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Remote Prior Authorization Rn Jobs in Gainesville, VA

Sentara Healthcare

Nurse Case Manager-NOVA, VA

Manassas, VA · On-site +1

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Registered Nurse License (RN) - Nursing License - Compact/Multi-State License required. Experience ... For positions that are available as remote work, Sentara Health employs associates in the following ...

MCKESSON

Field Reimbursement Manager

Fairfax, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

MCKESSON

Field Reimbursement Manager

Woodbridge, VA · On-site +1

... Prior Authorization, Claims Assistance, and Appeals) and educating the office on Payer landscape and services available through both remote interaction and on-site training. This position is client ...

US Fertility, LLC

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Shady Grove Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

US Fertility

Financial Educator Remote

Annandale, VA · On-site +1

$23 - $27/hr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

Opportunity Overview We have an immediate opening for an Financial Educator Remote to join our team ... Perform aspects of benefit verification and prior authorization * Provide ongoing financial ...

Sedgwick

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

York Risk Services

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

... remote work environment that allows face to face interaction with injured workers and medical ... RN licensure required. Valid driver's license required. High speed internet required. Employment ...

Pinch Med Spa

Aesthetic Nurse Practitioner

Fairfax, VA · On-site +1

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... Prior aesthetics experience or an existing patient network * Interest in expanding through events ...

Pinch Med Spa

Aesthetic Nurse Practitioner

Fairfax, VA · Remote

Aesthetic Nurse Injector (APRN) - Concierge Med Spa Grow your practice with flexibility on your ... Prior aesthetics experience or an existing patient network * Interest in expanding through events ...

Maximus

Clinical Nurse Consultant

VA · On-site +1

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote opportunity. The Consultant manages the end-to-end medical review process ... Preferred Skills and Qualifications: - Valid, active LPN or RN license. - Experience working with ...

ICF

Salesforce PSS Developer DHS (Remote)

Reston, VA · Remote

$57.75 - $76.50/hr

Remote work is authorized. Must supportUS Eastern time zoneworking hours. What You Will Do ... Prior experienceperformingDevOpsactivitiesincluding package creation & deployment,code scan ...

Maximus

Consultant - Medical (Case Reviewer 2)

VA · On-site +1

  • Medical

  • Life

  • Retirement

  • PTO

This is a remote opportunity. The Consultant will review WCMSA case submissions in support of the ... Active, valid RN licensure. - Medicare Set-Aside Certified Consultant (MSCC) certification ...

kgs

Triage & Assessment Analyst (REMOTE)

Chantilly, VA · Remote

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Execute the comprehensive technical triage of pre-registered applications within program-defined ... Preferred: * Prior experience supporting DoD IT programs, particularly within an ICAM ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Gainesville, VA

Remote Prior Authorization Rn information

See Gainesville, VA salary details

$7

$41

$71

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

As of Aug 15, 2026, the average hourly pay for remote prior authorization rn in Gainesville, VA is $41.71, according to ZipRecruiter salary data. Most workers in this role earn between $31.11 and $49.38 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 Gainesville, VA?

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

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

The top searched job categories for Remote Prior Authorization Rn jobs in Gainesville, VA are:

What cities near Gainesville, VA are hiring for Remote Prior Authorization Rn jobs?

Cities near Gainesville, VA 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 Gainesville, VA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $86,759 per year, or $41.7 per hour.

Integrated Case Manager- Registered Nurse

Sentara Healthcare

Woodbridge, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 28 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

530th of 887 rated healthcare providers

Job description

City/State
Fairfax, VA
Work Shift
First (Days)
Overview:
Sentara Health in Woodbridge, VA is looking to hire an Integrated Case Manager, RN.
This is a remote position; however, candidates must reside in Woodbridge and surrounding areas as travel is required.
The Integrated Case Manager is responsible for case management services within the scope of licensure; develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum. Performs telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical and behavioral health, social services and long-term services.
Identifies members for high-risk complications and coordinates care in conjunction with the member and health care team. Manages chronic illnesses, co-morbidities, and/or disabilities ensuring cost effective and efficient utilization of health benefits; conducts gap in care management for quality programs. Assists with the implementation of member care plans by facilitating authorizations/referrals within benefits structure or extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on care management treatment plans. Presents cases at case conferences for multidisciplinary focus. Ensure compliance with regulatory, accrediting and company policies and procedures. May assist in problem solving with provider, claims or service issues.
Demonstrates the minimum knowledge, skills and abilities to care for the individualized needs of the patient to include physical, psychological, socio-cultural, spiritual and cognitive needs as well as functional abilities including the need for diversified use of such practices. Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills
Education:
  • Associates
  • Bachelors preferred

Certification:
  • Registered Nurse required

Experience:
  • 3 years of nursing experience required
  • Managed care preferred
  • Discharge planning experience preferred

Keywords: Talroo- Health, Case Management, Managed Care, Discharge Planning
Benefits: Caring For Your Family and Your Career
• Medical, Dental, Vision plans
• Adoption, Fertility and Surrogacy Reimbursement up to 10,000
• Paid Time Off and Sick Leave
• Paid Parental & Family Caregiver Leave
• Emergency Backup Care
• Long-Term, Short-Term Disability, and Critical Illness plans
• Life Insurance
• 401k/403B with Employer Match
• Tuition Assistance - 5,250/year and discounted educational opportunities through Guild Education
• Student Debt Pay Down - 10,000
• Reimbursement for certifications and free access to complete CEUs and professional development
• Pet Insurance
• Legal Resources Plan
• Colleagues have the opportunity to earn an annual discretionary bonus if established system and employee eligibility criteria is met.
Sentara Health is an equal opportunity employer and prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.
In support of our mission "to improve health every day," this is a tobacco-free environment.
For positions that are available as remote work, Sentara Health employs associates in the following states:
Alabama, Delaware, Florida, Georgia, Idaho, Indiana, Kansas, Louisiana, Maine, Maryland, Minnesota, Nebraska, Nevada, New Hampshire, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, and Wyoming.

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