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Remote Prior Authorization Nurse Jobs in Racine, WI

AAH

Remote RN: Home Health Liaison (Per Diem)

Milwaukee, WI · Remote

$38.20 - $57.30/hr

... remote per diem role with occasional onsite work at Aurora hospitals near your home location. RN ... You will screen referrals, verify benefits, obtain authorizations, and coordinate with care teams ...

AAH

Remote RN: Home Health Liaison (Per Diem)

Milwaukee, WI · Remote

$38.20 - $57.30/hr

... remote per diem role with occasional onsite work at Aurora hospitals near your home location. RN ... You will screen referrals, verify benefits, obtain authorizations, and coordinate with care teams ...

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Remote Prior Authorization Nurse information

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$16

$36

$61

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

As of Aug 30, 2026, the average hourly pay for remote prior authorization nurse in Racine, WI is $36.21, according to ZipRecruiter salary data. Most workers in this role earn between $27.74 and $40.58 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.

What are popular job titles related to Remote Prior Authorization Nurse jobs in Racine, WI?

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

What job categories do people searching Remote Prior Authorization Nurse jobs in Racine, WI look for?

The top searched job categories for Remote Prior Authorization Nurse jobs in Racine, WI are:

What cities near Racine, WI are hiring for Remote Prior Authorization Nurse jobs?

Cities near Racine, WI with the most Remote Prior Authorization Nurse job openings:

Remote Prior Authorization Nurse jobs near you
Infographic showing various Remote Prior Authorization Nurse job openings in Racine, WI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $75,315 per year, or $36.2 per hour.

Telemedicine Physician Medical Weight Management

Beacon Talent

Waukegan, IL • Remote

$115 - $150/hr

Part-time

Posted 16 days ago

Job description

Location: Remote (United States) Type: Full-Time, Part-Time, or 1099 Compensation: $195,000–$255,000 annually (W2, full-time), or $115–$150 per hour (1099)

About the Program

Our client delivers evidence-based obesity treatment through a virtual clinic model. Patients receive a combination of pharmacotherapy, structured coaching, and longitudinal follow-up. This is a clinical program, not a prescription mill — we hold patients through titration and maintenance, and our physicians see the outcomes of their own decisions over time.


You'll join a team that includes ABOM-certified physicians, registered dietitians, and behavioral health support.

Responsibilities

  • Conduct comprehensive initial evaluations, including metabolic workup review and comorbidity assessment

  • Develop and manage individualized treatment plans, including GLP-1 receptor agonist therapy where clinically indicated

  • Prescribe and titrate semaglutide, tirzepatide, and adjunct agents, managing side effects and plateaus

  • Review labs and adjust plans across the maintenance phase

  • Collaborate with dietitians and coaches on non-pharmacologic components of care

  • Document thoroughly to support prior authorization and continuity of care

What We Offer

  • Multi-disciplinary team on every case

  • Flexible scheduling with W2 and 1099 pathways available

  • Malpractice coverage and CME support

  • ABOM certification sponsorship for interested physicians

  • Meaningful continuity — you follow your patients through their full course of treatment

Qualifications

  • MD or DO with an active, unrestricted U.S. medical license

  • Board certification in Family Medicine, Internal Medicine, Endocrinology, or a related specialty

  • Active DEA registration

  • 2+ years of post-residency clinical practice

  • Experience prescribing and managing GLP-1 therapies for weight management

  • Comfort with telemedicine workflows and virtual patient relationships

  • Active, unrestricted medical licensure in a minimum of three U.S. states

  • Professional working proficiency in Spanish, sufficient to conduct a complete clinical encounter without an interpreter

  • ABOM certification, or interest in pursuing it, is a plus