ZipRecruiter

Log In

2

Remote Prior Authorization Rn Jobs in Michigan (NOW HIRING)

State of Michigan

Registered Nurse P11

Grand Rapids, MI · On-site +1

$200K/yr

Many State of Michigan jobs offer alternate work schedules and remote-work options that can help ... Prior military service may also allow seniority credits to accelerate eligibility for longevity ...

State of Michigan

Registered Nurse P11

Grand Rapids, MI · On-site +1

$200K/yr

Many State of Michigan jobs offer alternate work schedules and remote-work options that can help ... Prior military service may also allow seniority credits to accelerate eligibility for longevity ...

Cycle Pharmaceuticals

Access Specialist

Detroit, MI · Remote

$80K/yr

This is a remote position, but candidates will happy to work on either EST or CST time zone. Salary ... Supply all necessary prior authorization requirements to Health Care Professionals based on the ...

next page

Showing results 1-20

People also search for

All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Michigan

Remote Prior Authorization Rn information

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.

What are the most commonly searched types of Prior Authorization Rn jobs in Michigan? The most popular types of Prior Authorization Rn jobs in Michigan are:
What are popular job titles related to Remote Prior Authorization Rn jobs in Michigan? For Remote Prior Authorization Rn jobs in Michigan, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Michigan look for? The top searched job categories for Remote Prior Authorization Rn jobs in Michigan are:
What cities in Michigan are hiring for Remote Prior Authorization Rn jobs? Cities in Michigan with the most Remote Prior Authorization Rn job openings:
Remote Prior Authorization Rn jobs near you

Remote Prior Authorization Pharmacist

Pharmacy Careers

Detroit, MI • Remote

$53.25 - $64/hr

Other

Posted 6 days ago

Job description

Remote Prior Authorization Pharmacist - Work From Home in Managed Care
A confidential managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests, ensure medical necessity, and improve patient access to safe and effective therapies. This work-from-home position is ideal for pharmacists who want to transition out of retail or hospital settings while building expertise in managed care.
Key Responsibilities

  • Review prior authorization requests for accuracy, appropriateness, and clinical necessity.
  • Apply plan criteria, evidence-based guidelines, and regulatory standards to determinations.
  • Communicate approval/denial decisions clearly to providers and patients.
  • Collaborate with physicians, nurses, and medical directors on complex cases.
  • Document outcomes in compliance with health plan policies and CMS/state regulations.
  • Support process improvements to streamline workflow and turnaround times.


What You'll Bring

  • Education: Doctor of Pharmacy (PharmD) or Bachelor of Pharmacy degree.
  • Licensure: Active and unrestricted pharmacist license in the U.S.
  • Experience: Prior authorization, utilization management, or managed care preferred - retail or hospital pharmacists with strong clinical judgment are encouraged to apply.
  • Skills: Excellent clinical review, documentation, and communication skills.

Why This Role?

  • Flexibility: 100% remote work from home with flexible scheduling options.
  • Impact: Directly influence patient access to safe and cost-effective medications.
  • Growth: Build specialized skills in utilization management and managed care.
  • Rewards: Competitive compensation, benefits, and career advancement opportunities.


About Us
We are a confidential healthcare partner working with health plans and PBMs across the U.S.. Our pharmacists ensure patients receive the right therapy at the right time while maintaining compliance with all regulations.
Apply Today
Take the next step in your career with our Remote Prior Authorization Pharmacist opportunity - and enjoy the benefits of working from home while shaping the future of managed care.

Apply