Remote Prior Authorization Rn Jobs in Birmingham, AL

About Guideway Care*

Guideway Care isThe Patient Activation Company. We don't just "engage" patients; weactivatethem. By utilizing our proprietary Motivational Patient Guidance (MPG) model and AI-powered technology, we resolve the practical and psychological barriers that prevent patients from taking their "next right action."

Job Summary:

We are seeking an experienced and compassionate Registered Nurse to join our elite team of remote triage professionals. This role is ideal for nurses with strong ambulatory, outpatient, primary care, specialty clinic, or physician practice experience who thrive in a fast-paced environment and are passionate about delivering exceptional patient care remotely.

As a Remote RN Triage Nurse, you will provide clinical assessment, symptom management, patient education, and care coordination services through telephone and digital communication platforms. You will serve as a critical extension of provider practices, ensuring patients receive timely guidance and appropriate levels of care while supporting continuity of care across ambulatory settings.

Shifts available:

• Monday - Friday: 10:00 AM - 7:00 PM CST
  

Essential functions:

• Conduct comprehensive patient assessments and triage using evidence-based protocols and clinical guidelines.

• Respond to patient concerns through inbound and outbound telephone calls and secure patient messaging platforms.

• Assess symptoms, determine appropriate levels of care, and provide patient education and clinical guidance.

• Escalate urgent or complex concerns to providers or appropriate care team members.

• Coordinate care across providers, specialists, and healthcare teams to support positive patient outcomes.

• Document assessments, recommendations, and communications accurately within electronic medical records (EMRs).

• Assist with administrative clinical functions including FMLA, ADA, STD/LTD documentation and patient care coordination activities.

• Support onboarding and training of new team members through shadowing, coaching, and reinforcement of best practices.

• Collaborate with physicians, advanced practice providers, clinical staff, and practice administrators to ensure continuity of care.

• Maintain compliance with organizational policies, HIPAA requirements, and clinical quality standards.

• Perform other duties necessary to support our mission, values, and commitment to patient-centered care.
  

Required Skills/Abilities:

• Active, unrestricted Registered Nurse license in a compact licensure state.

• Minimum of 5 years of ambulatory care, outpatient clinic, primary care, specialty practice, women's health, or physician office nursing experience.

• Prior RN triage experience in an ambulatory or outpatient setting strongly preferred.

• Previous remote nursing or telephone triage experience preferred.

• Strong clinical assessment, critical thinking, and decision-making abilities.

• Excellent verbal and written communication skills with the ability to provide compassionate patient support remotely.

• Experience utilizing electronic medical records such as Epic, Cerner, Greenway, Athenahealth, or similar systems.

• Proficiency with Microsoft Office and other standard office technologies.

• Ability to work independently while following established clinical protocols and workflows.
  

Supervisory Responsibilities:
None

Travel Requirements: 0%

Work Authorization:

• Guideway Care does not offer Immigration or work visa sponsorship

Total Rewards:

The pay rate is $30 per hour.

In addition, team members enjoy

Benefits package including:

• Medical Insurance

• Vision Insurance

• Dental Insurance

• Flexible Spending Account (FSA),

• Company paid short- and long-term disability,

• Employee Assistance Program,

• Life Insurance,

• Accident insurance,

• and other voluntary benefit programs for employees and their eligible dependents.

• 401(k) retirement plan with a company match

Essential Duties and Responsibilities

• Able to work remotely at home in a private HIPAA compliant workspace

• Able to house company equipment needed to perform job

• Broadband Internet Access

• Internet download speed must be at least 24 mbps and upload speed at least 4 mbps

• Immigration or work visa sponsorship will not be provided

• Physical Demands:

• Ability to hear in normal range and wear a headset / earpiece

• Good visual acuity to read computer screens, scripts, forms etc.

• May sit 100% of the time when taking calls

• Access to the electronic medical record (EMR) system may require the use of your personal mobile device for authentication purposes.

We applaud qualified applicants who are accountable and committed to producing quality work. As an Equal Opportunity Employer, we support and value diversity, dignity, and respect in our work environment, and are committed to creating an inclusive environment in which everyone can thrive.

Guideway Care requires all candidates to successfully complete a background check, drug screening, and identity verification process, including third-party checks and real-time confirmation, prior to employment to ensure a secure and consistent candidate experience.

* Guideway Care is the parent company of Sequence Health. This position is employed by Sequence Health.