RN Supervisor, Appeals, Managed Care, UM

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.

**NOTE: REMOTE RN candidates may reside in any state but a current and active RN license from the state of California is strongly preferred**

**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.

+ Monitors and tracks UM resources to ensure adherence to performance, compliance, quality, and efficiency standards
+ Collaborates with utilization management team to resolve complex care member issues
+ Maintains knowledge of regulations, accreditation standards, and industry best practices related to utilization m...