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Remote Prior Authorization Rn Jobs in Stafford, VA

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 ...

York Risk Services

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

... 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 ...

Sedgwick

RN Field Case Manager

Fredericksburg, VA · Remote

$76K - $97K/yr

... RN Field Case Manager This Field Case Manager will cover our Friendricksburg, VA and must live in ... remote work environment that allows face to face interaction with injured workers and medical ...

York Risk Services

RN Field Case Manager

Fredericksburg, VA · Remote

$76K - $97K/yr

... RN Field Case Manager This Field Case Manager will cover our Friendricksburg, VA and must live in ... remote work environment that allows face to face interaction with injured workers and medical ...

Sedgwick

RN Field Case Manager

Fairfax, VA · Remote

$79K - $101K/yr

... 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 ...

US Fertility

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 ...

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 ...

Veridian MindCare, LLC

Be Seen First

PMHNP-BC

Fairfax, VA · Remote

$100/hr

Active and unrestricted Advanced Practice Registered Nurse (APRN/NP) license in the state of ... Choose the clinical setting that best fits your workflow (fully remote telehealth, physical office ...

New

Veridian MindCare, LLC

Be Seen First

PMHNP-BC

Fairfax, VA · Remote

$100/hr

Active and unrestricted Advanced Practice Registered Nurse (APRN/NP) license in the state of ... Choose the clinical setting that best fits your workflow (fully remote telehealth, physical office ...

New

Veridian MindCare, LLC

Be Seen First

PMHNP-BC

Fairfax, VA · Remote

$100/hr

Active and unrestricted Advanced Practice Registered Nurse (APRN/NP) license in the state of ... Choose the clinical setting that best fits your workflow (fully remote telehealth, physical office ...

New

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 ...

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

Remote Prior Authorization Rn information

See Stafford, VA salary details

$7

$42

$71

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

As of Aug 24, 2026, the average hourly pay for remote prior authorization rn in Stafford, VA is $42.14, according to ZipRecruiter salary data. Most workers in this role earn between $31.39 and $49.86 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 Stafford, VA?

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

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

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

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

Cities near Stafford, 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 Stafford, 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 $87,648 per year, or $42.1 per hour.

Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Fredericksburg, S

Sentara Healthcare

Spotsylvania, VA • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 19 days ago

Sentara Health rating

6.7

Company rating: 6.7 out of 10

Based on 412 frontline employees who took The Breakroom Quiz

534th of 893 rated healthcare providers

Job description

City/State
Fredericksburg, VA
Work Shift
First (Days)
Overview:
Sentara Health Plans is hiring an Integrated Nurse Case Manager/Registered Nurse/RN for Chronic/Complex Condition in Fredericksburg, Spotsylvania, VA, and the surrounding areas!
This is a full-time, work-from-home position that requires travel to conduct face-to-face home visits (approx 2-3 times a week) for chronic/complex condition members (asthma, diabetes, heart failure, cancer, heart disease, COPD) Fredericksburg, Spotsylvania, VA, and the surrounding areas!
Status: Full-time, permanent position (40 hours)
Standard working hours: 8am to 5pm EST, M-F
Location: Applicants must reside in Fredericksburg, Spotsylvania, VA and the surrounding areas!
Primary responsibilities include:
  • 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. Ensures compliance with regulatory, accrediting and company policies and procedures
  • May assist in problem solving with provider, claims or service issues.

Target Member Population Includes:
  • High Emergency Room (ER) utilizers
  • Recent hospital discharges
  • Members diagnosed with chronic/complex conditions (Asthma, diabetes, heart failure, cancer, heart disease, COPD)

Education:
  • Associate or Bachelors Degree in Nursing REQUIRED

Certification/Licensure:
  • Registered Nurse (RN) License (Compact or Virginia) REQUIRED

Experience:
  • 3 years experience in Nursing REQUIRED
  • Case Management experience highly preferred
  • Managed Care or Health Plan experience preferred
  • Experience working with chronic/complex condition members (Asthma, diabetes, heart failure, cancer, heart disease, COPD) preferred
  • Experience in home health experience, inpatient case management, hospice, transition of care, and discharge planning preferred
  • Strong knowledge of physical, psychological, socio-cultural, and cognitive patient needs.
  • Excellent communication skills, both oral and written, as well as strong problem-solving and analytical

Sentara Health Plans provides health plan coverage to close to one million members in Virginia. We offer a full suite of commercial products including employee-owned and employer-sponsored plans, as well as Individual & Family Health Plans, Employee Assistance Programs and plans serving Medicare and Medicaid enrollees.
Our quality provider network features a robust provider network, including specialists, primary care physicians and hospitals.
We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services-all to help our members improve their health.
Our success is supported by a family-friendly culture that encourages community involvement and creates unlimited opportunities for development and growth.
Be a part of an excellent healthcare organization that cares about our People, Quality, Patient Safety, Service, and Integrity. Join a team that has a mission to improve health every day and a vision to be the healthcare choice of the communities that we serve!
To apply, please go to www.sentaracareers.com and use the following as your Keyword Search: JR-104113
Talroo - Health Plan
Managed Care, MCO, Health Plan, Healthcare, Health Insurance, Nursing, RN, Registered Nurse, Medicaid, Chronic, Complex condition members, Asthma, diabetes, heart failure, cancer, heart disease, COPD, home health experience, inpatient case management, hospice, emergency room, ED, Emergency Department, Discharge Planning, Case Management, Transition of Care, TOC, Virginia Fredericksburg, Spotsylvania, VA, Remote, Virginia
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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