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Remote Prior Authorization Rn Jobs in Wilmington, NC

micro1 AI

Clinical Pharmacy Technicians

Wilmington, NC · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

micro1 AI

Pharmacovigilance Expert

Wilmington, NC · Remote

$70 - $80/hr

Remote micro1 is engaging Pharmacovigilance Experts to contribute their advanced drug safety ... No prior experience in AI is required -- your domain knowledge is what matters. This opportunity is ...

Dinwiddie Agency

Life Insurance Sales Agent

Wilmington, NC · On-site +1

$30K - $160K/yr

No prior experience in sales or insurance is required. Core Responsibilities: * Consult with ... Must be 18+ and legally authorized to work in the U.S. What you'll get: * The ability to work when ...

U.S. Marine Corps

POLICE OFFICER

Camp Lejeune, NC · On-site +1

$32K - $65K/yr

Males born after 12-31-59 must be registered for Selective Service. * This position is covered by ... You must meet the qualifications and be certified to carry a firearm or other weapons authorized ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in Wilmington, NC

Remote Prior Authorization Rn information

See Wilmington, NC salary details

$6

$39

$67

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

As of Sep 8, 2026, the average hourly pay for remote prior authorization rn in Wilmington, NC is $39.37, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $46.59 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 Wilmington, NC?

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

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

The top searched job categories for Remote Prior Authorization Rn jobs in Wilmington, NC are:

What cities near Wilmington, NC are hiring for Remote Prior Authorization Rn jobs?

Cities near Wilmington, NC 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 Wilmington, NC as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution, with an average salary of $81,881 per year, or $39.4 per hour.

UTILIZATION MANAGEMENT RN

Wilmington, NC • Remote

Liberty Health
Health Care and Social Assistance • 1 - 5K employees
Learn more about Liberty Healthexternal

Full-time

Posted 7 days ago

Job description

There’s no place like Liberty Health

Come explore career opportunities with Liberty Health, a dynamic leader in the healthcare industry. Join us!

We are currently seeking an experienced:

UTILIZATION MANAGEMENT RN

JOB SUMMARY:

  • Day-to-day management of Utilization Management queues, dashboards, members, ensuring all Utilization Management activities, which include authorization timeliness, discharge planning, adherence to policies and procedures to ensure high quality and cost-effective utilization management services.
  • Ability to work decision letters timely and accurately
  • Quality monitoring focusing on medical necessity guidelines and discharge planning opportunities to lower levels of care
  • Assist the Director of Utilization Management with the Utilization Management Reports to be reviewed by Executive Leadership.
  • Ability to contribute to the UM team to ensure compliant execution of UM program
  • Review admissions and service requests for the following:
    • Authorization requests to ensure appropriate care for members and within clinical guidelines
    • Monitor members both inpatient/outpatient – provide updates to Director of Utilization Management and the clinical care teams
    • Recommend more appropriate care if required
  • Assess and coordinate discharge planning with Care Team.
  • Assist co-workers with issues related to coding, medical records/documentation, pre-certification reimbursement and claim denials/appeals.
  • Use critical thinking and problem-solving to navigate through the complexities of a member’s health conditions while maintaining coverage within the program guidelines.
  • Ability to focus on interventions for improvement
  • Provides appropriate responses to providers regarding UM questions or direct these questions to the Director of Utilization Management
  • Monitors utilization management queues and dashboards, assuring compliance with reporting and turnaround times.
  • Participates in the interdisciplinary approach to support continuity of care
  • Participates in the Case Management processes and assists with the development of case management programs
  • Ability to participate and contribute with the written policies and procedures and workflows
  • Ability to participate in the On-Call rotation to ensure timeliness is maintained
  • Ability to work occasional after hours to ensure timeliness is maintained.
  • Contribute to and attend UM meetings and UM huddles.
  • Other duties as assigned
  • Less than 10% travel to the corporate office for Department meetings

JOB REQUIREMENTS:

  • Licensed Registered Nurse credentialed from an accredited school/college with 3–5 years of clinical experience
  • Maintain Active Registered Nurse License, (Compact, RN preferred)
  • 1–5 years managed care Utilization Management experience (preferably with a Health Plan)
  • Demonstrated experience in health plan utilization management, initial reviews, facility concurrent review discharge planning, and case management required.
  • Medicare Advantage experience required
  • Experience with InterQual or MCG authorization criteria preferred.
  • Excellent computer skills and the ability to learn new systems are required.
  • Strong attention to detail, organizational skills, and interpersonal skills are required.
  • Demonstrated ability to problem-solve and manage professional relationships.
  • Healthcare industry knowledge
  • Excellent listening, verbal, written and interpersonal communication skills.
  • High level of professionalism and confidentiality, with a strong customer focus.
  • Can adapt well to operational needs with excellent follow-up skills.
  • Must be self-motivated, with a work ethic of dedication and the discipline to work independently.
  • Must have a valid driver’s license.
  • Proven ability to communicate concisely and confidently with all staff levels. Clearly communicates instructions to remote users.

Visit www.libertycareers.com for more information.
Background checks/drug-free workplace.
EOE.

Apply