ZipRecruiter

Log In

1

Centene Nursing Jobs (NOW HIRING)

Centene

DRG Reviewer

$70K - $126K/yr

... Nurse or Higher (in combination with a coding credential) preferred Pay Range: $70,100.00 - $126,200.00 per year Centene offers a comprehensive benefits package including: competitive pay, health ...

Centene

Director, Care Management - Foster Care

$121K - $224K/yr

... ) license and nationally recognized case management certification required Pay Range: $121,500.00 - $224,900.00 per year At Centene, we connect people to the care they need to live healthier lives ...

Centene

Director, Utilization Management

$133K - $247K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred Pay Range: $133,700.00 - $247,400.00 per year At Centene, we connect people to the care they ...

Centene

Provider Performance Manager

Burr Ridge, IL · On-site +1

$56K - $101K/yr

Master's Degree in Nursing, Physician Assistant degree or graduate degrees in the fields of ... Pay Range: $56,200.00 - $101,000.00 per year At Centene, we connect people to the care they need to ...

Centene

Vice President, Utilization Management

$188K - $359K/yr

Current nursing license required. Or equivalent experience acquired through accomplishments of ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Centene

Pharmacist (Specialty Fulfilment)

Hawthorne, NV · On-site

$51.78 - $95.81/hr

This onsite position is based at Centene's Acaria Health Pharmacy, located at 5 Skyline Drive ... Document all communication with physicians, nurses and patients in the patient chart * Assist in ...

New

Centene

Director, Payment Integrity - Edit Programs

$107K - $199K/yr

Centene is transforming the health of our communities, one person at a time. As a diversified ... Bachelor's degree in Accounting, Finance, Nursing, Operations Management, Healthcare related, or ...

Centene

Care Manager (RN)

$56K - $101K/yr

Centene is transforming the health of our communities, one person at a time. As a diversified ... Requires a Degree from an Accredited School of Nursing or a Bachelor's degree in Nursing and 2 - 4 ...

Centene

Utilization Review Clinician - ABA

$63K - $87K/yr

Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Centene Corp.

NY · On-site

$70 - $95/hr

Education/Experience Requires Graduate of an Accredited School of Nursing or Bachelor's degree and ... Employer Overview At Centene, we connect people to the care they need to live healthier lives - and ...

Centene

Provider Quality Liaison

$19.43 - $32.98/hr

Pharmacy Technician, Medical Assistant Licensed Vocational Nurse, Licensed Practical Nurse, Social Work licensure preferred. Pay Range: $19.43 - $32.98 per hour At Centene, we connect people to the ...

Centene

Utilization Review Clinician - ABA

$27.02 - $48.55/hr

Requires Graduate of an Accredited School of Nursing or Bachelor's degree and 2-4 years of related ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Centene

Utilization Review Clinician - Behavioral Health

$27.02 - $48.55/hr

LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $27.02 - $48.55 per hour At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that ...

Centene

Supervisor, Utilization Management

$75K - $135K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure required Pay Range: $75,300.00 - $135,400.00 per year At Centene, we connect people to the care they ...

New

Centene

Care Manager

$56K - $101K/yr

Centene's IL Health Plan is looking for a licensed Behavioral Health Clinician or Bachelor's degreed RN with Behavioral Health experience to support the YouthCare program. This position is telephonic ...

Centene

LTSS Service Care Coordinator

Chicago, IL · Hybrid

$22.94 - $38.79/hr

... 3. LPN with one (1) year experience in conducting comprehensive assessments and provision of formal service for the elderly Pay Range: $22.94 - $38.79 per hour Centene offers a comprehensive ...

Centene

Lead Proposal Writer

$87K - $157K/yr

Clinical license (e.g., RN, LCSW) preferred Pay Range: $87,700.00 - $157,800.00 per year At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes ...

previous page

Showing results 41-60

All JobsHealthcare JobsCentene Nursing Jobs

Centene Nursing information

See salary details

$28.5K

$59.6K

$100K

How much do centene nursing jobs pay per year?

As of Sep 6, 2026, the average yearly pay for centene nursing in the United States is $59,606.00, according to ZipRecruiter salary data. Most workers in this role earn between $45,500.00 and $69,000.00 per year, depending on experience, location, and employer.

What is Centene nursing?

Centene nursing refers to nursing professionals who work for Centene Corporation, a large managed care company that provides health insurance and related services. Nurses at Centene typically work in care management, case management, utilization review, and member outreach roles, helping coordinate care for members, assess medical needs, and ensure quality healthcare services. These positions often involve working remotely or in an office setting, collaborating with a team of healthcare professionals to improve patient outcomes. Centene nurses play a key role in supporting members with chronic conditions, transitions of care, and accessing necessary healthcare resources.

How do Centene nursing professionals typically collaborate with interdisciplinary teams to support patient care?

Centene nursing professionals play a central role in coordinating patient care by working closely with physicians, social workers, case managers, and other healthcare providers. They regularly participate in care team meetings to review patient cases, develop care plans, and ensure that members receive appropriate services and follow-up. This collaborative approach helps address both medical and social needs, requiring nurses to communicate effectively and advocate for the best outcomes. The teamwork fosters a supportive environment where nurses can contribute their clinical expertise while learning from colleagues in other disciplines.

