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Remote Prior Authorization Rn Jobs (NOW HIRING)

WPS Health Solutions

Utilization Management RN

Madison, WI · On-site +1

$75K - $100K/yr

Have experience reviewing medical and behavioral health prior authorization requests for medical ... Remote Work Requirements * High speed cable or fiber internet * Minimum of 10 Mbps downstream and ...

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Remote Prior Authorization Rn information

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$7

$42

$72

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

As of Jul 15, 2026, the average hourly pay for remote prior authorization rn in the United States is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $50.00 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.

More about Remote Prior Authorization Rn jobs
What cities are hiring for Remote Prior Authorization Rn jobs? Cities with the most Remote Prior Authorization Rn job openings:
What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What states have the most Remote Prior Authorization Rn jobs? States with the most job openings for Remote Prior Authorization Rn jobs include:
What job categories do people searching Remote Prior Authorization Rn jobs look for? The top searched job categories for Remote Prior Authorization Rn jobs are:
Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $87,868 per year, or $42.2 per hour.
MICHIGAN Registered Nurse REMOTE - Patient Assessment

MICHIGAN Registered Nurse REMOTE - Patient Assessment

J&B Medical

Remote

$35/hr

Full-time

PTO

Re-posted 7 days ago

Job description

Job Type
Full-time
Description
REMOTE or In Office - MUST HAVE VALID MICHIGAN RN LICENSE Our Nursing Team is growing! Great Benefits after 30 days! PTO & Holiday Pay after 90!
Summary: Our Staff Nurse's are responsible for conducting patient assessments by phone (ours) to determine individual needs for incontinence supplies.
ARE YOU READY TO MAKE A MOVE? APPLY NOW! NEW HIRE ORIENTATION STARTS JULY 8TH
***** EQUIPMENT IS NOT PROVIDED FOR REMOTE STAFF, YOU MUST HAVE YOUR OWN COMPUTER.
Essential Functions
  • Consults by phone with client, primary caregiver, primary care physician or specialist, case managers and other community resources to determine if client qualifies for a particular program.
  • Expectation is that Nurse will complete 20-25 assessments daily, on average with 98% accuracy.
  • Conducts clinical assessments by phone and documents the client's medical history. Monitors success rates. All products ordered must be assessed for use and quantity needs per day.
  • Identifies appropriate product and quantity needs based on assessment. If formulary product will not meet needs, then reviews needs and potential solutions with Nurse Manager.
  • Reassesses if there is a change in a client's medical condition or an increase in quantity request.
  • Obtains prior authorization from the state contract administrator for off-formulary or over-quantity requests.
  • Reviews letters of medical necessity to determine if client qualifies for product or quantity requested.
  • Reviews accounts for accuracy, reporting any errors to the appropriate department manager/leader.
  • Participates in after-hours emergency call rotation.
  • Understanding of insurance guidelines.
  • Utilize intranet tools to complete assessments.
  • Provides education to other J & B employees or external clients regarding products.

Position Type
This is a full time REMOTE or in office position 40 hours per week. Monday through Friday, hours of work vary between 8:00am to 6:00pm. Occasional early mornings, evening and weekend work may be required as job duties demand.
Requirements
  • Current Registered Nursing License (RN) with the State of Michigan (MI ONLY - CNL'S ARE NOT ACCEPTED)
  • 2+ years previous work experience demonstrating patience, compassion and strong communication skills
  • Must be great on the computer, able to use multiple databases simultaneously

Preferred Education and Experience
  • 3 years of nursing experience
  • Knowledge of medical terminology
  • Medicare and Medicaid background
  • Durable Medical Equipment (DME)

Other Duties
All other duties as assigned by management. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are request of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Salary Description
$35.00 hr

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