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Virtual Centene Rn Jobs (NOW HIRING)

Centene

Clinical Review Nurse - Concurrent Review

OR · Remote

$27.02 - $48.55/hr

... Registered Nurse - State Licensure and/or Compact State Licensure For State of Nevada required Pay Range: $27.02 - $48.55 per hour Centene offers a comprehensive benefits package including ...

RN

Assessment Registered Nurse - MLTC

Syracuse, NY · On-site

$80K - $100K/yr

Conduct in-home and virtual assessments of prospective and current health plan members. * Evaluate ... License: Registered Nurse (RN) licensed and in good standing in New York State * Education:

RN

Assessment Registered Nurse - MLTC

Binghamton, NY

$80K - $100K/yr

Conduct in-home and virtual assessments of prospective and current health plan members. * Evaluate ... License: Registered Nurse (RN) licensed and in good standing in New York State * Education:

RN

Assessment Registered Nurse - MLTC

Syracuse, NY

$80K - $100K/yr

Conduct in-home and virtual assessments of prospective and current health plan members. * Evaluate ... License: Registered Nurse (RN) licensed and in good standing in New York State * Education:

RN

Assessment Registered Nurse - MLTC

Syracuse, NY

$80K - $100K/yr

Conduct in-home and virtual assessments of prospective and current health plan members. * Evaluate ... License: Registered Nurse (RN) licensed and in good standing in New York State * Education:

RN

Hospital at Home, Registered Nurse

Syracuse, NY

$75.25K - $87.14K/yr

Engaging in multiple nursing visits per day, using remote patient monitoring and virtual visits to ... Nursing: License and current registration as a Registered Professional Nurse in New York State

RN

Hospital at Home, Registered Nurse

Syracuse, NY

$75.25K - $87.14K/yr

Engaging in multiple nursing visits per day, using remote patient monitoring and virtual visits to ... Nursing: License and current registration as a Registered Professional Nurse in New York State

RN

Hospital at Home, Registered Nurse

Syracuse, NY · On-site

$75.25K - $87.14K/yr

Engaging in multiple nursing visits per day, using remote patient monitoring and virtual visits to ... Nursing: License and current registration as a Registered Professional Nurse in New York State

Houston Methodist

The Virtual ICU RN position is a licensed staff nurse, who as an advanced clinician, functions at the Proficient level according to Benner's model of clinical practice. The Virtual ICU RN position ...

Goshen Health

RN Virtual Nurse

Goshen, IN · On-site +1

Position Qualifications for Virtual RN: Minimum Education: Registered nurse with a valid Indiana State RN license. May 1, 2016, Colleagues hired with an Associate's Degree must enter into a BSN ...

Goshen Health

RN Virtual Nurse

Goshen, IN · On-site

Position Qualifications for Virtual RN: Minimum Education: Registered nurse with a valid Indiana State RN license. May 1, 2016, Colleagues hired with an Associate's Degree must enter into a BSN ...

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How much do virtual centene rn jobs pay per year?

As of May 29, 2026, the average yearly pay for virtual centene rn in the United States is $85,659.00, according to ZipRecruiter salary data. Most workers in this role earn between $60,000.00 and $110,000.00 per year, depending on experience, location, and employer.

What is the difference between Virtual Centene Rn vs Virtual UnitedHealthcare Rn?

AspectVirtual Centene RnVirtual UnitedHealthcare Rn
Required CredentialsRegistered Nurse (RN) license, relevant certificationsRegistered Nurse (RN) license, relevant certifications
Work EnvironmentRemote, telehealth setting, healthcare insurance industryRemote, telehealth setting, healthcare insurance industry
Employer & Industry UsageCentene Corporation, managed care and health insuranceUnitedHealthcare, managed care and health insurance
Common Search & ComparisonYesYes

The Virtual Centene Rn and Virtual UnitedHealthcare Rn roles are similar in credentials, work environment, and industry. Both are remote nursing positions within the healthcare insurance sector, requiring an RN license and relevant certifications. The main difference lies in the employer and specific company policies, but their job functions and work settings are largely comparable.

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Virtual Centene Rn jobs near you
Clinical Review Nurse - Concurrent Review

Clinical Review Nurse - Concurrent Review

Centene

Remote

$27.02 - $48.55/hr

Full-time

Medical, Retirement, PTO

Posted 15 days ago

Centene rating

8.4

Company rating: 8.4 out of 10

Based on 382 frontline employees who took The Breakroom Quiz

32nd of 864 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: Performs concurrent reviews, including determining member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies and guidelines. Assists evaluating inpatient services to validate the necessity and setting of care being delivered to the member.

This is a 100% remote position that supports out Health Plan in Oregon, must have or willing to obtain an OR License. Prefer candidate to reside in Central, Mountain or Pacific Time Zones.

  • Performs concurrent reviews of member for appropriate care and setting to determine overall health and appropriate level of care
  • Reviews quality and continuity of care by reviewing acuity level, resource consumption, length of stay, and discharge planning of member
  • Works with Medical Affairs and/or Medical Directors as needed to discuss member care being delivered
  • Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member medical records in health management systems according to utilization management policies and guidelines
  • Works with healthcare providers to approve medical determinations or provide recommendations based on requested services and concurrent review findings
  • Assists with providing education to providers on utilization processes to ensure high quality appropriate care to members
  • Provides feedback to leadership on opportunities to improve appropriate level of care and medically necessity based on clinical policies and guidelines
  • Reviews member's transfer or discharge plans to ensure a timely discharge between levels of care and facilities
  • Collaborates with care management on referral of members as appropriate
  • 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. 2+ years of acute care experience required.
Clinical knowledge and ability to determine overall health of member including treatment needs and appropriate level of care preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:

  • LPN - Licensed Practical Nurse - State Licensure required
  • RN - Registered Nurse - State Licensure and/or Compact State Licensure For State of Nevada 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

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