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From Home Prior Authorization Rn Jobs in Washington, DC

The Ark of DC

Home Health Field RN

Washington, DC · On-site

Prepare monthly visit schedule prior to start of month. Gives copy to director of clinical services ... On an Admission Visit: * RN receives the referral from the Director of Nurses / Director of ...

The Ark of DC

Home Health Field RN

Washington, DC · On-site

Prepare monthly visit schedule prior to start of month. Gives copy to director of clinical services ... On an Admission Visit: * RN receives the referral from the Director of Nurses / Director of ...

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All JobsPrior Authorization Rn JobsFrom Home Prior Authorization Rn JobsFrom Home Prior Authorization Rn Jobs in Washington, DC

From Home Prior Authorization Rn information

See Washington, DC salary details

$1.1K

$2.2K

$3.4K

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

As of Aug 8, 2026, the average weekly pay for from home prior authorization rn in Washington, DC is $2,215.46, according to ZipRecruiter salary data. Most workers in this role earn between $1,730.77 and $2,592.31 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.

What are the most commonly searched types of Prior Authorization Rn jobs in Washington, DC? The most popular types of Prior Authorization Rn jobs in Washington, DC are:
From Home Prior Authorization Rn jobs near you

PDN Home Health Authorization Specialist

COMFORT HOME HEALTH LLC

Falls Church, VA • On-site

$25 - $30/hr

Full-time

Medical, Retirement

Posted 2 days ago

New

Job description

Benefits:
  • 401(k)
  • Competitive salary
  • Training & development

Job Summary
VitalCare Home Health LLC is seeking an experienced Authorization Specialist to join our growing Home Health team. The Authorization Specialist is responsible for obtaining, tracking, and managing insurance authorizations for skilled nursing and private duty nursing services. This position works closely with physicians, case managers, Medicaid Managed Care Organizations (MCOs), clinical staff, and families to ensure timely authorization approvals and uninterrupted patient care.
Responsibilities
* Submit initial and continued authorization requests.
* Track authorization expiration dates and renewals.
* Verify Medicaid and insurance eligibility.
* Communicate with MCOs regarding authorization status.
* Coordinate with physicians to obtain required documentation.
* Review nursing assessments and physician orders for completeness.
* Monitor pending authorizations and follow up to prevent delays.
* Resolve authorization denials and submit additional documentation when required.
* Maintain accurate documentation in Alora Plus EMR.
* Collaborate with Intake, Clinical Managers, and Scheduling staff.
* Maintain HIPAA compliance and confidentiality.
Preferred Experience
* Home Health or Private Duty Nursing (PDN)
* Virginia Medicaid
* CCC Plus
* DMAS documentation
* Prior Authorization
* Insurance Verification
* Alora Plus EMR (preferred)
Required Qualifications
* Minimum 2 years of Home Health authorization experience.
* Experience with Virginia Medicaid and Managed Care Organizations.
* Strong knowledge of authorization processes.
* Excellent organizational and communication skills.
* Ability to manage multiple authorizations simultaneously.
* Strong computer skills and attention to detail.
Preferred Payers Experience
* Anthem HealthKeepers Plus
* Sentara Health Plans
* Molina Healthcare
* Aetna Better Health of Virginia
* UnitedHealthcare Community Plan
Benefits
* Competitive salary
* 401(k)
* Professional Development Opportunities
Skills
* Prior Authorization
* Home Health
* Medicaid
* Insurance Verification
* Medical Documentation
* EMR
* Alora Plus
* HIPAA
* Microsoft Office
* Customer Service
* Communication
* Time Management
* Attention to Detail
* Problem Solving
Nice-to-Have
* Bilingual (English/Spanish)
* Experience with pediatric skilled nursing
* Experience with ventilator, trach, and G-tube cases
* Experience working with Medicaid waiver programs

Flexible work from home options available.