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Remote Clinical Appeals Reviewer: RN; Medical Necessity
Remote / Online - Candidates ideally in
Enid, Garfield County, Oklahoma, 73702, USA
Listed on 2026-07-27
Enid, Garfield County, Oklahoma, 73702, USA
Listing for:
Centene Corporation
Remote/Work from Home
position Listed on 2026-07-27
Job specializations:
-
Nursing
RN Nurse, Healthcare Nursing
Job Description & How to Apply Below
Centene Corporation seeks a clinical RN/approved nurse to perform reviews for appeals and determine medical necessity per NCQA standards. The role requires nursing licensure and 2–4 years of related experience, with flexibility to work remotely across the U.S.
Responsibilities include preparing case reviews, ensuring timely processing, and communicating with members, providers, and departments. Licensure options include RN/LPN/LVN and related mental health credentials; compensation reflects
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