Clinical Review Nurse - Prior Authorization

Centene

New York, US
Base: $27.02 - $48.55 ph; bonus/equity: not specif...
Hybrid
Active new york state rn licensure required
Ability to work eastern time hours
Experience analyzing authorization requests
This fully remote role requires an active New York State Registered Nurse license and availability during Eastern Time business hours

Job Summary

  • This fully remote role requires an active New York State Registered Nurse license and availability during Eastern Time business hours.
  • The position involves analyzing prior authorization requests to determine medical necessity and ensuring timely care for 28 million members.
  • Centene offers a comprehensive benefits package including competitive pay, health insurance, 401K, and tuition reimbursement.

Matching Summary

This fully remote role requires an active New York State Registered Nurse license and availability during Eastern Time business hours.

Salary

Base: $27.02 - $48.55 per hour; Bonus/Equity: Not specified; Benefits: Health insurance, 401K, stock purchase plans, tuition reimbursement, paid time off

Skills & Requirements

Must-have

  • Active New York State RN licensure required
  • Ability to work Eastern Time hours
  • Experience analyzing authorization requests

Nice-to-have

  • Knowledge of Medicare and Medicaid regulations
  • Familiarity with utilization management processes
  • Experience in clinical knowledge analysis

Key Requirements

  • Graduate from Accredited School of Nursing or Bachelor's degree in Nursing
  • 2-4 years of related experience
  • Active and unrestricted New York State RN licensure

Work Rights

Must have NYS RN Licensure

Tailored Resume

Cover Letter