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Remote Grievance & Appeals Nurse (CA RN)

Centene Corp.

New York, NY
  • Remote job

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 InterQual 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. #J-18808-Ljbffr Centene Corp.

Vacancy posted 8 hours ago
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