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Remote Prior Authorization Rn Jobs in Michigan (NOW HIRING)

Integra Partners

Medical Coding Specialist

Troy, MI · On-site +1

$65K - $65K/yr

Prior Authorization Program Support • Develop, validate, and maintain Prior Authorization code ... EDUCATION: • Certified Professional Coder (CPC), Certified Coding Specialist (CCS), Registered ...

Corewell Health

Telehealth RN

Kentwood, MI · On-site +1

Scope of work A Telehealth Registered Nurse (RN) delivers high-quality remote patient care using technology, such as electronic health records, phone and video calls. This role involves working ...

Sedgwick

RN Field Case Manager

Grand Rapids, MI · On-site +1

$74K - $95K/yr

Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Grand Rapids, MI · On-site +1

$74K - $95K/yr

Must be an RN and prefers 1.5 years of prior Field Case Manager workers compensation experience ... remote work environment that allows face to face interaction with injured workers and medical ...

Imh

RN Care Manager - PRN

Almont, MI · Remote

$41.20 - $62.17/hr

The RN Hospital Care Manager I delivers comprehensive care management services to designated ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

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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
Infographic showing various Remote Prior Authorization Rn job openings in Michigan as of July 2026, with employment types broken down into 89% Full Time, 8% Part Time, and 3% Contract. Highlights an 3% In-person, and 97% Remote job distribution.

Patient Support Supervisor - Certified Pharmacy Technician, Prior Authorizations

Shields Health Solutions

Detroit, MI • Remote

$17.75 - $21.75/hr

Full-time

Posted 12 days ago

Shields Health Solutions rating

8.3

Company rating: 8.3 out of 10

Based on 39 frontline employees who took The Breakroom Quiz

12th of 110 rated pharmacies

Job description

???? Patient Support Supervisor (Specialty Pharmacy)

???? Location: Remote – supporting Northeast (EST Zone)

???? About the Role

Shields Health Solutions is seeking a Patient Support Supervisor to lead a high-performing team within our Patient Support Center. This is an ideal opportunity for a motivated, service-oriented leader with a background in pharmacy or healthcare operations who thrives in a fast-paced, growth-focused environment.

The ideal candidate is a results-driven self-starter who is passionate about patient care, team development, and operational excellence, with proven experience managing front-line employees and driving performance.

???? Position Summary

The Patient Support Supervisor is a key leadership role responsible for overseeing daily operations of a Patient Support team and ensuring patients receive medications efficiently, accurately, and on time.

This role partners closely with internal teams and hospital stakeholders to:

  • Meet service level agreements (SLAs)
  • Ensure adoption of best practices
  • Drive team performance, engagement, and development

???? Key Responsibilities

???? Team Leadership & Operations

  • Lead, coach, and manage a team of Patient Support Associates to ensure medication adherence, prior authorization completion, and financial assistance support
  • Provide ongoing performance management, training, and mentorship
  • Manage staffing, scheduling, PTO, and time reporting (ADP)
  • Step in to support workload during peak or short-staffed periods

???? Patient & Partner Coordination

  • Ensure patients receive medications on time and without barriers
  • Partner with hospital/clinic stakeholders through regular meetings and collaboration calls
  • Maintain strong working relationships with pharmacy and clinical teams

???? Workflow & Performance Management

  • Monitor and ensure achievement of service level metrics and quality standards
  • Conduct audits, oversee system workflows, and manage responsiveness to incoming requests
  • Establish and optimize workflows between Patient Support, liaison teams, and clinical integration teams

???? Process Improvement & Support

  • Identify and implement operational improvements and best practices
  • Support data, analytics, contracting, and special projects
  • Provide troubleshooting, guidance, and issue resolution for team members and partners

⚙️ Administrative & Coordination

  • Assist with hiring, onboarding, training coordination, and system access setup
  • Maintain confidentiality of sensitive patient and business data

✅ Qualifications

???? Licensure & Experience

  • Active Pharmacy Technician license/registration (state-specific)
  • National certification (CPhT) required
  • 3+ years pharmacy technician experience (specialty pharmacy preferred)
  • Prior leadership experience (formal or informal) strongly preferred

???? Education

  • High School Diploma or GED (required)
  • Bachelor's degree (preferred or in progress)
  • Leadership/management training (preferred)

???? Skills & Competencies

  • Strong leadership, communication, and team development skills
  • Ability to influence, collaborate, and drive results across teams
  • Solid operational and analytical skills; ability to identify trends and improve performance
  • Proficiency in Microsoft Excel and Word (data analysis, reporting)
  • Experience with pharmacy/EMR systems (Willow, QS1, RX30 preferred)
  • Highly organized, detail-oriented, and patient-focused
  • Ability to manage multiple priorities and maintain confidentiality

???? Additional Requirements

  • Ability to lead both remote and on-site teams
  • Willingness to travel up to 20% (if outside core locations)

???? Why Join Shields?
  • ???? Fast-growing leader in specialty pharmacy
  • ❤️ Mission-driven, patient-first culture
  • ???? Strong career growth and leadership development opportunities
  • ???? Collaborative and supportive environment

???? SEO Keywords

Patient Support Supervisor, Pharmacy Supervisor, Specialty Pharmacy, Pharmacy Technician Supervisor, Healthcare Operations, Patient Access, Prior Authorization, Medication Adherence, Care Coordination, Patient Support Center, Pharmacy Team Lead

California residents employed by or applying for work at Shields have certain privacy rights. Please review our: California Workforce Privacy Notice and Privacy Policy.

By providing your mobile number, you agree to receive text messages from Shields Health Solutions related to job opportunities, interview scheduling, and recruiting updates. Message and data rates may apply. You may opt out at any time by replying 'STOP.' Consent is not a condition of employment.

Solid computer skills are required, including proficiency in Microsoft Office tools (Outlook, Teams, Word, Excel, and PowerPoint) for communication, documentation, and data management, as well as, navigating the internet and web-based platforms. Data entry and computer skills will be evaluated through an assessment as part of the pre-employment process.

Shields Health Solutions provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Shields Health Solutions is committed to providing an inclusive hiring experience; if you need assistance or accommodation during the application or interview process, please email talentacquisition@shieldsrx.com.

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