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From Home Prior Authorization Rn Jobs (NOW HIRING)

Sarahbush

$27.68/hr

... proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior ... benefits from Registration., Requests authorization after medications / procedures have been ...

CVS Health

Prior Authorization UM Nurse Consultant

Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management ... Work-from-Home colleagues are required to work within the state and city where they have confirmed ...

OneOncology LLC

Prior Authorization Specialist

Huntsville, AL · On-site

$17.75 - $23.75/hr

... from various carriers in a timely manner. * Check daily, weekly, and monthly schedules for prior authorizations and request necessary authorizations. * Communicate with Physicians and RN's regarding ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Remote Prior Authorization Pharmacist - Work From Home in Managed Care A confidential managed care ... Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ...

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How much do from home prior authorization rn jobs pay per week?

As of Sep 14, 2026, the average weekly pay for from home prior authorization rn in the United States is $1,956.10, according to ZipRecruiter salary data. Most workers in this role earn between $1,528.85 and $2,288.46 per week, depending on experience, location, and employer.

What is the difference between From Home Prior Authorization Rn vs From Home Medical Coder?

AspectFrom Home Prior Authorization RnFrom Home Medical Coder
CredentialsRN license, possibly certifications like CCMMedical coding certification (CPC, CCS)
Work EnvironmentHome-based, clinical settingHome-based, administrative setting
Industry UsageHealthcare, insurance, patient careHealthcare, billing, insurance claims

While both roles are remote healthcare positions, From Home Prior Authorization Rn focuses on reviewing medical necessity for insurance approvals, requiring nursing credentials. In contrast, From Home Medical Coder handles medical billing and coding, requiring coding certifications. Both roles support healthcare operations but differ in responsibilities and required qualifications.

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From Home Prior Authorization Rn jobs near you

Prior Authorization RN

Manhattan, NY • On-site

RCM Health Care Services
Recruiting and Staffing Services • 1 - 5K employees
Learn more about RCM Health Care Servicesexternal

$90K - $108K/yr

Other

Re-posted 9 hours ago

Job description

Pre-Authorization RN

Compensation Salary Range: $90,000 – $108,000 per year Bonus / Commission (if applicable): This role is eligible for a $15,000 sign-on bonus. Location: Lower Manhattan, NY (Training) / Remote Hybrid training transitioning to Remote Position Summary As a Pre-Authorization RN, you will support care coordination by reviewing and processing authorization requests in alignment with regulatory and organizational guidelines. This role involves collaboration with interdisciplinary teams to ensure timely and appropriate care delivery. Following a structured hybrid training period, this position transitions to a fully remote setting while maintaining high standards of clinical accuracy and compliance.

Shift details: Monday – Friday (Business Hours) Hours per week: 40

Key Duties:

  • Review and process authorization requests in accordance with Medicare, Medicaid, and internal guidelines
  • Collaborate with care managers, nurses, and providers to ensure timely and appropriate service delivery
  • Coordinate completion of UAS-NY assessments to reflect members' current clinical status
  • Ensure care plans are accurate, updated, and aligned with member needs
  • Maintain accurate documentation and support compliance with utilization management standards

Requirements Education

  • Required: Associate's Degree in Nursing
  • Preferred (if applicable): Bachelor's Degree in Nursing (BSN)

Licenses & Certifications

  • Required: Active New York State Registered Nurse (RN) license
  • Additional certifications (if applicable): CCM certification preferred

Skills:

  • Strong knowledge of Medicare and Medicaid regulations
  • Experience in prior authorization or utilization review processes
  • Excellent clinical judgment, assessment, and decision-making skills
  • Proficiency in Microsoft Office (Word, Excel) and familiarity with InterQual preferred

About Us RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you're stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We're committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.

Equal Employment Opportunity & Reasonable Accommodation RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.

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