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Remote Licensed Clinical Review Clinician
Remote / Online - Candidates ideally in
Jacksonville, Duval County, Florida, 32290, USA
Listed on 2026-07-13
Jacksonville, Duval County, Florida, 32290, USA
Listing for:
Centene Corporation
Full Time, Remote/Work from Home
position Listed on 2026-07-13
Job specializations:
-
Healthcare
Healthcare Administration, Mental Health
Job Description & How to Apply Below
Centene Corporation is seeking a full-time Licensed Clinical Review Clinician to perform clinical reviews of medical records and data to determine medical necessity for services. The role is remote and adheres to NCQA and state/federal standards.
Responsibilities include preparing case reviews for Medical Directors, ensuring timely processing of appeals, and communicating with members, providers, and other departments. Requires nursing licensure and related experience.
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