Clinical Review Nurse - Prior Authorization (RN)
Centene
420d•$54,018 - $97,094•Remote
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About The Position
The Clinical Review Nurse - Prior Authorization (RN) plays a crucial role in analyzing prior authorization requests to determine the medical necessity of services and the appropriate level of care. This position is part of the Medical Management/Health Services team at Centene, which serves 28 million members. The role involves collaboration with healthcare providers and internal teams to ensure timely and effective medical care while adhering to regulatory guidelines and contractual requirements.
