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Remote Prior Authorization Rn Jobs in Medina, OH

Attend Home Care

485 Assessment RN

Cleveland, OH · Remote

$40/hr

Remote (MUST RESIDE IN THE STATE OF OHIO) What You Will Do: * Develop and complete the CMS-485 Plan of Care based on the patient's assessed needs. * Establish appropriate nursing interventions, goals ...

IQVIA

Care Manager

Cleveland, OH · Remote

This is a remote position. Job Responsibilities: * Perform outbound calls to obtainappropriate ... Provide prior authorizations and appeals support. * Assistpatients with the enrollment process for ...

Imh

RN Care Manager PRN

Cleveland, OH · Remote

$41.20 - $62.17/hr

The RN Hospital Care Manager I delivers comprehensive care management services to designated ... If applying for a remote or hybrid role, this includes remote work expectations related to ...

MCKESSON

Field Reimbursement Manager

Cleveland, OH · 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

Amherst, OH · 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 ...

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Remote Prior Authorization Rn information

See Medina, OH salary details

$6

$37

$64

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

As of Aug 31, 2026, the average hourly pay for remote prior authorization rn in Medina, OH is $37.60, according to ZipRecruiter salary data. Most workers in this role earn between $28.03 and $44.52 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 Medina, OH?

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

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

The top searched job categories for Remote Prior Authorization Rn jobs in Medina, OH are:

What cities near Medina, OH are hiring for Remote Prior Authorization Rn jobs?

Cities near Medina, OH 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 Medina, OH as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $78,200 per year, or $37.6 per hour.

Pharmacy Prior Authorization Specialist

Communicarehealth

Broadview Heights, OH • Remote

$17.50 - $23.25/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 16 days ago

Communicare Health Services rating

6.1

Company rating: 6.1 out of 10

Based on 158 frontline employees who took The Breakroom Quiz

730th of 896 rated healthcare providers

Job description

Job Address:

9299 Market Place Broadview Heights, OH 44147


Job Description: Prior Authorization Specialist

Reports to: Pharmacy Prior Authorization Manager

Job Type: Full-Time - Remote - Pharmacies: West Virginia, Ohio, Indiana and Maryland

Position Overview: The Prior Authorization Specialist will maintain the Prior Authorization's workflow for a set of facilities assigned by the supervisor, while providing customer service to clients. He/she wil enter required information and submit Prior Authorizations to the respective plan, follow the prior authorization to completion, identify and clarify any discrepancies with a prior authorization, and participate in the appeal process.

Key Responsibilities Include but are not limited to:

  • Work in cohesion with the Adjudication, Claim Intervention and Billing Departments
  • Submit prior authorizations in accordance with Insurance regulations
  • Ensure accurate and timely processing of prior authorizations
  • Work directly with insurance companies for prior authorization resolution
  • Communicate with facilities to gain additional information
  • Any other duties assigned
  • Follow federal and state regulations
  • Adhere to company policies and procedures
  • Follow HIPPA guidelines and regulations

Qualifications and Requirements:

  • Prior Authorization experience (not required)
  • Previous Long-Term Care pharmacy experience a plus (not required)
  • Knowledge of Framework LTC a plus (not required)

Salary and Benefits:

  • Competitive salary commensurate with experience
  • Comprehensive benefits package, including health, dental, and vision insurance, 401(k) with company match, paid time off, and more

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