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Remote Prior Authorization Rn Jobs in Towson, MD

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$7

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$69

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

As of Aug 10, 2026, the average hourly pay for remote prior authorization rn in Towson, MD is $40.47, according to ZipRecruiter salary data. Most workers in this role earn between $30.14 and $47.88 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 Towson, MD? For Remote Prior Authorization Rn jobs in Towson, MD, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Towson, MD look for? The top searched job categories for Remote Prior Authorization Rn jobs in Towson, MD are:
What cities near Towson, MD are hiring for Remote Prior Authorization Rn jobs? Cities near Towson, MD 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 Towson, MD as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $84,177 per year, or $40.5 per hour.

UM Specialist (RN) - Remote / Telecommute

CYNET SYSTEMS

Baltimore, MD • Remote

$46 - $51/hr

Contractor

Re-posted 19 days ago

Job description

Job Overview:

Pay Range: $46.76hr - $51.76hr

Requirement/Must Have:

  • 5+ years Clinical nursing experience.
  • 2+ years Care Management.
  • Bachelor's Degree in Nursing.
  • In lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience.

Responsibilities:

  • Determines medical necessity and appropriateness by referencing regulatory mandates, contracts, benefit information, Milliman Care Guidelines, Apollo Guidelines, ASAM, Medicare Guidelines, Federal Employee Program and Policy Guidelines, Medical Policy, and other accepted medical/pharmaceutical references.
  • Conducts research and analysis of pertinent diseases, treatments and emerging technologies, including high cost/high dollar services to support decisions and recommendations made to the medical directors.
  • Makes appropriate referrals and contacts as appropriate. Offers assistance to members and providers for alternative settings for care.

Nice to Have:

  • Working knowledge of managed care and health delivery systems.
  • Thorough knowledge of clinical guidelines, medical policies and accreditation and regulatory standards.
  • Working knowledge of IT and Medical Management systems, familiarity with web-based software application environment.

Skills:

  • Effective written and interpersonal communication skills to engage with members, healthcare professionals, and internal colleagues.
  • Strong assessment skills with the ability to make rapid connection with Member telephonically.
  • Ability to work effectively with large amounts of confidential member data and PHI.
  • Ability to prioritize workload during heavy workload periods.
  • Ability to multitask, prioritize and maintain a dynamic personal organization system that allows for flexibility.
  • Proficient in the use of web-based technology and Microsoft Office applications such as Word, Excel and PowerPoint.
  • Excellent analytical and problem-solving skills to judge appropriateness of member services and treatments on a case by case basis.

Qualification And Education:

  • RN - Registered Nurse - State Licensure And/or Compact State Licensure Upon Hire.
  • LPN - Licensed Practical Nurse - State Licensure.
  • CNS-Clinical Nurse Specialist Preferred.

Founded in 2010 and headquartered in the Washington, DC metro area, Cynet Systems Inc. is a leading staffing and recruiting powerhouse. Proudly recognized as a nationally and locally certified diversity firm, Cynet delivers agile, scalable talent solutions across industries. With an active footprint in all 50 U.S. states and Canada, we support thousands of consultants through our expansive, high-performing recruitment engine operating across North America and Asia—ensuring speed, quality, and consistency in every hire.
Cynet Systems logo

About Cynet Systems

Sourced by ZipRecruiter

Cynet Systems Inc is a staffing and recruiting corporation nestled in Ashburn, VA, USA. Established in 2010, the company operates within the Information Technology and Services sector, specializing in providing effective workforce solutions to different business needs, including IT consulting, direct hire, and contract staffing services. Through the years, Cynet Systems has built an impressive portfolio, going beyond borders and expanding its operations internationally in Canada and India. Rooted in its core values of teamwork, leadership, and commitment, Cynet Systems helps businesses unlock their full potential by providing versatile and competent professionals that perfectly align with their needs. Fueled by their unwavering mission to deliver top-tier talent to businesses worldwide, Cynet Systems garnered various recognitions including SIA's fastest-growing staffing firms and Best Place to Work in Virginia for 2019.

Industry

It services

Company size

501 - 1,000 Employees

Headquarters location

Sterling, VA, US

Year founded

2010

Social media

Twitter

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