2

Remote Prior Authorization Rn Jobs in Michigan (NOW HIRING)

RN Field Case Manager

Detroit, MI · On-site +1

$77.20K - $98K/yr

Must have 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 ...

RN Field Case Manager

Detroit, MI · On-site +1

$77.20K - $98K/yr

Must have 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 ...

Registered Nurse - Home | , MI

Lansing, MI · Remote

$28.94 - $51.63/hr

Current BLS/CPR certification or willingness to obtain prior to start * 1+ years of RN experience in a clinical setting supporting infusion or IV therapy (eg, ICU, Med Surg, ED, PACU) * Demonstrated ...

MTM Pharmacist

Ypsilanti, MI · On-site +1

$52.75 - $63.25/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

MTM Pharmacist

Ypsilanti, MI · On-site +1

$52.75 - $63.25/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

MTM Pharmacist

Detroit, MI · On-site +1

$53.25 - $64/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

MTM Pharmacist

Detroit, MI · On-site +1

$53.25 - $64/hr

Many MTM pharmacist positions offer remote or hybrid work. * Impact: Directly improve patient ... Competitive pay, benefits, and opportunities to expand into roles like prior authorization ...

next page

Showing results 1-20

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 cities in Michigan are hiring for Remote Prior Authorization Rn jobs? Cities in Michigan with the most Remote Prior Authorization Rn job openings:
Registered Nurse -Quality & Compliance

Registered Nurse -Quality & Compliance

SCIOMETRIX INC

Royal Oak, MI • Remote

$35 - $42/hr

Full-time

Medical, Dental, Vision, PTO

Posted 14 days ago


Job description

Benefits:
  • Dental and Vision Insurance
  • Short term disability
  • Bonus based on performance
  • Health insurance
  • Paid time off
  • Dental insurance
  • Vision insurance

Job description:

At Sciometrix, our goal is to deliver the best-ever personalized care with utmost compassion enabling patients to lead healthier and happier lives. Our commitment to innovation in healthcare technology drives us to lead the way in Care Management, Digital Care Coordination, Value-Based Care, and Population Health. We envision a world where advanced technology and human compassion intersect seamlessly to deliver superior patient experiences and outcomes
Whats In It For You?
Innovative & Diverse Healthcare Startup Culture:
Join a forward-thinking digital health company where your hands-on clinical skills and patient-centered approach make a meaningful impact. We foster an inclusive, dynamic environment where every LPNs voice is valued in transforming virtual care and enhancing patient experiences.
Collaborative, Team-Based Care Environment:
Work closely with RNs, physicians, specialists, allied health professionals, and cross-functional teams including sales, product, and support. Your role will be essential in supporting coordinated, patient-centered care and delivering exceptional service across the care continuum.
Cutting-Edge Telehealth Technology:
Be part of the evolution of telehealth and virtual care delivery. Gain access to proprietary, HIPAA-compliant software and advanced AI-driven tools like Clinicus that support remote patient monitoring, documentation, care coordination, and improved patient outcomes.
Global Network & Professional Growth:
Expand your professional network while learning and growing alongside healthcare and technology professionals worldwide. Be part of an organization that embraces innovation and empowers LPNs to grow within the evolving landscape of virtual care.
Commitment to Diversity, Inclusion & Belonging:
We are committed to building a safe, inclusive workplace where every team member feels respected and empowered. Our leadership prioritizes creating an environment where you can bring your authentic self to work.
Competitive Compensation & Benefits:
Enjoy a competitive salary aligned with your experience, along with a comprehensive benefits package including medical, dental, vision coverage, paid time off, paid holidays, and downtown Royal Oak parking.
Positive & Rewarding Work Environment:
Join a company recognized for clinical excellence, patient satisfaction, and provider success where your contributions are valued, supported, and celebrated.
Job Summary
We are seeking a detail-oriented and analytically strong Registered Nurse (RN) to join our Quality & Compliance POD. The role focuses on ensuring high standards of clinical documentation, compliance, and audit quality across operations. The ideal candidate will have a strong understanding of medical documentation, Medical Decision Making (MDM), and quality assurance processes in a healthcare setting.
Key Responsibilities
  • Review and audit clinical documentation to ensure accuracy, completeness, and compliance with established standards
  • Evaluate medical records and notes with a strong focus on Medical Decision Making (MDM)
  • Identify gaps in documentation, coding, and compliance, and provide actionable feedback
  • Ensure adherence to internal protocols, regulatory guidelines, and quality benchmarks
  • Analyze clinical and operational data to identify trends, risks, and improvement opportunities
  • Collaborate with clinical and operations teams to improve documentation quality and compliance
  • Maintain high levels of accuracy and attention to detail in all audit and review processes
  • Support continuous quality improvement initiatives within the organization
Key Requirements
  • Active Registered Nurse (RN) license (US experience preferred)
  • Strong analytical and problem-solving skills
  • Expertise in medical documentation and clinical notes review
  • Solid understanding of Medical Decision Making (MDM)
  • Experience in quality audits, compliance, or clinical quality assurance
  • High attention to detail with strong accuracy in work
  • Excellent communication and feedback skills
Benefits:
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance