Clinical Appeals Coordinator
Centene Corporation · Niger
Utilization Review
Remote/Hybrid — check advert
Nurse
Demand78
Career growth65
Healthcare fit82
Remote potential70
5-year outlook
Posted hourly range is $33.71-$60.67, which is competitive for payer-side appeals/utilization roles. Five-year growth likely depends on moving into utilization management leadership, quality, appeals management, or related payer operations roles rather than automatic progression.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-25
Intelligence details
Flexible work details
- Side income
- Classified as side-income friendly
- Engagement type
- Permanent
- Hours
- Full-time
- Profession fit
- Nurse
- Rate period
- Hourly
Why this was classified this way
- part-time
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
Worth applying for licensed nurses or allied/behavioral clinicians who want payer-side utilization and appeals work and can leverage case management or managed care experience. Less compelling for clinicians without utilization review exposure or those seeking direct patient care.
Who should apply
RNs, LPNs/LVNs, behavioral health licensed clinicians, and PT/OT/SLP professionals with clinical experience who are interested in managed care, utilization review, appeals, or payer operations.
CV angle
Frame clinical experience as payer-relevant: highlight years of licensed practice, case management, utilization review, appeals or dispute resolution, documentation quality, regulatory compliance, and interdisciplinary collaboration. Quantify caseloads, review volumes, and managed care exposure only where real.
Skills to highlight
- Clinical appeals review
- Utilization review/management
- Case management
- Managed care
- Regulatory compliance
- Clinical documentation review
- Interdisciplinary collaboration
- Behavioral health/therapy utilization review
Role summary
Payer-side coordinator reviewing clinical appeals and utilization management cases for Centene/Superior HealthPlan, applying clinical licensure and criteria to support coverage decisions and compliance.
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