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Centene Rn Jobs in Oregon (NOW HIRING)

Centene

Clinical Appeals Coordinator

OR · On-site +1

$33.71 - $60.67/hr

Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. RN, LVN/LPN - Licensed in Oregon Pacific Time Work Hours Position ...

Centene

Clinical Data Audit Consultant

OR · On-site +1

$33.71 - $60.67/hr

Licensed Clinician and/or RN required. Must have and maintain current, valid and unrestricted clinical license. Pay Range: $33.71 - $60.67 per hour At Centene, we connect people to the care they need ...

Centene

RN Readmission Manager, Payment Integrity

OR · On-site +1

Centene is transforming the health of our communities, one person at a time. As a diversified ... A Licensed RN paired with a Coding Credential is the candidate this team is seeking for this ...

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$15

$56

$96

How much do centene rn jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for centene rn in Oregon is $56.47, according to ZipRecruiter salary data. Most workers in this role earn between $41.44 and $69.38 per hour, depending on experience, location, and employer.

What is a Centene RN?

A Centene RN (Registered Nurse) job typically involves providing care management, health assessments, and coordination of services for members within Centene's healthcare plans. RNs in this role may work remotely or in the field, collaborating with providers and care teams to ensure patients receive appropriate medical services. Responsibilities often include reviewing clinical data, educating members on health conditions, and advocating for quality care. This position is ideal for nurses with case management, utilization review, or managed care experience.

What are the main responsibilities of a Centene RN on a day-to-day basis?

As a Centene RN, your daily responsibilities typically include reviewing patient cases for medical necessity, coordinating care with healthcare providers, conducting telephonic patient assessments, and facilitating transitions of care. You'll work closely with providers, social workers, and other team members to help ensure members receive appropriate, cost-effective care aligned with Centene’s policies and guidelines. The role involves significant documentation and communication using healthcare management software. Expect a balance of independent work and collaboration within a supportive team environment. This position is ideal for nurses who enjoy leveraging clinical expertise in a case management or care coordination setting.

What are the key skills and qualifications needed to thrive in the Centene RN position, and why are they important?

A Centene RN requires current RN licensure, solid clinical judgment, and experience in case management or utilization review. Familiarity with healthcare management systems, electronic health records (EHRs), and case management platforms like InterQual or Milliman is often needed. Strong organizational skills, empathy, and the ability to communicate effectively with diverse patient populations and interdisciplinary teams set top candidates apart. These capabilities are crucial for delivering high-quality, patient-centered care and ensuring compliance within Centene's managed care environment.

What are the most commonly searched types of Centene Rn jobs in Oregon?

The most popular types of Centene Rn jobs in Oregon are:

What are popular job titles related to Centene Rn jobs in Oregon?

For Centene Rn jobs in Oregon, the most frequently searched job titles are:

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Centene Rn jobs near you
Infographic showing various Centene Rn job openings in Oregon as of August 2026, with employment types broken down into 3% As Needed, 52% Full Time, 17% Part Time, and 28% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $117,449 per year, or $56.5 per hour.

Clinical Appeals Coordinator

Centene

OR • On-site, Remote

$33.71 - $60.67/hr

Full-time

Medical, Retirement, PTO

Posted 8 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 404 frontline employees who took The Breakroom Quiz

14th of 891 rated healthcare providers

Job description

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

RN, LVN/LPN - Licensed in Oregon

Pacific Time Work Hours

Position Purpose:
Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all appeal letters generated comply with both State and NCQA requirements.

  • Review clinical information for all appeals utilizing nationally recognized criteria to determine medical necessity of services requested.
  • Prepare reviews for cases that did not meet criteria
  • Gather, analyze and report verbal and written information regarding member and provider clinical appeals, including information follow up
  • Prepare response letters for member and provider clinical appeals and ensure letters are compliant with State and NCQA standards.
  • Maintain files and logs for all appeals
  • Coordinate with Medical Director(s) to clarify medical determinations or clinical rationale
  • Maintain current knowledge of NCQA and State regulations
  • Coordinate Fair Hearings with various internal departments and agencies
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience:
RN with 4+ years of clinical nursing and/or case management experience or LPN/LVN with 5+ years of clinical nursing or case management experience. Managed care or utilization review experience preferred.
License/Certification: LPN, LVN, or RN license.
Specialty Therapy Requirement: Master's degree in area of specialty therapy or equivalent experience. 3+ years of experience providing therapy services in healthcare or home health settings. Managed care or utilization review experience preferred.

Pay Range: $33.71 - $60.67 per hour

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

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