Clinical Review Nurse - Prior Authorization
Job Description
About the Role
Centene seeks a Clinical Review Nurse to analyze prior authorization requests remotely. This role ensures medical necessity and appropriate care levels for members.
Key Responsibilities
- Review authorization requests for medical necessity.
- Collaborate with providers and medical teams.
- Assist with discharge planning and documentation.
- Educate providers on utilization processes.
Requirements
- Graduate of accredited nursing school.
- LPN license required.
- 2-4 years clinical experience preferred.
- Knowledge of Medicare/Medicaid regulations preferred.
Benefits & Compensation
- Hourly pay $27.02 to $48.55.
- Health insurance, 401K, tuition reimbursement.
- Paid time off and holidays.
Work Schedule
- Remote position.
- Schedule details not specified.
This role offers a flexible remote work environment with competitive pay and benefits. Join a national leader in healthcare management.
Position Insights
Work-Life Balance Analysis
WeekdayDoc's proprietary algorithm rates Clinical Review Nurse - Prior Authorization at Centene a 7.5 out of 10 for work-life balance — classified as very good. This places the position in the top 10% of all Case Management registered nurse listings evaluated on our platform. Contributing factors include no weekend requirements, remote work flexibility.
Positions in this range offer a solid balance between clinical responsibility and personal time. Most providers report manageable workloads with adequate recovery time.
Case Management — Registered Nurse Career Context
This Case Management position at Centene is open to registered nurse candidates.
Registered Nurses have diverse career pathways from bedside care to telehealth triage, care coordination, and leadership roles with increasingly flexible scheduling options.
Remote registered nurse positions in Case Management have grown significantly in recent years, offering clinicians the ability to maintain a full patient panel without geographic constraints or commute-related burnout.
Compensation Analysis
Centene lists compensation for this registered nurse position at $56k to $101k annually.
This position also offers production-based compensation: $100984 per hourly. Production bonuses can significantly increase total earnings above the stated base salary range.
Location & Logistics
This is a fully remote registered nurse position. Remote clinicians can practice from any state where they hold an active license, eliminating commute time and offering maximum schedule flexibility. Many remote healthcare positions also allow providers to establish a more sustainable long-term practice pattern.
Why This Position Stands Out
- No weekend shifts — preserving personal and family time
- Fully remote — work from anywhere with an active license
- Transparent compensation ($56k–$101k)
Skills, Responsibilities & Benefits
Benefits package: Health Insurance, 401K, Paid Time Off, Paid Holidays, Tuition Reimbursement. A comprehensive benefits package is an important factor in evaluating total compensation beyond base salary.
About WeekdayDoc
WeekdayDoc is the only healthcare job board that scores every position for burnout risk and work-life balance. Every listing includes a proprietary burnout score, transparent salary data when available, and lifestyle filters for no-call, no-weekends, and remote positions. Browse more Case Management registered nurse jobs on WeekdayDoc to compare work-life balance scores and compensation across employers.
Benefits & Perks
Work-Life Balance Score
Protective Factors (2)
Remote work (RR 0.57; 14-23% ↓ burnout)
No weekends (57% ↓ work-life conflict)
Interpretation: Position shows moderate burnout protection with 2 validated protective factors.
Job Details
Employment Type
Part-time
Posted
2mo ago
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