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Centene Rn Jobs (NOW HIRING)

Centene Corp.

$87K - $161K/yr

Key Details Seeking remote RN (speciality pharmacy experience a plus) to work in an Inbound ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Centene Corp.

$87K - $161K/yr

Key Details Seeking remote RN (speciality pharmacy experience a plus) to work in an Inbound ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Centene

Utilization Review Clinician - ABA

$27.02 - $48.55/hr

Board Certified Behavior Analyst (BCBA) required * RN - Registered Nurse - State Licensure and/or ... Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K ...

Centene

Utilization Review Clinician - Behavioral Health

$27.02 - $48.55/hr

LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $27.02 - $48.55 per hour At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that ...

Centene

Utilization Review Clinician - Behavioral Health

$27.02 - $48.55/hr

LMSW, LCSW, LMHC, LPC, LMFT, LMHP or RN required Pay Range: $27.02 - $48.55 per hour At Centene, we connect people to the care they need to live healthier lives - and the work you do here makes that ...

Centene

Utilization Review Clinician - Behavioral Health

$27.02 - $48.55/hr

... Registered Nurse - State Licensure and/or Compact State Licensure required Schedule: Monday-Friday, 8:00 AM-5:00 PM EST Pay Range: $27.02 - $48.55 per hour At Centene, we connect people to the care ...

Centene

Director, Utilization Management

$133K - $247K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure preferred Pay Range: $133,700.00 - $247,400.00 per year At Centene, we connect people to the care they ...

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Centene Rn information

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How much do centene rn jobs pay per hour?

As of Sep 11, 2026, the average hourly pay for centene rn in the United States is $53.41, according to ZipRecruiter salary data. Most workers in this role earn between $39.18 and $65.62 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.

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Centene Rn jobs near you
Infographic showing various Centene Rn job openings in the United States as of September 2026, with employment types broken down into 4% As Needed, 53% Full Time, 13% Part Time, and 30% Contract. Highlights an 99% Physical, and 1% Remote job distribution, with an average salary of $111,085 per year, or $53.4 per hour.

Clinical Review Clinician - Appeals

Jackson, MS • On-site

Centene Corporation
Health Care and Social Assistance • 10K+ employees
Learn more about Centene Corporationexternal

$27.02 - $48.55/hr

Other

Medical, Retirement, PTO

This job post has expired 1 day ago. Applications are no longer accepted.

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 406 frontline employees who took The Breakroom Quiz

Job description

Position Purpose: Performs clinical reviews needed to resolve and process appeals by reviewing medical records and clinical data to determine medical necessity for services in accordance with policies, guidelines, and National Committee for Quality Assurance (NCQA) standards.

Key Details: This is a remote position. Hours are M-F 8:00 am-5:00 pm CST, with weekend on-call rotations and a holiday rotation. Candidates must be fully licensed with one of the approved license/certifications listed below. Behavioral health experience strongly preferred.

  • Prepares case reviews for Medical Directors by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal

  • Ensures timely review, processing, and response to appeal in accordance with State, Federal and NCQA standards

  • Communicates with members, providers, facilities, and other departments regarding appeals requests

  • Generates appropriate appeals resolution communication and reporting for the member and provider in accordance with company policies, State, Federal and NCQA standards

  • Works with leadership to increase the consistency, efficiency, and appropriateness of responses of all appeals requests

  • Partners with interdepartmental teams to improve clinical appeals processes and procedures to prevent recurrences based on industry best practices

  • Performs other duties as assigned

  • Complies with all policies and standards

Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.

Knowledge of NCQA, Medicare and Medicaid regulations preferred.

Knowledge of utilization management processes preferred.

License/Certification:

  • LPN - Licensed Practical Nurse - State Licensure required or

  • LVN - Licensed Vocational Nurse required or

  • RN - Registered Nurse - State Licensure and/or Compact State Licensure required or

  • 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 Psychologist required

Pay Range: $27.02 - $48.55 per hour

At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.

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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