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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.

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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 9, 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.

Psychiatric Mental Health Nurse Practitioner

PAIGE COOL NP IN PSYCHIATRY PLLC

Rochester, NY • Remote

$110K - $150K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 11 days ago

Job description

Board Certified Psychiatric Mental Health Nurse Practitioner

PIC Mental Health provides behavioral health services to clients across the lifespan. PIC Mental Health is looking for a compassionate Board Certified Psychiatric Mental Health Nurse Practitioner who is licensed in New York State. We are a small privately owned business looking for a provider who is passionate and committed to excellent mental health care. Our goal is to provide patient centered and evidence-based care to patients throughout New York.

Come and join PIC Mental Health and experience:

- A schedule that takes work/ balance into account

- Focusing solely on patient care – we take care of setting up your caseload, credentialing, billing, authorizations, and insurance

- Support from our team while also maintaining your clinical autonomy

- A streamlined documentation system and having time to spend with your patients

- The opportunity to learn and group as a clinician

- A growing referral network

Pay:

$110,000 - $150,000 / yr

Job Types:

Currently considering Full time or Part time availability

Job Description:

- Conduct intake and follow up appointment for medication management and therapy practices to individuals with varying diagnoses

- Conduct mental health evaluations and implement treatment plans which providing a therapeutic, environment and using evidence-based practice

Your Qualifications and Requirements

- Board Certified by the ANCC as a PMHNP who is able to work independently in New York State

- Current and valid Psychiatric Mental Health Nurse Practitioner license in the state of New York

- Ability to obtain and maintain active and unrestricted license and DEA number

- Two years of experience as a board certified psychiatric mental health nurse practitioner providing patient care and treatment in a clinical setting

- Safe, secure remote work location from which telehealth appointments can be conducted privately, securely, and confidentially

- Consistent and reliable internet connectivity

- Reliable laptop or personal computer device

You must also demonstrate:

- Passion for high quality care, excellent clinical knowledge and communication skills while documenting proficiently

- Openness to continue to grow clinical knowledge through continued education

- Independence, good judgment, reliability, and professionalism

- Good verbal and written communication skills, including with patients and team members

Current Benefits - PIC Mental Health offers competitive benefits to eligible employees including

- Health Insurance

- Eligibility of Flexible Schedule

- Paid Time off

Work Location – Mostly remote with office in Rochester, NY

PIC Mental Health is an equal employment opportunity employer and is committed to providing equal opportunity to all qualified applicants and employees. PIC Mental Health does not discriminate on the basis of race, age, disability, pregnancy (including childbirth, related medical conditions, or lactation accommodations), age, marital status, familial status, veteran or military status, gender identity or gender expression, sexual orientation, genetic information or predisposing genetic characteristics, religion, creed, color, ethnicity, national origin, immigration or citizenship status, reproductive health decision making, status asa victim of domestic violence, prior arrest or criminal conviction (except PIC Mental Health may consider pending arrests or prior convictions in a manner consistent with the NYS Human Rights Law and Article 23-A of the Corrections Law), known association with another person of a protected class, or any other protected class recognized by federal, state, or local law. Employment decisions are made based upon merit, qualifications, and legitimate business needs.

Job Types: Full-time, Part-time

Benefits:

  • 401(k)
  • Flexible schedule
  • Health insurance
  • Paid time off

Work Location: Remote