Possess knowledge of Medicare and Medicaid regulations or utilization management processes. * Are licensed as an LPN, or an RN for specific states (California, Superior Plan).