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Remote Prior Authorization Rn Jobs in Dearborn, MI

Amgen

Field Reimbursement Manager

Detroit, MI · On-site +1

... payer prior authorization to appeals/denials requirements and forms * Review patient-specific ... General office demands - Remote, Work from Home. * One to two home office days per week. * Must be ...

Centene

Senior Care Manager (RN)

Detroit, MI · On-site +1

$75K - $135K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

Centene

Senior Care Manager (RN)

Macomb, MI · On-site +1

$75K - $135K/yr

License/Certification: * RN - Registered Nurse - State Licensure and/or Compact State Licensure ... with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Dearborn, MI

Remote Prior Authorization Rn information

See Dearborn, MI salary details

$6

$38

$66

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

As of Aug 11, 2026, the average hourly pay for remote prior authorization rn in Dearborn, MI is $38.81, according to ZipRecruiter salary data. Most workers in this role earn between $28.94 and $45.91 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 Dearborn, MI? For Remote Prior Authorization Rn jobs in Dearborn, MI, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Dearborn, MI look for? The top searched job categories for Remote Prior Authorization Rn jobs in Dearborn, MI are:
What cities near Dearborn, MI are hiring for Remote Prior Authorization Rn jobs? Cities near Dearborn, MI 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 Dearborn, MI as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $80,725 per year, or $38.8 per hour.

RN, telephonic Clinical Case Manager

Managed Medical Review Organization

Novi, MI • Remote

Full-time

Posted 14 days ago

Job description

Salary: 85,000

About the Role
We are looking for an experienced RN Clinical Case Manager to support a disability claim review program. In this role, you will guide members through a collaborative case management process built on assessment, planning, care coordination, and ongoing evaluation. Your work directly supports improvement in members' (patients) disabling and co-morbid conditions and helps maximize their employability. You will own your caseload from start to finish and be responsible for an efficient, timely, and complete case management process.


What You'll Do
Determine the appropriate case management track for each assigned case.
Conduct telephonic clinical assessments covering activities of daily living, psycho-social factors, recent hospitalizations, current clinical status, treatment plans and medications, treating physicians, special needs, and the appropriate outreach interval for each case.
Develop customized, member-specific clinical case management plans.
Perform ongoing periodic telephonic outreach at intervals set during the initial clinical assessment.
Request and track receipt of the records and documentation needed to identify ongoing case management needs.
Build and maintain a case management resource library to provide members with information relevant to their conditions.
Assess whether a review is needed for a member's return to their own occupation, and identify the appropriate physician specialty when it is.
Collaborate with vocational specialists during the case management process when needed.
Conduct thorough, ongoing quality review of all case documentation and ensure completeness and accuracy of case paperwork.
Communicate with members, physicians, employers, and clients as appropriate.
Enter case activities into the case management system accurately and within client-required timeframes.
Maintain compliance with applicable practice standards and guidelines, including strict confidentiality and HIPAA adherence.


What You'll Bring
Unrestricted RN licensure, without sanctions.
Current certification in case management or a related field, or the ability to qualify for certification testing within six months of hire.
Minimum of five years of clinical experience.
Minimum of five years of case management experience in one or more of the following: medical, workers' compensation, auto, or disability case management.
Working knowledge of diagnostic coding (ICD-10).
Strong critical thinking, decision-making, and organizational skills with close attention to detail.
Ability to meet deadlines and turnaround times consistently.
Ability to work independently as well as within a team.
Computer literacy, including solid working knowledge of Microsoft Word and Excel.
Strong written, verbal, and telephonic communication skills, with the ability to manage multiple priorities.
Bachelor's degree in nursing or a health-related field.
Working knowledge of the insurance industry, medical claims, and/or disability claims.
Experience with Lean production management.


Work Environment
You will be working in an approved remote environment within the states of: Michigan, Illinois, Florida, Texas, or Minnesota. Stressful conditions may arise when the workload becomes more demanding than usual.