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Remote Prior Authorization Rn Jobs in Charleston, SC

MUSC

Senior Manager-Nursing/APP

Charleston, SC · Remote

Current SC RN license (or equivalent clinical credential if broadening applicant pool) Experience ... Experience leading remote teams Physician Engagement: * Experience developing, delivering physician ...

Agency Diaz

Remote Insurance Sales Agent

Charleston, SC · On-site +1

$75K - $160K/yr

No prior experience in sales or insurance is required. Core Responsibilities: * Consult with ... Must be 18+ and legally authorized to work in the U.S. What you'll get: * The ability to work when ...

micro1 AI

Pharmacovigilance Expert

Charleston, SC · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

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Showing results 21-40

All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Charleston, SC

Remote Prior Authorization Rn information

See Charleston, SC salary details

$6

$39

$67

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

As of Sep 5, 2026, the average hourly pay for remote prior authorization rn in Charleston, SC is $39.53, according to ZipRecruiter salary data. Most workers in this role earn between $29.47 and $46.78 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 Charleston, SC?

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

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

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

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

Cities near Charleston, SC 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 Charleston, SC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $82,228 per year, or $39.5 per hour.

Market Physician Executive - Float

Monogram Health

Charleston, SC • Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 26 days ago

Job description

Monogram Health is seeking a mission-driven Market Physician Executive (MPE) to lead its in-home multi-specialty polychronic care model within an assigned market. This role involves overseeing daily clinical and business operations, providing direct patient care, and collaborating with a multidisciplinary team to improve patient well-being, quality of life, and health outcomes. The MPE will leverage proprietary AI algorithms and evidence-based clinical pathways to deliver exceptional care and achieve population health goals.

Practice Info

  • Lead an in-home multi-specialty polychronic care model in an assigned market.
  • Each market is comprised of 5-10 territories led by local advanced practice providers (APP), registered nurses (RN), licensed clinical social workers (LCSW), and pharmacists.
  • Collaborate with Monogram Health's Multi-Specialty Platform to leverage employed specialists to deliver in-home specialty care.
  • Deploy a proven risk-based model to ensure health equity and health equality leveraging proprietary next generation AI algorithms.
  • Focus on improving patient experience, population health outcomes, provider satisfaction, and lower costs.
  • Oversee the daily clinical and business operations through delivery of direct patient care, care management services, social worker support and pharmacy services within the market.

Responsibilities

  • Ensure adherence to established clinical guidelines and Monogram Model of Care.
  • Review and approve APP, RN, SW and Pharmacy plans of care.
  • Review, approve and co-sign APP encounters.
  • Overall accountability for reducing total cost of care and Medical Loss Ratio.
  • Responsible for clinical outcomes to include, but not limited to, clinical interventions closure, inpatient/outpatient utilization, pharmacological prescribing and therapy management, multi-specialty platform and HEDIS/Gap Closure.
  • Actively lead daily high risk and concurrent review rounds.
  • Provide direct and indirect patient care (including diagnosis and treatment of acute and chronic diseases).
  • Conduct Peer to Peer consults with community, facility, and health plan partners.

Compensation

  • Competitive compensation
  • 401k with employer match

Benefits

  • Medical, dental, and vision insurance
  • Employee assistance program
  • Employer-paid and voluntary life insurance
  • Disability insurance
  • Health and flexible spending accounts
  • Financial wellness resources
  • Paid holidays
  • Flexible vacation time/PSSL
  • Paid parental leave
  • Work life assistance resources
  • Physical wellness perks
  • Mental health support
  • Employee referral program
  • BenefitHub for employee discounts

Shift & Schedule

  • Participate in Monogram On-Call rotation which will vary; e.g. 7 days on call minimum once/quarter.
  • Provide coverage for other MPEs, during PTO or vacancy, as needed.
  • This position will be remote within the designated market with occasional in-home patient treatment visits and occasional domestic travel.

Requirements

  • Current state medical license without restrictions to practice and free of sanctions from Medicaid or Medicare.
  • Willingness to become licensed in multiple states.
  • MD or DO degree from an accredited medical school.
  • BC or BE in an ACGME approved specialty such as Nephrology, Internal Medicine, Family Practice, Emergency Medicine, Critical Care, Cardiology, Endocrinology, Hepatology, or Geriatrics.
  • Active, unrestricted state medical license required in each state within the market, and ability to obtain additional states as needed.
  • Demonstrated experience applying evidence-based clinical criteria.
  • Experience in multispecialty, geriatrics and/or value-based care.
  • Advanced management and communication skills.
  • Experience with high need Medicare Advantage and managed Medicaid populations.
  • Experience with NCQA, HEDIS, Medicaid, Medicare, quality improvement, medical utilization management, and risk adjustment.

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