Centene Corporation seeks a licensed nurse to analyze prior authorization requests, determine medical necessity, and promote appropriate levels of care. The role collaborates with healthcare providers and internal teams to ensure timely reviews and compliant documentation across health management systems.
The position supports provider education on utilization processes, escalation to Medical Directors when needed, and discharge planning, offering flexible remote work options within the United
#J-18808-LjbffrRemote Clinical Review Nurse (Utilization & Authorization) in workfromhome at Unknown Company
This position is listed as full time and able to be worked remotely.