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Centene Remote Rn Jobs in Tennessee (NOW HIRING)

PharmD Live

Spanish Speaking LPN - Tennessee

Nashville, TN · Remote

$24.75 - $33.75/hr

Fully Remote Schedule: Flexible - create your own hours Requirement: Must hold an active Tennessee RN or LPN license Position Overview: We are looking for a bilingual Care Coordinator (RN/LPN) fluent ...

VIVA USA INC

Nurse Case Manager

Nashville, TN · On-site +1

Resolves non-routine issues escalated from more junior team members. RN and current unrestricted nursing license required. Notes: This is a remote position within our plan states, IL, TX, NM, OK, MT ...

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All JobsCentene Remote Rn JobsCentene Remote Rn Jobs in Tennessee

Centene Remote Rn information

See Tennessee salary details

$872

$1.8K

$2.7K

How much do centene remote rn jobs pay per week?

As of Jun 26, 2026, the average weekly pay for centene remote rn in Tennessee is $1,775.38, according to ZipRecruiter salary data. Most workers in this role earn between $1,388.46 and $2,076.92 per week, depending on experience, location, and employer.

Why is Centene falling?

Centene, as a healthcare company, may experience declines in stock value or financial performance due to factors such as changes in healthcare regulations, market competition, or financial results. For employees, a downturn can also be linked to organizational restructuring or shifts in business strategy affecting job stability. It is important to stay informed about company reports and industry trends to understand specific causes.

Is Centene a good company to work for as a nurse?

Centene offers remote RN positions that typically involve case management and member support, with a focus on healthcare coordination. Employees often cite flexible schedules and the ability to work from home as benefits, though experiences can vary based on role and location. It's advisable to review current employee feedback and job requirements for a comprehensive understanding.

What is the difference between Centene Remote Rn vs Centene Remote Lpn?

AspectCentene Remote RnCentene Remote Lpn
Required CredentialsRegistered Nurse (RN) licenseLicensed Practical Nurse (LPN) license
Work EnvironmentRemote healthcare setting, patient assessments, care planningRemote healthcare setting, basic patient care, documentation
Employer & Industry UsageMajor healthcare provider, insurance industry

The main difference between Centene Remote Rn and Centene Remote Lpn lies in the required credentials and scope of practice. RNs typically handle more complex patient assessments and care planning, while LPNs focus on basic patient care and documentation. Both roles are remote and serve within the healthcare and insurance industry, but RNs generally have a broader scope of practice and higher responsibilities.

Does Centene offer remote positions?

Yes, Centene offers remote positions for roles such as registered nurses (RNs), allowing employees to work from home. These positions often require relevant licensure, healthcare experience, and the ability to use electronic health record systems remotely.

What is a Centene Remote RN?

A Centene Remote RN is a registered nurse who works for Centene Corporation, a large managed care company, primarily from a remote or home-based setting. These nurses provide care coordination, case management, health assessments, and support to members over the phone or via digital platforms rather than in-person. Their responsibilities often include educating patients, monitoring health conditions, and collaborating with healthcare providers to ensure members receive appropriate care. This role allows for flexibility and the opportunity to support patients across different locations.

What does a typical workday look like for a Centene Remote RN, and how does remote nursing differ from traditional bedside roles?

As a Centene Remote RN, your day typically involves conducting telephonic or virtual assessments, coordinating care plans, and collaborating with multidisciplinary teams to support members’ health needs. Unlike traditional bedside roles, remote nursing emphasizes case management, patient education, and ongoing follow-up rather than direct clinical procedures. You'll use electronic health records and communication platforms extensively, so strong organizational and communication skills are essential. The remote environment offers greater autonomy and flexibility but also requires proactive engagement to maintain effective teamwork and patient outcomes.

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

To thrive as a Centene Remote RN, you need a current RN license, clinical experience (often in case management or utilization review), and a strong understanding of healthcare regulations. Familiarity with care management software, telehealth platforms, and Centene-specific systems is typically required. Excellent communication, self-motivation, and strong organizational skills are essential soft skills for remote collaboration and effective patient engagement. These skills are crucial for ensuring quality care coordination, regulatory compliance, and seamless communication in a virtual healthcare environment.

Is Centene hard to get into?

