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Centene Remote Rn Jobs (NOW HIRING)

Guidehealth

Remote RN Case Manager

Illinois City, IL · On-site +1

$80K - $83K/yr

Active RN license Delegated Services - Illinois licensure required Employee Health Plans - Compact ... Ability to work independently in a remote environment while staying connected to the team * Comfort ...

Merakey

LumiLink RN

Lafayette Hill, PA · Remote

The Remote LumiLink Registered Nurse is responsible for professionally answering LumiLink calls for health-related concerns for all contracted providers. This position is responsible for the ...

KYYBA

Be Seen First

Remote RN Case Manager [MI RNs only]

Detroit, MI · Remote

$35 - $39/hr

Job Title: RN Case Manager Location: 100% Remote Duration: 12+ months License Required: Active & unrestricted Michigan RN license The RN Case Manager serves as the primary point of contact for ...

BJC

Utilization Review Registered Nurse

Remote Registered Nurse Position Join a stable work-from-home team! This is a great opportunity for a local remote position. There is no communication with patients. This position supports all units ...

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Centene Remote Rn information

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How much do centene remote rn jobs pay per week?

As of Jul 2, 2026, the average weekly pay for centene remote rn in the United States is $1,956.10, according to ZipRecruiter salary data. Most workers in this role earn between $1,528.85 and $2,288.46 per week, depending on experience, location, and employer.

Does Centene offer remote work?

Centene offers remote work opportunities for many of its roles, including remote registered nurse (RN) positions. These jobs typically require strong communication skills, relevant certifications, and the ability to work independently in a virtual environment.

Is it hard to get hired by Centene?

Getting hired as a remote RN at Centene can be competitive, as the company values relevant nursing experience, certifications, and strong communication skills. Candidates often undergo multiple interview stages and background checks, and having familiarity with healthcare software and telehealth tools can improve chances of selection.

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 qualifications are needed for Centene remote jobs?

Centene remote RNs typically need a valid nursing license, such as a state-specific RN license, and relevant clinical experience. Additional requirements may include strong communication skills, computer proficiency, and the ability to work independently in a virtual environment.

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.

Is Centene a good company to work for remotely?

Centene offers remote RN positions that typically include flexible schedules and the use of telehealth technology. The company is known for providing benefits and support for remote employees, making it a viable option for nurses seeking remote work. However, individual experiences may vary based on role and location.

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.
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Centene Remote Rn jobs near you
Remote RN - Medical Claims Reviewer

Remote RN - Medical Claims Reviewer

Broadway Ventures

Remote

Full-time

Posted 20 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 Qualifications
Licensure:
  • 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).

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