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Contractual Centene Lpn Jobs (NOW HIRING)

Centene is a diversified, national organization offering competitive benefits including a fresh ... License/Certification: Current state's RN, LPN, or LVN license. Must be licensed in California.

New

Care Navigator - LPN / LVN

$22.94 - $38.79/hr

Centene is transforming the health of our communities, one person at a time. As a diversified ... A Missouri LPN / LVN license is highly preferred. The work schedule is Monday - Friday, 8am - 5pm ...

Centene is a diversified, national organization offering competitive benefits including a fresh ... License/Certification: Current state's RN, LPN, or LVN license. Must be licensed in California.

New

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 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 ...

LPN

Morganfield, KY · On-site

$27/hr

LPN Position at Earle S. Clements Job Corps Center Pay: $27 per hour Position: LPN Schedule ... Review and audit all assigned areas regularly for contractual compliance and effectiveness of ...

Quality Practice Advisor

$27.02 - $48.55/hr

CADC, CCS, LPN, LCSW, LMHC, LMSW, LMFT, LVN, RN, APRN, HCQM, CHP, CPHQ, CPC, CPC-A, or CBCS, + 3 years HEDIS experience Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits ...

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Contractual Centene Lpn information

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$15

$29

$43

How much do contractual centene lpn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for contractual centene lpn in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $33.65 per hour, depending on experience, location, and employer.

What is a Contractual Centene LPN?

Contractual Centene LPNs are Licensed Practical Nurses (LPNs) who work for Centene Corporation on a contract basis, rather than as full-time employees. They provide nursing care and support, often in managed care settings, and may assist with patient assessments, care coordination, and medical documentation. Their role can vary depending on the specific contract, but they typically support healthcare teams in delivering quality patient care. Working contractually allows for flexibility and may involve assignments at various healthcare facilities or remotely.

What are the key skills and qualifications needed to thrive as a Contractual Centene LPN?

To thrive as a Contractual Centene LPN, you need a valid LPN license, strong clinical skills, and experience in patient care, particularly in managed care or insurance-driven environments. Familiarity with electronic health records (EHRs), care management software, and documentation systems is typically required. Strong communication, attention to detail, and adaptability are vital soft skills for interacting with patients, families, and interdisciplinary teams. These skills ensure effective patient care coordination, compliance with Centene's standards, and overall quality outcomes in a contractual healthcare setting.

What are some common challenges faced by Contractual Centene LPNs, and how can applicants prepare for them?

Contractual Centene LPNs often work in dynamic healthcare settings where they must quickly adapt to varying patient needs, shifting schedules, and diverse care teams. One common challenge is managing a high patient volume while maintaining quality care and thorough documentation, especially when working across multiple facilities. Applicants can prepare by honing their organizational and communication skills, staying current with Centene’s protocols, and being flexible with work assignments. Building strong relationships with interdisciplinary team members also helps LPNs navigate challenges and ensures effective patient care.

What is the difference between Contractual Centene Lpn vs Contractual Centene Medical Assistant?

AspectContractual Centene LpnContractual Centene Medical Assistant
CredentialsLicensed Practical Nurse (LPN) licenseCertified Medical Assistant (CMA) or Medical Assistant (MA) certification
Work EnvironmentClinics, long-term care, home healthDoctor's offices, clinics, outpatient settings
Employer & IndustryHealthcare providers, insurance companies like CenteneHealthcare facilities, outpatient clinics, insurance providers

Contractual Centene Lpn and Contractual Centene Medical Assistant roles both serve in healthcare settings but differ mainly in credentials and responsibilities. LPNs provide direct patient care with nursing duties, while Medical Assistants handle administrative and basic clinical tasks. Both roles are essential in supporting patient care within the healthcare industry.

What cities are hiring for Contractual Centene Lpn jobs?

Cities with the most Contractual Centene Lpn job openings:

What are the most commonly searched types of Centene Lpn jobs?

The most popular types of Centene Lpn jobs are:

What states have the most Contractual Centene Lpn jobs?

States with the most job openings for Contractual Centene Lpn jobs include:

Grievance and Appeals Nurse (State)

Centene

Remote

$27.02 - $48.55/hr

Full-time

Medical, Retirement, PTO

Posted 3 days ago

New


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.

Must be licensed in California. Will work on PST hours.

Position Purpose:
Facilitate medical necessity grievance, appeals and denials including disposition of denials notification letters, review of clinical information to determine if medical necessity criteria are met

  • Review clinical data to determine claim payment based on company policies and National Committee for Quality Assurance (NCQA) guidelines, including overturning denied claims, upholding the denials and submitting cases to the Medical Director for review
  • Recognize and identify potential quality care concerns by reviewing member grievances and potential quality issue cases.
  • Prepare case review for the Medical Director in cases where criteria are not met based on the additional clinical information received
  • Identify system improvements or individual care issues that result in failure to provide appropriate care to members or fail to meet service expectations
  • Provide input into corrective action plans for clinical and service events to improve decision-making or quality of care and services for internal and provider partner decisions
  • Generate appropriate appeal resolution communication to the member and provider in accordance with company policies and NCQA guidelines.
  • Create system authorization events for overturned denial decisions
  • Request additional information, as appropriate from provider(s) to facilitate timely appeals resolution
  • Gather and prepare case information for Administrative Law Hearings
  • Maintain appeals process within the prescribed NCQA timeframes and appeals turnaround database
  • Assist the Medical Director with revising, updating and/or creating new policies to satisfy NCQA and contractual requirements
  • May act as liaison between the provider and business to resolve issues
  • Performs other duties as assigned
  • Complies with all policies and standards

Education/Experience:
LPN or LVN with 3+ years of clinical nursing experience or RN with 2+ years of clinical nursing experience. Experience with utilization or appeals review preferred. Knowledge of InterQual criteria preferred.
License/Certification: Current state's RN, LPN, or LVN license.

Must be licensed in California.
Location: Position is remote. Will work PST hours.

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


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