Centene Remote Rn positions can be competitive, often requiring relevant nursing experience, licensure, and strong communication skills. The application process typically involves multiple steps, including interviews and background checks, reflecting standard industry hiring practices for remote healthcare roles.
What are popular job titles related to Centene Remote Rn jobs in Tennessee? For Centene Remote Rn jobs in Tennessee, the most frequently searched job titles are:
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What cities in Tennessee are hiring for Centene Remote Rn jobs? Cities in Tennessee with the most Centene Remote Rn job openings:
Centene Remote Rn jobs near you

Remote RN - Medical Claims Reviewer

Broadway Ventures

Nashville, TN • Remote

Full-time

Posted 14 days ago

Job description

At Broadway Ventures, we transform challenges into opportunities with expert program management, cutting-edge technology, and innovative consulting solutions. As an 8(a), HUBZone, and Service-Disabled Veteran-Owned Small Business (SDVOSB), we empower government and private sector clients by delivering tailored solutions that drive operational success, sustainability, and growth. Built on integrity, collaboration, and excellence, we're more than a service provider—we're your trusted partner in innovation.

Job Type: Full-time (40 hours/week)
Schedule: Monday–Friday, 8:00 AM – 5:00 PM

Max Salary: W-2 ($65,000/$31.25)

Location: Remote (U.S. – Work from home)
Remote Work Requirements: High-speed internet (non-satellite) and a private, lockable home office
Equipment: You will be provided with all necessary equipment to perform your job effectively, including but not limited to a desktop computer, dual monitors, a headset, an ethernet cable, and additional accessories as needed.

About the Role

We are seeking a dedicated Registered Nurse (RN) to join our Medical Review team. This role involves conducting pre- and post-payment medical reviews to ensure compliance with established clinical criteria and guidelines. The ideal candidate will use their clinical expertise to assess medical necessity, appropriateness, and reimbursement eligibility while documenting decisions in accordance with regulatory and organizational requirements.

Key Responsibilities
  • Review medically complex claims, pre-authorization requests, appeals, and fraud/abuse referrals.
  • Assess payment determinations using clinical information and established guidelines.
  • Evaluate medical necessity, appropriateness, and reasonableness for coverage and reimbursement.
  • Provide clear, well-documented rationales for service approvals or denials.
  • Educate internal and external teams on medical review processes, coverage determinations, and coding requirements.
  • Support quality control activities to meet corporate and team objectives.
  • Provide guidance to LPN team members and support non-clinical staff through training and discussions.
  • Assist with special projects and additional responsibilities as assigned.
Minimum QualificationsLicensure:
  • Active, unrestricted RN license in the U.S. and in the state of hire
    OR
  • Active compact multistate RN license (as defined by the Nurse Licensure Compact).
Education:
  • Associate Degree in Nursing
    OR
  • Graduate of an accredited School of Nursing.
Experience:
  • Two years of clinical experience plus at least two years in one of the following:
    • Home Health
    • Utilization/Medical Review
    • Quality Assurance
Skills & Competencies:
  • Strong clinical background in managed care, home health, rehabilitation, and/or medical-surgical settings.
  • Ability to interpret and apply medical review criteria and clinical guidelines.
  • Proficiency in Microsoft Office and word processing software.
  • Strong analytical, organizational, and decision-making skills.
  • Ability to work independently while managing priorities effectively.
  • Excellent customer service, communication, and critical thinking skills.
  • Ability to handle confidential information with discretion.
Preferred Qualifications
  • Three years of clinical nursing experience in Home Health, Utilization Review, Medical Review, or Quality Assurance (strongly preferred).
  • Proficiency in using multiple screens and software programs simultaneously.

If you are a detail-oriented RN with a passion for medical review, we encourage you to apply!

What to Expect Next:

After submitting your application, our recruiting team will review your qualifications. This may include a brief telephone interview or email communication to verify resume details and discuss compensation expectations. Interviews will be conducted with the most qualified candidates. Broadway Ventures conducts background checks and drug testing prior to the start of employment. Some positions may also require fingerprinting.

Broadway Ventures is an equal opportunity employer and a VEVRAA federal contractor. We do not discriminate against applicants or employees on the basis of race, color, religion, sex, national origin, age, disability, protected veteran status, or any other status protected by applicable law.

Reasonable accommodations are available for applicants with disabilities. Broadway Ventures utilizes the OFCCP-approved Voluntary Self-Identification of Disability Form (CC-305).