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Remote Prior Authorization Nurse Jobs in Raleigh, NC

SalvoHealth

Bi-Lingual, RN Care Coordinator

Raleigh, NC · Remote

$25 - $26/hr

... Remote Patient Monitoring ("RPM") to bill under the patient's insurance. This is a major step ... Must be authorized to work in the United States * Experience working in telehealth or healthcare ...

L3HHCM20

Lead, Trade Compliance

Raleigh, NC · On-site +1

$100K - $186K/yr

Remote Opportunity Job Schedule: 9/80: Employees work 9 out of every 14 days- totaling 80 hours ... Professional with prior knowledge of ITAR and EAR regulations and broad knowledge of project ...

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All JobsPrior Authorization Nurse JobsRemote Prior Authorization Nurse JobsRemote Prior Authorization Nurse Jobs in Raleigh, NC

Remote Prior Authorization Nurse information

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$37

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

As of Sep 4, 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 are popular job titles related to Remote Prior Authorization Nurse jobs in Raleigh, NC?

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

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

The top searched job categories for Remote 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:

Remote Prior Authorization Nurse jobs near you
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, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $78,079 per year, or $37.5 per hour.

Bi-Lingual, RN Care Coordinator

SalvoHealth

Raleigh, NC • Remote

$25 - $26/hr

Full-time

Medical, Dental, Vision, PTO

Posted 8 days ago

Job description

Salvo Health is taking a new approach to help millions of Americans facing chronic health conditions, centered on chronic gut health and metabolic conditions from IBS to obesity. Our patients are assigned a “whole patient” care team and have seven day a week access to app-based care, using Remote Patient Monitoring (“RPM”) to bill under the patient’s insurance. This is a major step forward to go beyond episodic appointments to continuous care at home, and deliver interdisciplinary wraparound care in partnership with the patient’s existing local doctor.
 
Salvo is backed by leading health care investors from innovators like Livongo, Ro, Ginger, Brightline, Tia, and others. Salvo care draws on expertise from Board-certified specialty physicians, registered dietitians, nurses, psychologists, and therapists who have developed our evidence-based protocols, for a personalized, multi-month journey to better health.
 
Salvo is the first to bring a scalable and tech-enabled, more integrative approach to these chronic conditions, going beyond treating only the symptoms in order to identify and address the root causes of chronic illness.
What You Will do:
  • Provide exceptional care, disease management and health education to patients
  • Support goal setting for individual patients asynchronously to help them better manage their chronic conditions
  • Create personalized action plans with guidelines to reduce or eliminate unwanted behaviors
  • Help clients understand their motivations and create behavior change plans 
  • Conduct regular outreach to patients, based on their needs and preferences, to support engagement and elicit behavior change
  • Coordinate with other clinical team members to provide an exceptional patient experience
  • Develop and maintain professional, support-oriented working relationships with patients and team members
  • Create and distribute health education materials to individual members as necessary
  • Work with a cross-functional product team to develop and constantly improve our in-app patient experience
Qualifications:
  • RN Compact state license required, additional licensing may be needed
  • Bilingual (Spanish speaking, reading, and writing) REQUIRED
  • 2+ year of experience as Registered Nurse 
  • 2+ years of experience in patient-facing or customer-facing roles
  • Excellent customer relation skills, as well as written and verbal communication skills
  • Knowledge of medical terminology and proficiency of general medical office procedures
  • Familiarity with digital applications like Slack, Coda, Google Workspace, etc.
  • Strong analytical and proactive problem solving skills
  • Self-motivated, results-oriented and strategic thinker 
  • Personal passion for health and wellness topics
  • Must be authorized to work in the United States
  • Experience working in telehealth or healthcare startup environment preferred
  • Bonus: Experience working in GI, weight management, and/or with anti-obesity medications such as GLP-1s
Benefits:
  • Health, Vision, & Dental benefits for full-time employees and dependents
  • 200 hours (25 days) of paid time off and 12 paid holidays throughout the year
  • Annual CEU stipend
  • Annual coverage of RN maintenance fee
  • Clinical leadership support to enhance clinical expertise in GI and/or metabolic health

We may use artificial intelligence (AI) tools to support parts of the hiring process, such as reviewing applications, analyzing resumes, or assessing responses and identifying potential inconsistencies or verification signals in application materials based on available information. These tools assist our recruitment team but do not replace human judgment. Final hiring decisions are ultimately made by humans. If you would like more information about how your data is processed, please contact us.