Remote Utilization Review Nurse - Appeals (Etobicoke)

Remote Utilization Review Nurse - Appeals (Etobicoke)

05 Nov
|
Centene
|
Etobicoke

05 Nov

Centene

Etobicoke

Centene Corporation is seeking a fully remote Appeals Nurse Reviewer to conduct clinical reviews of medical records and data to determine medical necessity under NCQA standards.

The role supports NY-state regulatory considerations and operates Monday–Friday from a fully remote setting.

Requirements include an active NY RN license (BSN preferred), 2+ years in acute care or utilization management, and knowledge of NCQA and NY Medicaid/Medicare regulations. #J-18808-Ljbffr

📌 Remote Utilization Review Nurse - Appeals (Etobicoke)
🏢 Centene
📍 Etobicoke

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