Remote Lead Clinical Review Nurse: Utilization

5 days ago


California, United States Centene Corporation Full time

A leading healthcare organization is seeking a Lead Clinical Review Nurse to oversee correspondence letters and ensure compliance with regulatory standards. The remote position requires a licensed nursing professional with 5-7 years of experience in utilization management. The nurse will manage audits, provide expert insights, and oversee clinical quality initiatives. The role offers a flexible work schedule with competitive pay between $35.49 - $63.79 per hour, along with comprehensive benefits. Ideal candidates will possess deep knowledge of Medicare and Medicaid regulations. #J-18808-Ljbffr



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