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Remote Prior Authorization Nurse Jobs in Rio Rancho, NM

Aptive

Pharmacy Technician (Remote)

Albuquerque, NM · Remote

$16.75 - $20.50/hr

Completion of all VA-mandated TMS training (e.g., Privacy & Information Security, HIPAA) prior to ... Must meet all citizenship/work authorization requirements; employment is contingent on E-Verify.

Aptive

Pharmacy Technician (Remote)

Albuquerque, NM · On-site +1

$16.75 - $20.50/hr

Completion of all VA-mandated TMS training (e.g., Privacy & Information Security, HIPAA) prior to ... Must meet all citizenship/work authorization requirements; employment is contingent on E-Verify.

Aptive

Pharmacy Technician (Remote)

Albuquerque, NM · Remote

$16.75 - $20.50/hr

Completion of all VA-mandated TMS training (e.g., Privacy & Information Security, HIPAA) prior to ... Must meet all citizenship/work authorization requirements; employment is contingent on E-Verify.

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All JobsPrior Authorization Nurse JobsRemote Prior Authorization Nurse JobsRemote Prior Authorization Nurse Jobs in Rio Rancho, NM

Remote Prior Authorization Nurse information

See Rio Rancho, NM salary details

$16

$36

$61

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

As of Aug 1, 2026, the average hourly pay for remote prior authorization nurse in Rio Rancho, NM is $36.32, according to ZipRecruiter salary data. Most workers in this role earn between $27.79 and $40.72 per hour, depending on experience, location, and employer.

What is a Remote Prior Authorization Nurse job?

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 in the Remote Prior Authorization Nurse position, and why are they important?

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 typical day look like for a Remote Prior Authorization Nurse?

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 Rio Rancho, NM? For Remote Prior Authorization Nurse jobs in Rio Rancho, NM, the most frequently searched job titles are:
What cities near Rio Rancho, NM are hiring for Remote Prior Authorization Nurse jobs? Cities near Rio Rancho, NM 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 Rio Rancho, NM as of July 2026, with employment types broken down into 72% Full Time, 20% Part Time, and 8% Contract. Highlights an 100% Remote job distribution, with an average salary of $75,551 per year, or $36.3 per hour.

Prior Authorization Specialist

CareMed Specialty Pharmacy

Albuquerque, NM • On-site, Remote

$23 - $26/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 2 days ago

New

Job description

Pharmacy Prior Authorization Specialist – CareMed Specialty Pharmacy
Full-Time | Starting at $23.00/hr and up
Shift times currently available: 7:00am- 3:30pm MST or 7:30 - 4:00pm MST
Full-Time position working out of the State of New Mexico (Must be licensed in New Mexico). This position may work remotely.
Sign-On Bonus: $5,000 for employees starting before August 31, 2026.
CareMed Specialty Pharmacy is seeking a Pharmacy Prior Authorization Specialist to join our dedicated team. This is a full-time position ideal for candidates local to the area. Remote work possible after initial on-site training.
Company Benefits
  • Medical; Dental; Vision
  • 401k with a match
  • Paid Time Off and Paid Holidays
  • Tuition Reimbursement
  • Quarterly Incentive Bonus
  • Paid Volunteer Day
  • Referral Incentive Program
  • Company Paid Life Insurance; and Short/Long-Term Disability
Why Join Us?
  • A career with purpose: Help patients access life-saving medications.
  • Supportive culture: We value teamwork, respect, integrity, and passion.
  • Growth opportunities: We invest in your professional and personal development.
What You’ll Do
The Pharmacy Prior Authorization Specialist will ensure patients receive the medication that requires pre-authorizations from insurance carriers by receiving prescriptions, addressing and rectifying rejected claims and conducting necessary third party authorization requests.
How You’ll Do This
  • Manage prior authorization requests and appeals with insurance carriers.
  • Collaborate with physicians, pharmacists, and other departments.
  • Ensure HIPAA compliance while handling sensitive patient information.
  • Maintain accurate documentation of authorization details.
  • Proactively monitor and renew expiring authorizations.
What You Bring
Required:
  • High School Diploma or GED
  • 1+ years of pharmacy or prior authorization experience
  • Registration with Board of Pharmacy (as required by state law)
  • Strong communication, organizational, and customer service skills
  • Self-motivated, organized, detail-oriented, and adaptable to changing priorities
  • Knowledge of pharmacy terminology, pharmacy insurance claims, Medicare, Medicaid, and commercial insurance, pharmacy test claim and NCPDP claim rejection resolution, coordination of benefits, NDC medication billing, experience with CoverMyMeds
Preferred:
  • Associate degree or Certified Pharmacy Technician (PTCB)
  • 3+ years of experience in pharmacy or prior authorizations
  • Specialty pharmacy experience
Ready to make a meaningful impact? Apply today and help us better the lives of those battling cancer.
Company Values: Teamwork, Respect, Integrity, Passion

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