Clinical Review Nurse - Concurrent Review
Centene Corporation · Gabon
Utilization Review
Remote/Hybrid — check advert
Nurse
Demand80
Career growth60
Healthcare fit78
Remote potential85
Salary band
USD 27 – 49
5-year outlook
Stable demand in managed care; compensation likely grows modestly with experience and shift into senior utilization review, quality, or care management leadership. Exact figures vary by state and licensure.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-07
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
A solid non-bedside option for nurses with acute care experience who want remote/hybrid utilization review work. Consider if you value predictable hours and managed care exposure, but clarify the Georgia/Nevada licensure requirement before applying.
Who should apply
RNs or LPNs with 2+ years acute care experience, compact licensure, and interest in utilization management, managed care, or care coordination. Less suitable for clinicians without an active nursing license.
CV angle
Frame acute care experience around medical necessity, level-of-care determination, discharge planning, interdisciplinary collaboration, and documentation. Quantify caseloads, length-of-stay reviews, and payer/regulatory knowledge (Medicare/Medicaid).
Skills to highlight
- Concurrent Review
- Utilization Management
- Discharge Planning
- Medical Necessity
- Care Coordination
- Medicare/Medicaid Regulations
- Clinical Documentation
- Acute Care Assessment
Role summary
A utilization review nurse role performing concurrent reviews for Ambetter marketplace members in Georgia, assessing appropriate care setting, acuity, resource use, length of stay, and discharge planning while collaborating with providers and medical directors.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.