Position Purpose: Supervises Prior Authorization, Concurrent Review, and/or Retrospective Review Clinical Review team to ensure appropriate care to members. Supervises day-to-day activities of utilization management team.
Key Details: A current California RN license is required for this RN Supervisor role, as the position provides oversight of California-based RN clinical staff and supports the delivery of care for California members. Candidates must be available to work Monday through Friday, 8:00 a.m. to 5:00 p.m. *Pa*cific Time. Candidates with 3–5 years of direct experience managing appeals and has a strong understanding of utilization management principles within a managed care environment are highly preferred, as this expertise is critical to success in the role.
Education/ExperienceRequires Graduate of an Accredited School Nursing or Bachelor's degree and 4+ years of related experience. Knowledge of appeals and utilization management principles.
Preferred Experience
License/Certification
Pay Range: $75,300.00 - $135,400.00 per year
At Centene, we connect people to the care they need to live healthier lives — and the work you do here makes that impact real every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making healthcare more accessible and effective. It’s work with a purpose you can see, backed by a team committed to improving lives well beyond the workday.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
