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Remote Prior Authorization Rn Jobs in Anderson, SC

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Remote Work Sales Agent Must be authorized to work in the US, no work visas offered at this time ... No prior sales or insurance experience is necessary. We are seeking motivated, confident, ambitious ...

Payroll Specialist

Greenville, SC · On-site +1

$24 - $26/hr

Unsolicited resumes or candidate profiles sent to OneDigital without a prior signed agreement will ... Provides ad hoc payroll reporting and other documentation to Finance, HR, and other authorized ...

Remote Prior Authorization Rn information

See Anderson, SC salary details

$6

$38

$66

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

As of Aug 31, 2026, the average hourly pay for remote prior authorization rn in Anderson, SC is $38.67, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $45.77 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.

What are popular job titles related to Remote Prior Authorization Rn jobs in Anderson, SC?

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

What job categories do people searching Remote Prior Authorization Rn jobs in Anderson, SC look for?

The top searched job categories for Remote Prior Authorization Rn jobs in Anderson, SC are:

What cities near Anderson, SC are hiring for Remote Prior Authorization Rn jobs?

Cities near Anderson, SC with the most Remote Prior Authorization Rn job openings:

Infographic showing various Remote Prior Authorization Rn job openings in Anderson, SC as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $80,433 per year, or $38.7 per hour.

Registered Nurse (RN)- Discharge Care, Part-Time, Remote (SC or TN residents only), Weekends

Greenville, SC • On-site, Remote


Prisma Health
Health Care and Social Assistance • 10K+ employees

7.1

Company rating: 7.1 out of 10

Based on 351 frontline employees who took The Breakroom Quiz

379th of 895 rated healthcare providers

People enjoy working here

Good employer

Recommended by students


Part-time

Posted 13 days ago


Job description

Inspire health. Serve with compassion. Be the difference.
Job Summary
Responsibility for initiating phone contact with discharged patients from specified units, conducting query on patient experience and recovery, and providing needed follow up to patients and/or family members. Coordinates patient responses requiring further intervention with appropriate Nurse Manager. Works independently and/or under indirect supervision of the Nurse Manager.
Essential Functions
  • All team members are expected to be knowledgeable and compliant with Prisma Health's purpose: Inspire health. Serve with compassion. Be the difference.
  • Conduct non-face-to-face post-discharge outreach calls to patients within the CMS-required timeframe.
  • Review discharge summaries, medication lists, and follow-up instructions prior to patient contact.
  • Medication reconciliation and coordination support.
  • Assess patient understanding of discharge plan, symptom management, and medication adherence.
  • Records patient responses and advice provided, documents any variations. Provides appropriate follow up as indicated by patient responses and needs.
  • Identify early signs of potential complications and escalate concerns to the provider or care team.
  • Schedule appointments directly with the patient's primary care provider.
  • Coordinate with front desk and clinical teams to secure timely appointment availability.
  • Document all outreach attempts, patient interactions, and outcomes in the EHR according to Prisma Health and CMS requirements.
  • Provide/Reinforce education provided at discharge, including when to contact the provider versus seek emergency care.
  • Support readmission prevention efforts by ensuring appropriate follow-up and addressing barriers to care.
  • Review and address open care gaps (e.g., hypertension control, diabetes monitoring, preventive screenings, wellness visits).
  • Educate patients on the importance of completing overdue screenings or visits and assist in scheduling.
  • Collaborate with providers, care coordinators, and case management teams to ensure continuity of care.
  • Participate in team discussions and quality improvement initiatives related to department effectiveness and patient outcomes.
  • Maintain awareness of required documentation and billing requirements to ensure compliance.
  • Provide hypertension-focused education on home blood pressure monitoring, medication adherence, lifestyle modifications, and follow-up importance.
  • Assess and intervene for elevated blood pressure readings or medication concerns by escalating to the provider and facilitating appropriate follow-up.
  • Collects patient data and completes required forms with appropriate responses according to the unit standards; identifies patient's problems/needs and sets priorities; identifies problems requiring further referral and/or follow-up; observes and records latest diagnostic results; performs advanced nursing observations using critical thinking skills.
  • Develops a plan for follow up care based on nursing process, and which incorporate the plans of other disciplines and continuing or emerging care needs; include the patient/family in developing or revising plan.
  • Care provided conforms to accepted practice standards; provides correct telephonic care advice and other follow up instructions according to patient care standards; demonstrates understanding of age-related characteristics and needs of patients served; explains nursing procedures and discharge teaching in appropriate forms; evaluates care measures instituted; identifies situations that require immediate action and provides appropriate plan; understands and demonstrates respect for patient rights and confidentiality, and identifies mechanism for management of any ethical issues.
  • Performs other duties as assigned.

Supervisory/Management Responsibilities
  • This is a non-management job that will report to a supervisor, manager, director or executive.

Minimum Requirements
  • Education - Associate degree in Nursing. Bachelor's degree in Nursing preferred.
  • Experience - One (1) year experience as a registered nurse.

In Lieu Of
  • In lieu of an associate's degree in nursing (AD N), will accept an RN diploma or certificate with a current RN compact/multistate license recognized by the NCSBN Compact State or a license to practice as an RN in the state the team member is working.

Required Certifications, Registrations, Licenses
  • Holds a current RN compact/multistate license recognized by the NCSBN Compact State or is licensed to practice as an RN in the state the team member is working.

Knowledge, Skills and Abilities
  • N/A

Work Shift
Weekend Shift (United States of America)
Location
Prisma Health Corporate Office
Facility
Value-Based Care and Network Services
Department
Ambulatory Quality and Reliability
Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.


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