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Remote Prior Authorization Nurse Jobs in Decatur, GA

Open Mind Health

Client Liaison (Remote)

Atlanta, GA · Remote

$17 - $20/hr

Verify insurance eligibility and authorization status * Collect and document required intake and ... Insurance and intake requirements are completed prior to appointments * Communication remains calm ...

New

XO Health Inc.

Healthcare Support Advocate

Alpharetta, GA · Remote

$55K - $75K/yr

Remote- USA -Virtual Contact Center The Healthcare Support Advocate is a key member of XO Health ... details; prior authorization requirements and submissions; billing and reimbursement policy ...

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Remote Prior Authorization Nurse information

See Decatur, GA salary details

$16

$37

$63

How much do remote prior authorization nurse jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for remote prior authorization nurse in Decatur, GA is $37.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $42.26 per hour, depending on experience, location, and employer.

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 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 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.

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For Remote Prior Authorization Nurse jobs in Decatur, GA, the most frequently searched job titles are:

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Remote Prior Authorization Nurse jobs near you
Infographic showing various Remote Prior Authorization Nurse job openings in Decatur, GA as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $78,420 per year, or $37.7 per hour.

Nurse Practitioner: Remote Urgent Care, GA license required

Belle, LLC

Atlanta, GA • Remote

$106K - $146K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 18 days ago

Job description

About Belle

Belle is a fast growing engagement company that is revolutionizing home healthcare - and it all begins with the feet. With 25M+ U.S. seniors no longer able to see or reach their feet, a lack of self care and mobility challenges cost the health insurance plans $38B+ in preventable medical spending every year.

Belle trains and manages a network of nail technicians or "Belle Technicians" who provide in-home foot care (aka medical pedicures). Belle uses cutting edge data science to identify those most in need on behalf of health plans and deploys its services accordingly. While in the home, Belle Technicians complete assessments and screenings, often being the first to identify emerging issues below and above the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare providers - preventing serious and costly episodes.

Our mission: Bring Joy to Healthcare. Join us if our cause inspires you!

About this Role

Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program. This role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues.

As a Telehealth Provider, you will assess members remotely, determine the appropriate level of care, provide evidence-based treatment recommendations, and collaborate closely with nurses, Community Health Workers, primary care providers, and care coordinators to help keep members healthy and out of the emergency department whenever clinically appropriate.

This is a fully remote position supporting a fast-growing, mission-driven organization dedicated to bringing joy to healthcare.

Responsibilities
  • Conduct telehealth evaluations for Medicare beneficiaries experiencing urgent, non-emergent clinical concerns
  • Evaluate symptoms, review medical histories, and determine appropriate interventions.
  • Determine when escalation to the member's primary care provider, emergency department, or 911 is clinically indicated
  • Document all encounters accurately and timely in the electronic medical record.
  • Assist in reducing avoidable emergency department visits and hospitalizations through proactive clinical intervention.
  • Provide patient education on disease management, medications, lifestyle modifications, and symptom monitoring.
  • Promote medication adherence and self-management of chronic conditions.
  • Provide clinical guidance and education to nursing staff on appropriate escalation pathways.
  • Participate in clinical case reviews and quality improvement initiatives.

Requirements

  • Active, unrestricted Nurse Practitioner license in Georgia.
  • National certification appropriate to specialty.
  • Minimum of 3 years of clinical practice experience, preferably in primary care, internal medicine, family medicine, geriatrics, urgent care, or chronic disease management.
  • Experience managing hypertension and common chronic conditions, including diabetes, heart failure, COPD, and chronic kidney disease.
  • Prior telehealth or virtual care experience.
  • Strong clinical assessment and decision-making skills.
  • Excellent verbal communication and patient education abilities.
  • Familiarity with eClinicalWorks (eCW) or similar EMRs.

Benefits

  • Competitive compensation based on experience
  • Health, Dental, and Vision Insurance Benefits
  • 401k
  • PTO, Sick, Wellness leave, and Paid Holidays
  • Opportunity for significant career growth and expansion of responsibilities
  • Ability to reshape an industry and protect lives

Apply