Clinical Review Nurse - Prior Authorization

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

**Work Location**
This is a fully remote role. Candidates must hold active New York State Registered Nurse (RN) licensure and be willing to work Eastern Time (ET/EST) hours.

**Licensure Requirement**
Active and unrestricted New York State Registered Nurse (RN) licensure is strongly preferred for consideration.

**Schedule**
This position follows a Monday–Friday schedule from **8:30 AM to 5:00 PM Eastern Time (ET/EST)** , with a one‑hour assigned lunch break. Candidates must be able to work during these hours.

**Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with nati...