Centene Corporation is seeking a Nurse Reviewer to analyze prior authorization requests to determine medical necessity and appropriate level of care, in alignment with regulatory guidelines and member benefits.
You will collaborate with healthcare providers and internal teams to ensure timely, appropriate authorization decisions and maintain accurate clinical documentation across health management systems.
#J-18808-LjbffrRemote Clinical Review Nurse: Utilization & Authorization in workfromhome at Unknown Company
This position is listed as full time and onsite.