Remote Prior Authorization Rn Jobs in Troy, NY (NOW HIRING)

Life at aptihealth
aptihealth is a fast-growing health tech company transforming behavioral healthcare. Our digital platform and affiliated medical group make it easier for people to access high-quality care when and where they need it. You’ll join a mission-driven team that’s curious, collaborative, and passionate about improving lives through technology and care innovation. Here, ideas turn into action and learning happens every day. We’re proud to be named one of the world’s top health tech companies of 2025, recognized for advancing digital behavioral healthcare. Together, we’re building a better, more accessible future for mental health.

What We Offer

• The chance to make life better for millions of people
• Smart, supportive colleagues who care about what they do
• A place where new ideas quickly turn into real results
• A culture that values curiosity, collaboration, and inclusion
• A team built on trust, accountability, and continuous learning

Your Role

The Registered Nurse Case Manager is a key member of AptiHealth’s Case Management and Medication Management programs, supporting both patients and providers across the care continuum. This role assesses patient needs, develops and implements care plans, coordinates care and medications, triages urgent patient concerns, and supports clinical operations in collaboration with the multidisciplinary care team. The RN Case Manager ensures high-quality, patient-centered care while maintaining compliance with company policies and regulatory requirements.

Responsibilities

• Complete case management assessments and develop care plans
• Collaborate with the care team to identify patient needs and coordinate care
• Document all patient interactions and care coordination activities
• Triage patient calls and electronic communications, escalating concerns as appropriate
• Support prescribers with prior authorizations, refills, pharmacy coordination, and scheduling based on clinical need
• Conduct medical reviews and gather additional patient history as needed
• Obtain and manage required patient consents and releases of information
• Educate and onboard patients into AptiHealth’s Medication Management Program
• Assess patient response to treatment and medications
• Connect patients with community resources and support services to address social determinants of health
• Conduct proactive telephonic outreach to patients based on clinical needs

Requirements

• Active Registered Nurse (RN) license in New York required
• Graduate of an accredited nursing program; BSN preferred
• Certified Case Manager (CCM) certification preferred
• Behavioral health or psychiatric care experience strongly preferred
• Experience supporting care coordination and case management workflows
• Proficiency with Electronic Medical Record (EMR) systems and Microsoft Office applications
• Strong organizational, communication, and clinical triage skills
• Ability to work collaboratively within a multidisciplinary care team
• Comfortable working in a fast-paced, patient-centered virtual care environment

Benefits

• Comprehensive Medical, Dental, and Vision plans available
• Paid Time off, Sick Time and Paid Company Holidays
• 401k Retirement Savings Program with 2% Company matching
• Voluntary Life Insurance
• Employee Assistant Program (EAP)
• Competitive Salary
• Work from home

Job Type: Full-time / Hourly (40 hours / week)
Working Hours: Monday – Friday 8am – 4:30pm
Location: Remote / NY
Pay Rate: $33.65- $38.46/hr

About aptihealth
aptihealth, inc. is a behavioral health engagement company that seamlessly integrates physical and behavioral healthcare. Our platform connects medical providers, behavioral health specialists and patients with our proprietary assessment and treatment management protocols to get and keep patients healthier faster. aptihealth’s structured therapy programs are centered on its proprietary 15 Life Domain Clinical Framework© that efficiently provides collaborative care teams with the most thorough understanding of a patient’s behavioral health needs. For more information, please visit www.aptihealth.com

To all recruitment agencies: aptihealth does not accept agency resumes. Please do not forward resumes to us, our employees or any other organization location. aptihealth is not responsible for any fees related to unsolicited resumes.

aptihealth, inc. | 1785 Route 9, Clifton Park, NY 12065