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Remote Prior Authorization Rn Jobs in Macomb, MI

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 Macomb, MI

Remote Prior Authorization Rn information

See Macomb, MI salary details

$7

$40

$69

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 Macomb, MI is $40.88, according to ZipRecruiter salary data. Most workers in this role earn between $30.48 and $48.37 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 Macomb, MI? For Remote Prior Authorization Rn jobs in Macomb, MI, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Macomb, MI look for? The top searched job categories for Remote Prior Authorization Rn jobs in Macomb, MI are:
What cities near Macomb, MI are hiring for Remote Prior Authorization Rn jobs? Cities near Macomb, 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 Macomb, 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 $85,030 per year, or $40.9 per hour.

Nurse Practitioner: Remote Urgent Care

Belle, LLC

Detroit, MI • Remote

$109K - $151K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 5 days ago

Job description

About Belle

Belle is a fast growing engagement company that is revolutionizing home healthcare - and it all begins with the feet. With 25M+ U.S. seniors no longer able to see or reach their feet, a lack of self care and mobility challenges cost the health insurance plans $38B+ in preventable medical spending every year.

Belle trains and manages a network of nail technicians or "Belle Technicians" who provide in-home foot care (aka medical pedicures). Belle uses cutting edge data science to identify those most in need on behalf of health plans and deploys its services accordingly. While in the home, Belle Technicians complete assessments and screenings, often being the first to identify emerging issues below and above the knee. As these issues arise, a team of remote nurses coordinate care with other healthcare providers - preventing serious and costly episodes.

Our mission: Bring Joy to Healthcare. Join us if our cause inspires you!

About this Role

Belle is seeking a compassionate and clinically skilled Nurse Practitioner (NP) to provide remote telehealth support for Medicare beneficiaries enrolled in our Chronic Care Management (CCM) program. This role focuses on responding to urgent clinical escalations from our nursing team, with the majority of calls involving poorly controlled hypertension, medication concerns, and other non-life-threatening acute issues.

As a Telehealth Provider, you will assess members remotely, determine the appropriate level of care, provide evidence-based treatment recommendations, and collaborate closely with nurses, Community Health Workers, primary care providers, and care coordinators to help keep members healthy and out of the emergency department whenever clinically appropriate.

This is a fully remote position supporting a fast-growing, mission-driven organization dedicated to bringing joy to healthcare.

Responsibilities
  • Conduct telehealth evaluations for Medicare beneficiaries experiencing urgent, non-emergent clinical concerns
  • Evaluate symptoms, review medical histories, and determine appropriate interventions.
  • Determine when escalation to the member's primary care provider, emergency department, or 911 is clinically indicated
  • Document all encounters accurately and timely in the electronic medical record.
  • Assist in reducing avoidable emergency department visits and hospitalizations through proactive clinical intervention.
  • Provide patient education on disease management, medications, lifestyle modifications, and symptom monitoring.
  • Promote medication adherence and self-management of chronic conditions.
  • Provide clinical guidance and education to nursing staff on appropriate escalation pathways.
  • Participate in clinical case reviews and quality improvement initiatives.

Requirements

  • Active, unrestricted Nurse Practitioner license.
  • National certification appropriate to specialty.
  • Minimum of 3 years of clinical practice experience, preferably in primary care, internal medicine, family medicine, geriatrics, urgent care, or chronic disease management.
  • Experience managing hypertension and common chronic conditions, including diabetes, heart failure, COPD, and chronic kidney disease.
  • Prior telehealth or virtual care experience.
  • Strong clinical assessment and decision-making skills.
  • Excellent verbal communication and patient education abilities.
  • Familiarity with eClinicalWorks (eCW) or similar EMRs.

Benefits

  • Competitive compensation based on experience
  • Health, Dental, and Vision Insurance Benefits
  • 401k
  • PTO, Sick, Wellness leave, and Paid Holidays
  • Opportunity for significant career growth and expansion of responsibilities
  • Ability to reshape an industry and protect lives

Apply