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Remote Optum Prior Authorization Jobs in Nevada (NOW HIRING)

RUE GILT GROUPE

Member Services Agent

Las Vegas, NV · Remote

$18/hr

Remote Approved Salary Range: $18hr About the Role : This is not your average call center job; this ... Work Authorization Rue Gilt Groupe requires all applicants to be currently authorized to work in ...

Fluor

Planner, Project Controls Specialist IV

Elko, NV · On-site +1

$103K - $191K/yr

... Prior experience working at a remote project site Preferred Qualifications Possess practical ... Must be authorized to work in the country where the position is located. Salary Range: $103,500.00 ...

Great Gray

Account Executive (Fintech Sales)

Las Vegas, NV · On-site +1

$85K - $125K/yr

Applicants must be authorized to work directly for any employer in the United States without visa ... prior education and relevant work experience and training as well as position location and local ...

Fluor

Planner, Senior Project Controls Specialist

Elko, NV · On-site +1

$119K - $222K/yr

... Prior experience working at a remote project site Preferred Qualifications Must have experience as ... Must be authorized to work in the country where the position is located. Salary Range: $119,500.00 ...

Great Gray

Account Executive (Fintech Sales)

Las Vegas, NV · On-site +1

$85K - $125K/yr

Applicants must be authorized to work directly for any employer in the United States without visa ... prior education and relevant work experience and training as well as position location and local ...

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Remote Optum Prior Authorization information

What is a Remote Optum Prior Authorization?

A Remote Optum Prior Authorization job involves reviewing and processing requests from healthcare providers to determine whether certain medical procedures, medications, or services will be covered under a patient's insurance plan. Employees in this role work from home and use clinical guidelines to assess the necessity and appropriateness of requested treatments. They collaborate with providers, patients, and insurance teams to ensure timely authorization decisions. This position typically requires strong communication skills, attention to detail, and familiarity with healthcare regulations and insurance policies.

How does a Remote Optum Prior Authorization specialist typically interact with healthcare providers and insurance teams?

As a Remote Optum Prior Authorization specialist, you will regularly communicate with healthcare providers, pharmacies, and insurance representatives to obtain and verify necessary information for authorizing medical procedures or medications. Most interactions occur via phone, secure messaging, or electronic health record systems, requiring clear communication and attention to detail. Collaboration is essential, as you'll often need to clarify clinical documentation with providers and ensure compliance with insurance guidelines. This role is well-suited for those who are organized, proactive, and comfortable working independently within a supportive virtual team environment.

What are the key skills and qualifications needed to thrive as a Remote Optum Prior Authorization specialist, and why are they important?

To thrive as a Remote Optum Prior Authorization Specialist, you need strong knowledge of medical terminology, insurance processes, and prior authorization protocols, typically supported by a healthcare-related degree or relevant experience. Familiarity with electronic health record (EHR) systems, insurance verification tools, and prior authorization software is essential. Excellent attention to detail, organizational skills, and effective communication are vital soft skills for efficiently managing high volumes of authorization requests and collaborating with providers. These skills ensure accurate, timely approvals and help optimize patient care while reducing administrative delays.

What is the difference between Remote Optum Prior Authorization vs Remote Optum Claims Reviewer?

AspectRemote Optum Prior AuthorizationRemote Optum Claims Reviewer
CredentialsTypically requires healthcare-related certifications, such as RN, LPN, or medical coding credentialsOften requires similar healthcare certifications, with focus on claims processing
Work EnvironmentRemote, healthcare insurance setting, interacting with providers and patientsRemote, insurance claims processing environment, reviewing submitted claims
Employer & Industry UsageCommonly employed by health insurance companies like Optum, focusing on authorization processesEmployed by insurance companies, focusing on claims review and reimbursement

Remote Optum Prior Authorization specialists focus on obtaining approvals for healthcare services, while Remote Optum Claims Reviewers evaluate submitted claims for accuracy and reimbursement. Both roles require healthcare knowledge and certifications, but differ in their primary functions within the insurance process.

What are popular job titles related to Remote Optum Prior Authorization jobs in Nevada?

For Remote Optum Prior Authorization jobs in Nevada, the most frequently searched job titles are:

What job categories do people searching Remote Optum Prior Authorization jobs in Nevada look for?

The top searched job categories for Remote Optum Prior Authorization jobs in Nevada are:

What cities in Nevada are hiring for Remote Optum Prior Authorization jobs?

Cities in Nevada with the most Remote Optum Prior Authorization job openings:

Remote Optum Prior Authorization jobs near you
Infographic showing various Remote Optum Prior Authorization job openings in Nevada as of August 2026, with employment types broken down into 50% Full Time, and 50% Part Time. Highlights an 100% Remote job distribution.

Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) - Remote | Telehealth | Full-Time or Part

Legion Health

Boulder City, NV • On-site, Remote

$150K - $300K/yr

Full-time

Posted 7 days ago

Job description

[We show compassion to heal minds.]
About Legion Health
Legion Health is a technology-forward psychiatry company delivering world-class outpatient mental health care while expanding access for patients through insurance.
We are seeking exceptional Psychiatric Mental Health Nurse Practitioners (PMHNPs) across the United States who are passionate about evidence-based psychiatry and want the time, support, and clinical autonomy needed to provide exceptional patient care.
Our innovative model combines the stability of a traditional hospital position with the flexibility of a private practice. We prioritize our clinicians' well-being and professional growth, offering a competitive compensation package and fostering a vibrant, collaborative culture.
Quality and patient experience are paramount to us. This means recruiting exceptional providers, championing evidence-based protocols, and displaying compassion in every patient interaction. Our exceptional PMHNPs operate with clinical autonomy, supported by experienced psychiatrists through consults and peer case reviews.
Our vision is to pioneer a new era of medicine by delivering world-class psychiatry. We believe in a future where every person can access the compassionate, high-quality care they need.
About the Role
Practice at the top of your license, from wherever you do your best work. This role is designed for PMHNPs who want meaningful clinical autonomy without having to build and operate a private practice alone.
We are looking for clinically excellent, patient-centered PMHNPs to provide psychiatric care through telehealth. Full-time and part-time positions are available.
Benefits
Legion's model is built to give clinicians more time for patients, fewer administrative distractions, and the support of a high-caliber psychiatric community.
  • Flexibility: Set your own schedule for optimal work-life balance.
  • Work from Home: See patients from the comfort of your home via telehealth.
  • Significant Administrative Support: You focus on patient care, and we'll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.
  • Patient Acquisition: Unlike with a private practice, we'll work to fill your schedule, so you don't have to do your own marketing.
  • Collaborating Physician Coverage: Where applicable, we provide your collaborating psychiatrist and fully cover the costs.
  • Competitive Pay: We compensate our providers at market-leading rates.
  • Weekly Pay: We pay our providers every week for immediate financial benefit and planning ease.
  • Legal Protection: We provide full malpractice insurance coverage.
  • Clinical Autonomy: We hire the most skilled providers and trust them to do what's best for patients.
  • Technical Support: We cover the costs for you to have best-in-class EHR, e-Prescribe, and AI tools.
  • Credentialing Support: We handle all aspects and costs of credentialing with a large number of insurance plans, including commercial, ACA, and government, ensuring your legal and effective authorization within insurance networks.
  • Licensure and DEA Coverage: We'll reimburse you for all fees associated with getting licensed in other states as required by Legion.
  • Commitment to Responsible Prescribing and High-Quality Care: We have rigorous, evidence-based protocols and provide objective diagnostic tools to ensure responsible and ethical prescriptions of controlled substances.
  • Community of Clinical Excellence: You will work alongside the most talented PMHNPs and psychiatrists in the world. Our current PMHNPs have trained at some of the country's most prestigious institutions, including Vanderbilt, UT Austin, Johns Hopkins, Columbia, NYU, and UTHealth Houston.
  • Opportunities for Professional Growth: As we expand, we intend to promote clinical leadership from the best of our active providers.
  • Culture of Excellence through Innovation: Actively participate in ushering in a new era of mental health care through superior clinical care and technology.
  • Resources: We provide premium subscriptions to resources such as UpToDate and Carlat.
  • Exclusive Events: Engage with your colleagues through exclusive in-person and virtual events.

• Responsibilities
  • Provide excellent patient care for conditions including depression, anxiety, ADHD, insomnia, PTSD, bipolar disorder, etc.
  • Perform comprehensive psychiatric assessments, including mental-health history, medical history, diagnostic evaluation, and risk analysis.
  • Create and execute individualized treatment plans that may combine medication management and brief psychotherapy.
  • Provide compassionate, respectful, and patient-centered care.
  • Use evidence-based clinical protocols and responsible prescribing practices.
  • Collaborate with psychiatrists and clinical peers through consultations and case reviews.
  • Use technology and operational systems effectively to deliver reliable telehealth care.

Qualifications
  • Active, unrestricted state-issued authority to practice as a PMHNP in at least one U.S. state or jurisdiction.
  • Strong clinical assessment, diagnostic, and medication-management skills.
  • Excellent communication and interpersonal skills.
  • Comfort providing care remotely and using electronic health record systems.
  • Commitment to patient-centered, compassionate, evidence-based care.

Role Logistics
  • Location: Fully remote within the United States.
  • Schedule: Full-time or part-time positions are available.
  • Compensation: $150K-$300K per year, depending on completed patient-care hours.

Clinical Advisory Board
Legion's Clinical Advisory Board brings together nationally recognized psychiatrists, physician executives, telepsychiatry pioneers, and primary-care leaders. Working closely with Legion's medical leadership, they help shape our clinical quality standards, evidence-based care protocols, prescribing safeguards, risk-management practices, and continuous quality-improvement efforts as the company scales.
Members of our Clinical Advisory Board include:
  • Madhukar Trivedi, M.D. - Psychiatrist; Professor of Psychiatry and Distinguished Chair in Mental Health at UT Southwestern
  • Alexander Ruvalcaba, M.D. - Psychiatrist; Physician Executive at MultiCare Behavioral Health Network
  • Jon Kole, M.D. - Psychiatrist; Senior Medical Director at Headspace
  • Liberty Eberly, D.O. - Psychiatrist; Co-Founder and Former Chief Medical Officer at innovaTel Telepsychiatry
  • John Lusins, M.D. - Psychiatrist; Founder and President at South Texas Mental Health Associates
  • Jacqueline Champlain, M.D. - Family Medicine Physician; Lead Physician at WellMed and Fellow of the American Academy of Family Physicians

Bring Your Best Clinical Work to Legion
If you are a thoughtful, evidence-based PMHNP who wants the flexibility of remote practice, meaningful clinical autonomy, robust operational support, and a community committed to excellent psychiatric care, we would be excited to learn more about you.
Equal Employment Opportunity
Legion Health is proud to be an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees, contractors, and applicants without regard to race, color, religion, sex, sexual orientation, gender identity or expression, national origin, age, disability, veteran status, genetic information, or any other protected characteristic under applicable law. We encourage applicants from all backgrounds to apply.

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