Remote Grievance & Appeals Nurse; CA RN

Centene Corp. in California seeks a remote nurse reviewer to handle medical necessity grievances, appeals and denials. The role requires CA RN/LPN/LVN licensure and 2+ years of clinical nursing experience, with NCQA and Inter Qual knowledge preferred.

You will review cases, prepare submissions for the Medical Director, and ensure NCQA-compliant communication with members and providers. Flexible schedules and PST alignment support this essential function.

We are seeking a motivated Remote Grievance & Appeals Nurse (CA RN) to join Centene Corp. in United States.

Step into the Remote Grievance & Appeals Nurse (CA RN) role at Centene Corp. in United States and grow with us.

Please review the full job details above before applying.

If your experience matches this role, we encourage you to apply.

All applications are reviewed carefully by our team.