What are the key skills and qualifications needed to thrive as a Centene nurse, and why are they important?

To thrive as a Centene Nurse, you need a valid RN license, strong clinical assessment skills, and knowledge of managed care protocols. Familiarity with case management software, electronic health records (EHRs), and utilization review systems is typically required. Excellent communication, organizational skills, and cultural competence are crucial soft skills in this role. These abilities ensure effective patient care coordination, regulatory compliance, and positive health outcomes within Centene’s healthcare delivery model.

What is the difference between Centene Nursing vs Medicaid Nurse?

AspectCentene NursingMedicaid Nurse
CredentialsRN license, possibly certifications in case management or public healthRN license, often with Medicaid-specific training
Work EnvironmentCommunity health settings, clinics, telehealth, or member homesClinics, community health centers, or Medicaid managed care facilities
Employer & IndustryCentene Corporation, healthcare and managed care industryState Medicaid programs, managed care organizations, healthcare providers

Centene Nursing roles typically involve working within Centene Corporation's healthcare services, focusing on managed care and community health. Medicaid Nurse positions are often within state Medicaid programs or providers serving Medicaid populations. Both roles require RN licensure and focus on patient care, but Centene Nursing emphasizes managed care coordination, while Medicaid Nurses focus on Medicaid-specific patient needs and compliance.

What states have the most Centene Nursing jobs?

States with the most job openings for Centene Nursing jobs include:

What job categories do people searching Centene Nursing jobs look for?

The top searched job categories for Centene Nursing jobs are:

Centene Nursing jobs near you
Infographic showing various Centene Nursing job openings in the United States as of August 2026, with employment types broken down into 3% As Needed, 54% Full Time, 16% Part Time, and 27% Contract. Highlights an 98% Physical, and 2% Remote job distribution, with an average salary of $59,606 per year, or $28.7 per hour.

DRG Reviewer

Centene

Remote

$70K - $126K/yr

Full-time

Medical, Retirement, PTO

Posted 21 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 406 frontline employees who took The Breakroom Quiz

12th of 898 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Remote Role: 4+ years experience of performing MS-DRG and APR-DRG coding required. In-patient and post-pay experience highly preferred.

Position Purpose:
Responsible for independently conducting comprehensive reviews of MS-DRG and APR-DRG coding and clinical documentation to ensure the accuracy of DRG assignment and reimbursement. Requires advanced expertise in ICD-10-CM/PCS coding and the ability to exercise discretion and professional judgment in assessing complex clinical information, validating diagnosis code assignments, and identifying discrepancies such as coding errors or upcoding. Operates with significant autonomy in supporting DRG validation reviews and appeals, interpreting regulatory requirements, and making authoritative decisions to ensure compliance with all applicable laws, payer contracts, and organizational policies.

  • Independently conducts comprehensive MS-DRG and APR-DRG coding and clinical validation reviews, exercising professional judgment to verify ICD-10-CM/PCS assignments, validate clinical diagnoses, identify discrepancies, and apply inpatient reimbursement rules without direct supervision.
  • Collaborates with the Medical Director on complex cases, providing expert recommendations and influencing review outcomes to ensure clinical accuracy and compliance.
  • Leads the evaluation of complex cases and proactively identifies opportunities to develop medical policy in the absence of established guidelines, demonstrating discretion and authority in decision-making.
  • Applies advanced knowledge of coding guidelines and clinical policies throughout the review process, making autonomous determinations regarding coding accuracy and regulatory compliance.
  • Prepares clear, concise, and well-supported audit findings, referencing authoritative sources such as AHA Coding Clinic and ICD-10 guidelines, approved Centene policies, and adopted clinical guidelines, ensuring recommendations reflect professional expertise.
  • Evaluates claims and medical records for compliance with state and federal regulations, payer contracts, and company policies, exercising independent judgment in interpreting requirements and resolving ambiguities.
  • Consistently meets or exceeds established quality and productivity standards while managing priorities and workflow autonomously.
  • Contributes to strategic initiatives by assisting in the development of audit concepts, identifying new audit opportunities, and selecting claims for review, demonstrating leadership in shaping audit methodologies.
  • Performs other duties as assigned.
  • Complies with all policies and standards.

Education/Experience:
Associate's Degree in Health Information Management, Nursing, or related field required
4+ years experience of performing MS-DRG and APR-DRG coding required
2+ years experience of performing DRG reviews for a Payment Integrity vendor or Payer required
2+ years experience of using DRG encoder/grouper experience (TruCode/TruBridge, 3M, Optum Encoder, Webstrat, PSI, or similar) required
1+ years experience of inpatient hospital documentation improvement preferred

Licenses/Certifications:
RHIT - Registered Health Information Technician required or
RHIA - Registered Health Information Administrator required or:
CCS-Certified Coding Specialist required or:
Certified International Credit Professional (CICP) required or:
CCDS Certified Clinical Documentation Specialist required or: RN - Registered Nurse - State Licensure and/or Compact State Licensure Registered Nurse or Higher (in combination with a coding credential) preferredPay Range: $70,100.00 - $126,200.00 per year

Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.


Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act

What Centene employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply