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Remote Prior Authorization Nurse Jobs in Puerto Rico

Scrum Master (Puerto Rico)

Santa Isabel, PR · On-site +1

$46.50 - $62/hr

Remote U.S. Citizen, U.S. Person, or Immigration Status Requirements: U.S. citizenship is required ... S. citizens are authorized to access information under this program/contract. Security Clearance:

$124K - $400K/yr

EDRP Authorized: Former EDRP participants ineligible to apply for incentive. Contact VISN8CCOE@va ... prior to appointment. Applicants who refuse to be tested will be denied employment with VA.

Showing results 21-37

Remote Prior Authorization Nurse information

What is a remote prior authorization nurse?

A Remote Prior Authorization Nurse is a registered nurse (RN) or licensed practical nurse (LPN) who reviews medical insurance requests to determine if they meet coverage criteria. They work remotely to assess patient records, collaborate with healthcare providers, and communicate approval or denial decisions based on insurance guidelines. Their role helps ensure patients receive necessary treatments while managing costs for insurance companies. Strong clinical knowledge, attention to detail, and familiarity with insurance policies are essential for this position.

What are the key skills and qualifications needed to thrive as a remote prior authorization nurse?

To thrive as a Remote Prior Authorization Nurse, you need a current RN license, knowledge of medical terminology, and experience with insurance or utilization review processes. Familiarity with prior authorization software, electronic medical records (EMRs), and payer systems is typically required, along with certifications like CCM or CPUR as a plus. Strong attention to detail, organizational skills, and effective written communication are valuable soft skills for this role. These skills are crucial to ensure accurate and efficient authorization of healthcare services, reduce claim denials, and facilitate patient care in a remote setting.

What does a remote prior authorization nurse do?

A typical day for a Remote Prior Authorization Nurse involves reviewing medical records and provider documentation, communicating with physicians or healthcare providers to gather additional information, and submitting authorizations to insurance companies. You may spend much of your time using specialized software to track requests, document outcomes, and ensure compliance with payer guidelines. Collaboration is often required with case managers, providers, and insurance representatives to resolve questions and expedite approvals. While the work is primarily independent, staying organized and communicating effectively with the healthcare team are essential for success in this remote position.

What are popular job titles related to Remote Prior Authorization Nurse jobs in Puerto Rico? For Remote Prior Authorization Nurse jobs in Puerto Rico, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Nurse jobs in Puerto Rico look for? The top searched job categories for Remote Prior Authorization Nurse jobs in Puerto Rico are:
What cities in Puerto Rico are hiring for Remote Prior Authorization Nurse jobs? Cities in Puerto Rico with the most Remote Prior Authorization Nurse job openings:
Infographic showing various Remote Prior Authorization Nurse job openings in Puerto Rico as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 18% Part Time, 2% Temporary, and 8% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution.

IT Request and Backlog Management Analyst (Puerto Rico)

Collins Aerospace

Santa Isabel, PR • Remote

Full-time

Medical, Life, Retirement

Re-posted 15 days ago


Collins Aerospace rating

8.4

Company rating: 8.4 out of 10

Based on 251 frontline employees who took The Breakroom Quiz

32nd of 72 rated aerospace companies


Job description

Date Posted:

2026-06-24

Country:

United States of America

Location:

US-PR-SANTA ISABEL-B1 ~ Felicia Industrial Park - St B1 ~ BLDG 1

Position Role Type:

Remote

U.S. Citizen, U.S. Person, or Immigration Status Requirements:

U.S. citizenship is required, as only U.S. citizens are authorized to access information under this program/contract.

Security Clearance:

None/Not Required

RTX Corporation is an Aerospace and Defense company that provides advanced systems and services for commercial, military and government customers worldwide. It comprises three industry-leading businesses – Collins Aerospace Systems, Pratt & Whitney, and Raytheon. Its 185,000 employees enable the company to operate at the edge of known science as they imagine and deliver solutions that push the boundaries in quantum physics, electric propulsion, directed energy, hypersonics, avionics and cybersecurity. The company, formed in 2020 through the combination of Raytheon Company and the United Technologies Corporation aerospace businesses, is headquartered in Arlington, VA.

The following position is to join our RTX Enterprise Services team in Santa Isabel, Puerto Rico:

An ITSM Request and Backlog Management Analyst supports daily outcomes, trending and analytics related to IT service management processes—specifically Incident, Request, and Service Level Management—to ensure operational efficiency, SLA compliance, and process adherence. They analyze the backlog of IT tasks and lead continual service improvement to enhance service quality.

What You Will Do

  • Request & Backlog Management: Triage, route, and prioritize service requests and incident tickets; maintain backlog health, ensuring aging items are addressed.
  • SLA Compliance & Monitoring: Monitor ticket queues to ensure compliance with SLAs (Service Level Agreements) and OLAs (Operational Level Agreements).
  • ITSM Process Support: Support ITIL processes (Incident, Problem, Change, etc.) by facilitating analytics or trends and workflows and ensuring documentation standards are met.
  • Performance Reporting: Analyze trends and produce regular metrics/dashboards to report to leadership on ticket volume, SLA performance, and service quality.
  • Continuous Improvement: Identify bottlenecks in IT workflows and implement improvements to increase operational.
  • Stakeholder Collaboration: Act as a liaison between end-users and technical teams (Tier 1-3) to ensure timely resolution of issues.
  • This position will reference written work instructions for guidance with daily job activities. Work instructions are available in English only.

Qualifications You Must Have

  • A Bachelor's Degree or equivalent experience and minimum 8 years prior experience in IT, or an Advanced Degree in a related field and minimum 5 years experience.
  • Experience with ITIL frameworks, specifically in Request Fulfillment or Service Level Management.
  • Proficiency in ITSM platforms like ServiceNow.
  • Experience with ServiceNow Performance Analytics and Report Designer.
  • Strong understanding of methodologies related to backlog refinement and burn down.
  • Analytical skills to drive data-driven process improvements and reporting.
  • Proficiency in developing and applying KPIs, Service Level Agreements (SLAs), and IT operations metrics.
  • Experience with using AI tools (Now Assist, Copilot) to support rapid analytics of ITSM data.

Qualifications We Prefer

  • Experience in process optimization, automation, or documentation management.
  • Knowledge of ITIL (Information Technology Infrastructure Library) best practices or related certifications.
  • Experience with ITIL Service Catalog Management.
  • Experience with Power BI.
  • Experience with IT Service Management tools (e.g., ServiceNow, Remedy).
  • Ability to convey technical information to non-technical stakeholders clearly.
  • Experience working remotely with geographically distributed teams across multiple time zones.

What We Offer

Whether you’re just starting out on your career journey or are an experienced professional, we offer a robust total rewards package with compensation; healthcare, wellness, retirement and work/life benefits; career development and recognition programs. Some of the benefits we offer include parental (including paternal) leave, flexible work schedules, achievement awards, educational assistance and child/adult backup care.

Learn More & Apply Now!
Location:
This position is remote. However, the successful candidate must be currently living in Puerto Rico.

Please consider the following role type definition as you apply for this role:
Remote:
This position is currently designated as remote. Employees who are working in Remote roles will work primarily offsite (from home). The employee may be expected to travel to the Santa Isabel site location as needed.

RTX is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability or veteran status, or any other applicable state or federal protected class. RTX provides affirmative action in employment for qualified Individuals with a Disability and Protected Veterans in compliance with Section 503 of the Rehabilitation Act and the Vietnam Era Veterans’ Readjustment Assistance Act.

Privacy Policy and Terms:

Click on this link to read the Policy and Terms


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About Collins Aerospace

Sourced by ZipRecruiter

Collins Aerospace, a Raytheon Technologies company, is a leader in technologically advanced and intelligent solutions for the global aerospace and defense industry. Collins Aerospace has the capabilities, comprehensive portfolio and expertise to solve customers' toughest challenges and to meet the demands of a rapidly evolving global market.

Industry

Aviation

Company size

10,000+ Employees

Headquarters location

Charlotte, NC, US

Year founded

2018