Remote Clinical Appeals & Utilization Coordinator
Grand Island, Hall County, Nebraska, 68801, USA
Listed on 2026-10-31
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Nursing
Centene Management Company LLC is seeking an experienced RN/LPN/LVN to act as liaison for statewide appeals and fair hearings. You will review clinical data to assess medical necessity and prepare compliant response letters for members and providers.
The role requires coordinating with Medical Directors and maintaining thorough appeal files, with emphasis on NCQA and state regulations. Experience in utilization management or managed care is preferred.
As a Remote Clinical Appeals & Utilization Coordinator, you will play an important part at Centene Management Company LLC in NE, United States.
Are you ready to take on the Remote Clinical Appeals & Utilization Coordinator role at Centene Management Company LLC?
We would love to welcome a new Remote Clinical Appeals & Utilization Coordinator to our group in NE, United States.
For the Remote Clinical Appeals & Utilization Coordinator position at Centene Management Company LLC, we are reviewing applications now.
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