Austin, TX · On-site
$27.02 - $48.55/hr
Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. RN, LCSW, LPC, LMHC, LMFT, LMHP - Must be licensed in Texas ...
Austin, TX · On-site
$27.02 - $48.55/hr
Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility. RN, LCSW, LPC, LMHC, LMFT, LMHP - Must be licensed in Texas ...
$14.53 - $21.40
2% of jobs
$21.40 - $28.27
3% of jobs
$28.27 - $35.13
13% of jobs
$38.57 is the 25th percentile. Wages below this are outliers.
$35.13 - $42
14% of jobs
$42 - $48.87
16% of jobs
The median wage is $50.01 / hr.
$48.87 - $55.73
13% of jobs
$55.73 - $62.60
14% of jobs
$62.94 is the 75th percentile. Wages above this are outliers.
$62.60 - $69.47
11% of jobs
$69.47 - $76.33
6% of jobs
$76.33 - $83.20
6% of jobs
$83.20 - $90.07
2% of jobs
$14
$52
$90
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.
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.
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.
The most popular types of Centene Rn jobs in Austin, TX are:
For Centene Rn jobs in Austin, TX, the most frequently searched job titles are:
The top searched job categories for Centene Rn jobs in Austin, TX are:
Cities near Austin, TX with the most Centene Rn job openings:
$27.02 - $48.55/hr
Other
Medical, Retirement, PTO
Posted 4 days ago
8.4
Based on 404 frontline employees who took The Breakroom Quiz
14th of 891 rated healthcare providers
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, LCSW, LPC, LMHC, LMFT, LMHP - Must be licensed in Texas
Outpatient Behavioral Health Experience
Position Purpose: Performs a clinical review and assesses care related to mental health and substance abuse. Monitors and determines if level of care and services related to mental health and substance abuse are medically appropriate.
Evaluates member’s treatment for mental health and substance abuse before, during, and after services to ensure level of care and services are medically appropriate
Performs prior authorization reviews related to mental health and substance abuse to determine medical appropriateness in accordance with regulatory guidelines and criteria
Performs concurrent review of behavioral health (BH) inpatient to determine overall health of member, treatment needs, and discharge planning
Analyzes BH member data to improve quality and appropriate utilization of services
Provides education to providers members and their families regrading BH utilization process
Interacts with BH healthcare providers as appropriate to discuss level of care and/or services
Engages with medical directors and leadership to improve the quality and efficiency of care
Formulates and presents cases in staffing and integrated rounds
Performs other duties as assigned.
Complies with all policies and standards.
Education/Experience: Requires Graduate of an Accredited School Nursing or Bachelor's degree and 2 – 4 years of related experience.
License to practice independently, and/or have obtained the state required licensure as outlined by the applicable state required.
Master’s degree for behavioral health clinicians required.
Clinical knowledge and ability to review and/or assess treatment plans related to mental health and substance abuse preferred.
Knowledge of mental health and substance abuse utilization review process preferred.
Experience working with providers and healthcare teams to review care services related to mental health and substance abuse preferred.
License/Certification:
LCSW- License Clinical Social Worker required or
LMHC-Licensed Mental Health Counselor required or
LPC-Licensed Professional Counselor required or
Licensed Marital and Family Therapist (LMFT) required or
Licensed Mental Health Professional (LMHP) required or
RN - Registered Nurse - State Licensure and/or Compact State Licensure required
Pay Range: $27.02 - $48.55 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
Sourced by ZipRecruiter
Health care and social assistance
10,000+ Employees
Saint Louis, MO, US
1984
