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Remote Prior Authorization Nurse Jobs in Rochester, NY

Lancesoft INC

Nurse Practitioner

Rochester, NY · Remote

$40 - $44.44/hr

Nurse Practitioner - Remote Research Study Reviewer Position: Remote - Part Time Work Hours ... Current CITI Human Subjects Research Training certification required prior to study participation.

Valera Health

Mental Health Therapist

Rochester, NY · On-site +1

... prior authorizations. This means you can practice at the top of your license alongside ... Collaborate within our vetted in-house network of health coaches, therapists, nurse practitioners ...

micro1 AI

Clinical Pharmacy Technicians

Rochester, NY · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

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All JobsPrior Authorization Nurse JobsRemote Prior Authorization Nurse JobsRemote Prior Authorization Nurse Jobs in Rochester, NY

Remote Prior Authorization Nurse information

See Rochester, NY salary details

$17

$38

$64

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

As of Aug 13, 2026, the average hourly pay for remote prior authorization nurse in Rochester, NY is $38.10, according to ZipRecruiter salary data. Most workers in this role earn between $29.18 and $42.69 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 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 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 popular job titles related to Remote Prior Authorization Nurse jobs in Rochester, NY?

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

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

The top searched job categories for Remote Prior Authorization Nurse jobs in Rochester, NY are:

What cities near Rochester, NY are hiring for Remote Prior Authorization Nurse jobs?

Cities near Rochester, NY 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 Rochester, NY as of August 2026, with employment types broken down into 85% Full Time, 10% Part Time, and 5% Contract. Highlights an 100% Remote job distribution, with an average salary of $79,251 per year, or $38.1 per hour.

Licensed Clinical Psychologist

Optimum Care Counseling & Wellness

Rochester, NY • Remote

$95K - $150K/yr

Part-time

Retirement

Re-posted yesterday

Job description

Benefits:
  • 401(k) matching
  • Bonus based on performance
  • Competitive salary
  • Flexible schedule

Come join Optimum Care Counseling and Wellness Solutions

We are seeking licensed Psychologists (PhD or PsyD) residing in the United States who are passionate about providing high-quality, evidence-based care to diverse populations across the United States.
At Optimum Care Counseling and Wellness Solutions, our mission is to empower clients to use their individual strengths to gain insight into their challenges and feel more in control of their lives. As part of our growing team, you will provide psychological services while collaborating with an interdisciplinary team of psychiatrists, nurse practitioners, and therapists.
This is a full remote position, offering telehealth opportunities based on client and program needs. 
We offer flexible scheduling:
  • Monday–Friday: 7:00 AM – 9:00 PM
  • Saturday: 7:00 AM – 4:00 PM
We are seeking psychologists available for Part-Time.
Psychologists will provide diagnostic evaluations, psychological testing, and individual therapy to children, adolescents, adults, and older adults. Our practice utilizes a robust Electronic Health Records (EHR) system with an integrated telehealth platform to ensure efficient and secure service delivery.
Practice Support & Resources

  • New patient scheduling
  • Credentialing support
  • Advertising and marketing
  • Copay collection
  • Prior authorizations
  • Patient relations support
  • Established referral base
  • In-house prescribers for medication management
  • Electronic EHR system
  • Secure phone system (to maintain professional boundaries)
  • Online fax system
  • Paid training
  • Collaborative, team-based work environment

Responsibilities

  • Conduct comprehensive psychological evaluations and diagnostic assessments
  • Administer and interpret psychological and cognitive testing
  • Provide evidence-based therapeutic interventions
  • Develop and implement individualized treatment plans
  • Collaborate with psychiatrists, nurse practitioners, and other treatment providers
  • Maintain accurate and timely documentation
  • Complete required EHR training modules

Qualifications

  • Doctoral degree (PhD or PsyD) in Clinical Psychology or related field
  • Active Psychologist license required in New York.
  • Experience in psychological assessment and testing preferred
  • Strong written and verbal communication skills
  • Ability to build rapport with clients across the lifespan
  • Strong organizational and clinical leadership skills

This is a remote position.