Entry Level Clinical Review Coordinator Jobs
New grad clinical review coordinator jobs welcome recent graduates and entry level candidates with zero to two years of experience, where strong internship work or a healthcare administration background can matter more than a long resume. Most openings reflect Insurance, Technology & Software, and Government & Public Sector demand, with employers like Centene, Adventist Health, and CorVel Corporation hiring at this level now.
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Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
Key Details: Remote Role. Texas RN License Required.
- Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
- Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care
- Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member
- Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
- Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
- Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines
- Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members
- Provides feedback on opportunities to improve the authorization review process for members
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.
Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:
- For Superior Health Plan: RN license required
Pay Range: $27.02 - $48.55 per hour
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.
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
Key Details: Remote Role. Texas RN License Required.
- Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
- Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care
- Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member
- Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
- Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
- Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines
- Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members
- Provides feedback on opportunities to improve the authorization review process for members
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.
Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:
- For Superior Health Plan: RN license required
Pay Range: $27.02 - $48.55 per hour
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.
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Entry Level Clinical Review Coordinator Jobs: Frequently Asked Questions
How do I get an entry level clinical review coordinator job?
Start by highlighting any healthcare coursework, clinical internships, or administrative experience that shows familiarity with medical terminology and utilization review processes. Employers at this level often look for candidates with a background in nursing, health information management, or a related allied health field. Certifications like a Certified Professional Coder credential or exposure to electronic health records can give you a real edge over other entry level applicants.
Which companies hire entry level clinical review coordinators?
Companies hiring entry level clinical review coordinators right now include Centene, Adventist Health, and CorVel Corporation, based on current listings on Migrate Mate as of November 2026. At this experience level, hiring tends to come from managed care organizations, health insurance payers, hospital systems, and third-party utilization management firms that run structured onboarding programs for new hires.
Are there remote entry level clinical review coordinator jobs?
Yes, though availability varies by employer and role type. About 100% of entry level clinical review coordinator openings are remote or hybrid as of November 2026, with payers and utilization management companies most likely to offer flexible arrangements for coordinators who can work independently with electronic records and telehealth platforms.
Are these new grad clinical review coordinator jobs?
Yes, many of the openings here are new grad and junior roles that explicitly welcome recent graduates and candidates with zero to two years of experience. A new grad posting at this level typically accepts internship hours, clinical rotations, or a relevant degree in place of full-time work history, making them accessible to candidates just entering the healthcare field.
Which industries hire the most entry level clinical review coordinators?
Entry Level clinical review coordinator roles concentrate in Insurance, Technology & Software, and Government & Public Sector, based on current listings on Migrate Mate as of November 2026. These sectors drive entry level hiring because utilization review, prior authorization, and care coordination functions require consistent staffing pipelines that organizations regularly fill with trained new graduates.