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Remote Prior Authorization Nurse Jobs in Springfield, MA

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Remote Prior Authorization Nurse information

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$17

$38

$65

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

As of Aug 6, 2026, the average hourly pay for remote prior authorization nurse in Springfield, MA is $38.48, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $43.12 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 Springfield, MA? For Remote Prior Authorization Nurse jobs in Springfield, MA, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Nurse jobs in Springfield, MA look for? The top searched job categories for Remote Prior Authorization Nurse jobs in Springfield, MA are:
What cities near Springfield, MA are hiring for Remote Prior Authorization Nurse jobs? Cities near Springfield, MA 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 Springfield, MA as of August 2026, with employment types broken down into 8% As Needed, 54% Full Time, 15% Part Time, and 23% Contract. Highlights an 8% In-person, and 92% Remote job distribution, with an average salary of $80,040 per year, or $38.5 per hour.

Licensed Psychiatric Mental Health Nurse Practitioner

Optimum Care Counseling & Wellness

Glastonbury, CT • Remote

$100K - $170K/yr

Part-time

Retirement

Re-posted 5 days ago

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 Psychiatric Mental Health Nurse Practitioners (PMHNPs) residing in the United States who are passionate about delivering high-quality, patient-centered behavioral healthcare 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 expanding team, you will provide comprehensive psychiatric care while collaborating with an interdisciplinary team of psychiatrists, therapists, and psychologists.
This is a fully remote position, offering telehealth and opportunities based on patient 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 providers available for a minimum of 10–20 hours per week.
The Nurse Practitioner will provide psychiatric evaluations, diagnosis, medication management, and follow-up care 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
  • Electronic EHR system
  • Secure phone system (to maintain professional boundaries)
  • Online fax system
  • Paid training
  • Collaborative, team-based work environment

Responsibilities

  • Conduct comprehensive psychiatric evaluations
  • Diagnose and treat mental health conditions
  • Prescribe and manage psychiatric medications
  • Develop and implement individualized treatment plans
  • Collaborate with psychiatrists, therapists, and other healthcare providers
  • Maintain accurate and timely clinical documentation
  • Complete required EHR training modules

Required Qualifications

  • Master’s or Doctoral degree in Nursing 
  • Board certification as a Psychiatric Mental Health Nurse Practitioner (PMHNP-BC)
  • Active Connectict CRNP license with prescriptive authority
  • Active Connecticut DEA registration 
  • Strong clinical assessment and diagnostic skills
  • Excellent written and verbal communication skills
  • Ability to build rapport with patients across the lifespan

This is a remote position.