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Centene Rn Jobs in Edwardsville, IL (NOW HIRING)

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$13

$50

$85

How much do centene rn jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for centene rn in Edwardsville, IL is $50.11, according to ZipRecruiter salary data. Most workers in this role earn between $36.78 and $61.59 per hour, depending on experience, location, and employer.

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 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 most commonly searched types of Centene Rn jobs in Edwardsville, IL? The most popular types of Centene Rn jobs in Edwardsville, IL are:
What job categories do people searching Centene Rn jobs in Edwardsville, IL look for? The top searched job categories for Centene Rn jobs in Edwardsville, IL are:
What cities near Edwardsville, IL are hiring for Centene Rn jobs? Cities near Edwardsville, IL with the most Centene Rn job openings:
Centene Rn jobs near you
Infographic showing various Centene Rn job openings in Edwardsville, IL as of July 2026, with employment types broken down into 100% Full Time. Highlights an 60% In-person, and 40% Remote job distribution, with an average salary of $104,227 per year, or $50.1 per hour.

Supervisor, Utilization Management (RN)

Centene

Saint Louis, MO • On-site, Remote

$75K - $135K/yr

Full-time

Medical, Retirement, PTO

Posted 23 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 402 frontline employees who took The Breakroom Quiz

23rd of 887 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.

Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.
  • Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
  • Collaborates with utilization management team to resolve complex care member issues
  • Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization management
  • Works with utilization management team and senior management to identify opportunities for process and quality improvements within utilization management
  • Educates and provides resources for utilization management team on key initiatives and to facilitate on-going communication between utilization management team, members, and providers
  • Monitors prior authorization, concurrent review, and/or retrospective clinical review nurses and ensures compliance with applicable guidelines, policies, and procedures
  • Works with the senior management to develop and implement UM policies, procedures, and guidelines that ensure appropriate and effective utilization of healthcare services
  • Evaluates utilization management team performance and provides feedback regarding performance, goals, and career milestones
  • Provides coaching and guidance to utilization management team to ensure adherence to quality and performance standards
  • Assists with onboarding, hiring, and training utilization management team members
  • Leads and champions change within scope of responsibility
  • 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 4+ years of related experience.
Knowledge of utilization management principles preferred.
License/Certification:

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required
  • CA RN LICENSE REQUIRED
Pay Range: $75,300.00 - $135,400.00 per year

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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