2

Remote Prior Authorization Rn Jobs (NOW HIRING)

Prior Authorization RN

$90K - $108K/yr

Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if ... Lower Manhattan, NY (Training) / Remote Hybrid training transitioning to Remote Position Summary As ...

Be Seen First

Remote Prior Authorization Pharmacist Hours * Monday-Friday 9:30am-6pm local time zone + occasional weekends * Training schedule - 5 weeks starting 11/09/2026, Monday through Friday, 8:00 AM to 4:30 ...

Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...

Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...

This remote Prior Authorization Specialist supports the Patient Access Onshore department in various functions, insurance verification and coordinating prior authorization requests for medical ...

New

Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to ...

Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to ...

Licensed Vocational Nurse - LPN

RI · Remote

$28 - $30/hr

Licensed Vocational Nurse (LPN) - Remote Prior Authorization 100% Remote - Anywhere in the U.S. Schedule: Monday-Friday, Day Shift (No weekends unless overtime is required) About the Role We are ...

Be Seen First

Pharmacist - Remote / Prior Authorization

Charlotte, NC · Remote

$59.50 - $71.75/hr

Pharmacist needed for Remote / Work From Home Position! Multiple openings with a July and August ... Evaluate and review all prior authorization requests and render coverage determinations based on ...

The Pharmacist, Prior Authorization (PA) & Appeals, is responsible for reviewing and evaluating prior authorization and appeals requests to determine coverage based on clinical guidelines, pharmacy ...

... looking for a Prior Authorization Clinician for their Remote location. Responsibilities ... Bachelor's degree * RN license in state of MA, NH or compact license * Medicare and Medicaid ...

next page

Showing results 1-20

Remote Prior Authorization Rn information

See salary details

$7

$42

$72

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

As of Sep 13, 2026, the average hourly pay for remote prior authorization rn in the United States is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $50.00 per hour, depending on experience, location, and employer.

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

More about Remote Prior Authorization Rn jobs

What cities are hiring for Remote Prior Authorization Rn jobs?

Cities with the most Remote Prior Authorization Rn job openings:

What are the most commonly searched types of Prior Authorization Rn jobs?

The most popular types of Prior Authorization Rn jobs are:

What states have the most Remote Prior Authorization Rn jobs?

States with the most job openings for Remote Prior Authorization Rn jobs include:

What are popular job titles related to Remote Prior Authorization Rn jobs?

For Remote Prior Authorization Rn jobs, the most frequently searched job titles are:

Infographic showing various Remote Prior Authorization Rn job openings in the United States as of September 2026, with employment types broken down into 62% Full Time, and 38% Part Time. Highlights an 100% Remote job distribution, with an average salary of $87,868 per year, or $42.2 per hour.

Prior Authorization RN

Remote

RCM Health Care Services
Recruiting and Staffing Services • 1 - 5K employees

$90K - $108K/yr

Other

Re-posted 11 days ago


Job description

Job Description
Pre-Authorization RN
Compensation
Salary Range: $90,000 - $108,000 per year
Bonus / Commission (if applicable):
This role is eligible for a $15,000 sign-on bonus.
Location: Lower Manhattan, NY (Training) / Remote
Hybrid training transitioning to Remote
Position Summary
As a Pre-Authorization RN, you will support care coordination by reviewing and processing authorization requests in alignment with regulatory and organizational guidelines. This role involves collaboration with interdisciplinary teams to ensure timely and appropriate care delivery. Following a structured hybrid training period, this position transitions to a fully remote setting while maintaining high standards of clinical accuracy and compliance.
Responsibilities
? Schedule / Shift
  • Shift details: Monday - Friday (Business Hours)
  • Hours per week: 40
? Key Duties:
  • Review and process authorization requests in accordance with Medicare, Medicaid, and internal guidelines
  • Collaborate with care managers, nurses, and providers to ensure timely and appropriate service delivery
  • Coordinate completion of UAS-NY assessments to reflect members' current clinical status
  • Ensure care plans are accurate, updated, and aligned with member needs
  • Maintain accurate documentation and support compliance with utilization management standards
Requirements
? Education
  • Required: Associate's Degree in Nursing
  • Preferred (if applicable): Bachelor's Degree in Nursing (BSN)
? Licenses & Certifications
  • Required: Active New York State Registered Nurse (RN) license
  • Additional certifications (if applicable): CCM certification preferred
? Skills:
  • Strong knowledge of Medicare and Medicaid regulations
  • Experience in prior authorization or utilization review processes
  • Excellent clinical judgment, assessment, and decision-making skills
  • Proficiency in Microsoft Office (Word, Excel) and familiarity with InterQual preferred

About Us
RCM Healthcare Services works with professionals across schools, healthcare, and community-based settings nationwide. We support both contract and direct hire opportunities, connecting people early in their careers and experienced professionals to roles that align with their experience and preferences. With more than 50 years of staffing experience, our team understands the environments you're stepping into and what it takes to be successful in them. We stay closely involved from first conversation through placement, with consistent communication, a reliable point of contact, and follow-through at every step. We're committed to caring for the professionals we work with and the communities they support, and offer competitive pay and benefits designed to support your well-being. RCM Healthcare Services is Joint Commission certified, reflecting a commitment to quality, compliance, and a consistent experience.
Equal Employment Opportunity & Reasonable Accommodation
RCM Technologies is an equal opportunity employer and values diversity. We are committed to providing reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with Disabilities Act (ADA) and applicable state laws. If you require a reasonable accommodation to apply for or perform this role, please contact us and we will engage in an interactive process to support your needs.
#AC1
#ACP