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Centene Remote Rn Jobs in Spring Hill, FL (NOW HIRING)

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

The ideal candidate will have an active RN license and 3-5 years of workers' compensation and/or ... This is a fully remote position with typical business hours; however, there may be instances when ...

paradigm

Clinical Navigator

Tampa, FL · Remote

$61K - $84K/yr

The ideal candidate will have an active RN license and 3-5 years of workers' compensation and/or ... This is a fully remote position with typical business hours; however, there may be instances when ...

Sedgwick

Field Case Manager

Tampa, FL · On-site +1

... remote work environment that allows face-to-face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or bachelor's degree in health or human services field ...

York Risk Services

Field Case Manager

Tampa, FL · On-site +1

... remote work environment that allows face-to-face interaction with injured workers and medical ... AND LICENSING RN licensure preferred; or bachelor's degree in health or human services field ...

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All JobsCentene Rn JobsCentene Remote Rn JobsCentene Remote Rn Jobs in Spring Hill, FL

Centene Remote Rn information

See Spring Hill, FL salary details

$815

$1.7K

$2.5K

How much do centene remote rn jobs pay per week?

As of Sep 14, 2026, the average weekly pay for centene remote rn in Spring Hill, FL is $1,659.54, according to ZipRecruiter salary data. Most workers in this role earn between $1,296.15 and $1,942.31 per week, depending on experience, location, and employer.

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.

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.

What is the best remote job for a registered nurse?

A remote registered nurse role, such as a Telehealth Nurse or Utilization Review Nurse, is a common and well-paying option that allows for flexible scheduling and the use of electronic health records. These positions typically require active nursing licensure, strong communication skills, and proficiency with healthcare software.

What cities near Spring Hill, FL are hiring for Centene Remote Rn jobs?

Cities near Spring Hill, FL with the most Centene Remote Rn job openings:

Centene Remote Rn jobs near you
Infographic showing various Centene Remote Rn job openings in Spring Hill, FL as of September 2026, with employment types broken down into 4% As Needed, 54% Full Time, 15% Part Time, and 27% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $86,296 per year, or $41.5 per hour.

Clinical Navigator

Tampa, FL • Remote

paradigm
See more jobs at paradigmexternal

$61K - $84K/yr

Full-time

Re-posted 5 days ago

Job description

Paradigm is seeking a Clinical Navigator to serve as a central coordination and clinical oversight resource for injured workers with complex and catastrophic workers’ compensation claims. In this role, you will partner closely with case managers, clinical associates, providers, payers, vendors, key accounts, and injured workers to help remove barriers to care, support timely and medically necessary treatment, and promote positive outcomes. The Clinical Navigator plays an important role in ensuring continuity of care, evaluating treatment appropriateness, escalating delays or risks, and delivering a high-quality, customer-first experience.

The ideal candidate will have an active RN license and 3–5 years of workers’ compensation and/or catastrophic case management experience. Experience with DME, utilization review, EMRs, care management platforms, and Microsoft Office applications is strongly preferred. This role is well-suited for a forward-thinking clinical professional who is comfortable working independently, taking initiative, and partnering collaboratively to support high-quality outcomes for injured workers.

This is a fully remote position with typical business hours; however, there may be instances when work outside of standard business hours is required based on business needs.

Responsibilities:  

  • Serve as the central point of coordination and clinical oversight of assigned complex and Catastrophic cases.
  • Serve as the secondary level of clinical oversight and the single point of contact for Case Managers and Clinical Associates.
  • Work directly with key accounts as assigned and is responsible for providing customer excellence with every interaction.
  • Apply case management skills and experience with catastrophic workers’ compensation to remove barriers with a strong focus on quality outcome, compliance and efficient case progression. 
  • Evaluates treatment appropriateness and utilization.
  • Ensure home health & DME services are being performed as ordered, and continue to be clinically necessary, making recommendations based on Injured workers’ needs and progress.  Ensure treatment plans align with medical necessity and payer guidelines.
  • Monitor IW progress and escalate delays or identified risks.
  • Identify delays, risks and care gaps and escalate appropriately. 
  • Conduct QA on a predetermined number of referrals to ensure alignment with Care at Home guidelines and expectations.
  • Collaborate with external agencies, providers, and vendors to coordinate care, facilitate communication, and ensure timely delivery of services and resources for patients as needed.
  • Facilitate and lead case conferences and virtual roundtable discussions, as needed, to coordinate care, review patient progress, address barriers to treatment, and align stakeholders on care plans and next steps.
  • Demonstrate a customer-first mindset by developing a broad and deep (where appropriate) understanding of Paradigm organization, products, operations, and customers. Prioritizes collaboration to meet customer needs and expectations and takes personal accountability for service quality.
  • Utilizes AI tools to support day-to-day tasks, improve efficiency, and enhance output quality. Adopts new technologies as trained and applies them in alignment with established processes and guidelines.

Qualifications:  

  • RN required.
  • 3-5 years Workers’ compensation and/or complex case management, required.
  • Experience with catastrophic cases, strongly preferred.
  • Experience with DME, strongly preferred.
  • Experience with EMRs, care management platforms, and Microsoft Office applications.
  • Knowledge of Utilization Review process.
  • Ability to communicate effectively and professionally with both internal and external customers.
  • Must have a collaborative demeanor with a high emphasis on teamwork. 
  • Strong conflict resolution and problem-solving abilities.
  • Strong understanding of medical terminology.
  • Strong clinical assessment and critical thinking skills.
  • Excellent prioritization and time-management skills.
  • Strong documentation and auditing skills.
  • Bilingual (English/Spanish) a plus.
  •  

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