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Remote Prior Authorization Rn Jobs in Tucson, AZ

Adecco

Pharmacist Pipeline Tucson AZ

Tucson, AZ · On-site +1

$55 - $57.75/hr

Adecco Healthcare & Life Sciences is hiring remote pharmacists! For this role you must reside ... reviewing prior authorizations and receiving phone calls from prior authorization pharmacy ...

Bannerhealth

RN, Case Manager

Tucson, AZ · Remote

The RN, Case Manager will be onsite for training at Banner Corporate Mesa or Banner Corporate ... After completing training, it is a remote position with a work schedule of Monday - Friday 8am ...

House Buyers of America

Purchasing Manager

Tucson, AZ · Remote

This is a 100% remote role. What you will do: * Bid out and manage all contracts, submit invoices ... Ensure contractors are properly registered prior to starting jobs. About you: * You have 5+ years ...

House Buyers of America

Purchasing Manager

Tucson, AZ · Remote

This is a 100% remote role. What you will do: * Bid out and manage all contracts, submit invoices ... Ensure contractors are properly registered prior to starting jobs. About you: * You have 5+ years ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Tucson, AZ

Remote Prior Authorization Rn information

See Tucson, AZ salary details

$7

$39

$68

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

As of Jul 26, 2026, the average hourly pay for remote prior authorization rn in Tucson, AZ is $39.94, according to ZipRecruiter salary data. Most workers in this role earn between $29.76 and $47.26 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 Tucson, AZ? For Remote Prior Authorization Rn jobs in Tucson, AZ, the most frequently searched job titles are:
What job categories do people searching Remote Prior Authorization Rn jobs in Tucson, AZ look for? The top searched job categories for Remote Prior Authorization Rn jobs in Tucson, AZ are:
What cities near Tucson, AZ are hiring for Remote Prior Authorization Rn jobs? Cities near Tucson, AZ 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 Tucson, AZ as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $83,077 per year, or $39.9 per hour.
Care Review Clinician (RN) Remote (AZ)

Care Review Clinician (RN) Remote (AZ)

Molina Healthcare

Tucson, AZ • Remote

$26.41 - $51.49/hr

Full-time

Posted 2 days ago

Molina Healthcare rating

8.0

Company rating: 8.0 out of 10

Based on 196 frontline employees who took The Breakroom Quiz

160th of 298 rated insurance

Job description

JOB DESCRIPTION 

This position will support the Arizona state Plan. We are seeking a candidate with an Arizona RN licensure.  The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient.  Candidates with a Behavioral Health background are highly preferred. Further details to be discussed during our interview process. Prefers candidates with 3 years of experience.

Remote position, must reside in Arizona.

Work hours: Monday - Friday 8:30am- 5:00pm Mountain Time with some weekends and holidays. 

Job Summary

Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. 
Essential Job Duties 
• Assesses services for members to ensure optimum outcomes, cost-effectiveness and compliance with all state/federal regulations and guidelines. 
• Analyzes clinical service requests from members or providers against evidence based clinical guidelines. 
• Identifies appropriate benefits, eligibility and expected length of stay for requested treatments and/or procedures. 
• Conducts reviews to determine prior authorization/financial responsibility for Molina and its members. 
• Processes requests within required timelines. 
• Refers appropriate cases to medical directors (MDs) and presents them in a consistent and efficient manner. 
• Requests additional information from members or providers as needed. 
• Makes appropriate referrals to other clinical programs. 
• Collaborates with multidisciplinary teams to promote the Molina care model. 
• Adheres to utilization management (UM) policies and procedures. 
Required Qualifications 
• At least 2 years experience, including experience in hospital acute care, inpatient review, prior authorization, managed care, or equivalent combination of relevant education and experience. 
• Registered Nurse (RN). License must be active and unrestricted in state of practice. 
• Ability to prioritize and manage multiple deadlines. 
• Excellent organizational, problem-solving and critical-thinking skills. 
• Strong written and verbal communication skills. 
• Microsoft Office suite/applicable software program(s) proficiency. 
Preferred Qualifications 
• Certified Professional in Healthcare Management (CPHM). 
• Recent hospital experience in an intensive care unit (ICU) or emergency room. 
To all current Molina employees: If you are interested in applying for this position, please apply through the Internal Job Board. 
Molina Healthcare offers a competitive benefits and compensation package. Molina Healthcare is an Equal Opportunity Employer (EOE) M/F/D/V

Pay Range: $26.41 - $51.49 / HOURLY
*Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

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About Molina Healthcare

Sourced by ZipRecruiter

Molina Healthcare is a nationwide fortune 500 organization with a mission to provide quality healthcare to people receiving government assistance. If you are seeking a meaningful opportunity in a team-oriented environment, come be a part of a highly engaged workforce dedicated to our mission. Bring your passion and talents and together we can make a difference in the lives of others.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Long Beach, CA, US

Year founded

1980

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