Entry Level Clinical Review Nurse Jobs
New grad clinical review nurse jobs welcome recent graduates and entry level candidates with zero to two years of experience, where strong internship work or clinical rotations can matter more than a lengthy resume. Most openings mix on-site, remote, and hybrid settings across Insurance, Technology & Software, and Government & Public Sector, with employers like Centene, Adventist Health, and CorVel Corporation hiring at this level now.
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Showing 5 of 6+ Entry Level Clinical Review Nurse jobs
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 Nurse Jobs: Frequently Asked Questions
How do I get an entry level clinical review nurse job?
Start by highlighting clinical rotations, internships, and any utilization management or case management exposure from nursing school. Employers at this level look for a current RN license, familiarity with ICD-10 coding basics, and comfort reviewing medical records. A cover letter that connects your bedside experience to the review process helps you stand out against other new grad applicants.
Which companies hire entry level clinical review nurses?
Companies hiring entry level clinical review nurses right now include Centene, Adventist Health, and CorVel Corporation, based on current listings on Migrate Mate as of November 2026. Hiring at this level comes from a mix of health insurers, managed care organizations, and third-party review firms that build teams by bringing in junior nurses and training them on proprietary review criteria.
Are there remote entry level clinical review nurse jobs?
Yes, though availability varies by employer and role type. About 100% of entry level clinical review nurse openings are remote or hybrid as of November 2026, making this one of the more flexible nursing career paths for new grads. Many insurers and utilization management companies post fully remote roles because the work centers on chart review and documentation rather than direct patient care.
Are these new grad clinical review nurse jobs?
Yes, this page includes new grad, recent graduate, and junior clinical review nurse roles alongside other entry level postings. A new-grad-friendly listing typically welcomes zero to two years of experience, accepts clinical rotations or internships in lieu of full-time history, and may offer structured onboarding or mentorship. Look for language like 'new graduates encouraged to apply' or 'training provided' as reliable signals.
Which industries hire the most entry level clinical review nurses?
Entry Level clinical review nurse roles concentrate in Insurance, Technology & Software, and Government & Public Sector, based on current listings on Migrate Mate as of November 2026. These sectors drive hiring at the junior level because demand for utilization management, prior authorization, and care coordination has expanded faster than the pool of experienced review nurses, creating genuine entry points for recent graduates.