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Remote Prior Authorization Nurse Jobs in Raleigh, NC

Remote Vacation Planner

Raleigh, NC ยท Remote

$35K - $65K/hr

No prior travel industry experience is required. Comprehensive training, ongoing support, and ... Must be authorized to work in the United States What We Offer * 100% Remote work * Flexible ...

Be Seen First

Must be authorized to work in the United States without current or future sponsorship requirements ... Prior remote/work-from-home experience. Physical Requirements * Ability to remain seated for ...

New

This includes completing benefit investigations, tracking prior authorizations / denial appeals ... Coordinates nurse teach with nurse educators, as applicable to program. * Supports adherence ...

S. citizens are authorized to access information under this program/contract. Security Clearance ... Typically requires a University Degree and minimum 5 years prior relevant experience or an Advanced ...

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Remote Prior Authorization Nurse information

See Raleigh, NC salary details

$16

$37

$63

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

As of Aug 21, 2026, the average hourly pay for remote prior authorization nurse in Raleigh, NC is $37.54, according to ZipRecruiter salary data. Most workers in this role earn between $28.75 and $42.07 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 the most commonly searched types of Prior Authorization Nurse jobs in Raleigh, NC?

The most popular types of Prior Authorization Nurse jobs in Raleigh, NC are:

What cities near Raleigh, NC are hiring for Remote Prior Authorization Nurse jobs?

Cities near Raleigh, NC with the most Remote Prior Authorization Nurse job openings:

Infographic showing various Remote Prior Authorization Nurse job openings in Raleigh, NC as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $78,079 per year, or $37.5 per hour.

Collaborating Psychiatrist / Supervising Physician (MD or DO) -- Remote | Telehealth | Part-Time | No

Legion Health

Cary, NC โ€ข Remote

$50K - $150K/yr

Part-time

Posted 4 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 Collaborating Psychiatrists (MD or DO) across the United States to collaborate with and supervise psychiatric mental health nurse practitioners through secure telehealth workflows.

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 psychiatrists operate with clinical autonomy, supported by experienced peers.

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

Legion Health is seeking clinically excellent, patient-centered psychiatrists to collaborate with and supervise PMHNPs through secure telehealth workflows. This nationwide, remote, part-time contractor opportunity combines predictable flexibility with meaningful clinical responsibility and the support of a modern clinical organization.

Legion recruits and vets the PMHNPs and manages the operational infrastructure, while you provide responsive clinical guidance, chart review, mentorship, and independent prescribing decisions when legally permitted and clinically appropriate.

 
💙 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: Collaborate with PMHNPs through secure telehealth and clinical systems.

  • Significant Administrative Support: You focus on patient care, and we’ll handle scheduling, insurance verification, billing, prior authorizations, pharmacy coordination, etc.

  • 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.

  • Legal Protection: We provide full malpractice insurance coverage.

  • PMHNP acquisition: Legion recruits and vets the PMHNPs you support.

  • Clinical autonomy: Exercise independent medical judgment within clear, evidence-based protocols.

  • Licensure and DEA Coverage: We’ll reimburse you for all fees associated with getting licensed in other states as required by Legion.

  • 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.

  • Community of Clinical Excellence: You will work alongside the most talented psychiatrists and PMHNPs in the world. Our current providers have trained at some of the country’s most prestigious institutions.

  • Monthly Pay: We pay our providers every month for immediate financial benefit and planning ease.

  • 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
  • Collaborate with experienced PMHNPs treating low- and medium-acuity psychiatry patients using evidence-based approaches.

  • Conduct chart reviews and provide timely guidance on diagnoses, treatment plans, medication management, and clinical escalations.

  • Review and authorize prescriptions, including controlled substances when legally permitted and clinically appropriate.

  • Be available during agreed working hours and at the end of PMHNP shifts when required by applicable state rules.

  • Mentor clinicians and reinforce Legion's clinical standards, documentation expectations, and responsible-prescribing protocols.

  • Help Legion expand access to high-quality psychiatric care across the United States.

 
🧰 Qualifications
  • An active, unrestricted license to practice medicine in at least one U.S. 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: Part-time

  • Compensation: $50K-150K per year, depending on the number and workload of PMHNPs supervised

 
🤝 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 psychiatrist 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.

Compensation Range: $50K - $150K