Remote RN - Pre-Service Authorization
Essentia Health-Graceville Clinic
- Remote job
Essentia Health is seeking a Nurse Care Coordinator to manage complex referral workflows and prior authorization tasks within infusion therapy and oncology support services. You will work across clinical and administrative teams to ensure compliant, timely access to therapies for patients in the United States. The role emphasizes collaboration with Health Plans, policy adherence, and operational efficiency, with a possible remote/hybrid work arrangement and day shifts. #J-18808-Ljbffr Essentia Health
$70.6k - $105.89k
Building Location: Business Service Center Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description Conducts Managed Care Programs in conjunction with... ...school or college of nursing FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation: Day Rotation...Remote workLocal areaWork from homeFlexible hoursShift workWeekend work- ...WORK REMOTELY after training! CANDIDATE MUST RESIDE IN THE METROPOLITAN... ...!! Process all requests for services in accordance with Medicare and... ...mem ber BACKGRO UND:RN - licensed in the State o f NYPrevious Pre-Authorization or Utilization Review experi...Remote work
$71.1k - $97.8k
The Hong Kong Study Skills Research Institute is seeking a Pre-Authorization Registered Nurse to join their team. This role involves reviewing prior authorization requests to ensure appropriate care while working from home. Ideal candidates will be licensed RNs with a minimum...Remote jobWork from home- ...Manager to assess and analyze clinical service requests, verify member benefits, and process prior authorizations. Candidates must have an Illinois state RN license and 1-3 years of experience... ...clinic settings. This is a fully remote position, offering work within a collaborative...Remote work
- Prior Authorizations Nurse (RN) (Temporary) Remote in California OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful... ...work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants...Remote jobFull timeTemporary workPart timeLive inWork at officeLocal areaWork from homeWork visaMonday to Friday
- Prior Authorizations Nurse (RN) (Temporary) Remote in California OUR COMMITMENT TO A HUMAN HIRING PROCESS We believe every candidate deserves thoughtful... ...work through applications carefully and respectfully. SERVICE AREA PREFERENCE While we encourage all interested applicants...Remote workFull timeTemporary workPart timeLive inWork at officeLocal area
$28.72 - $36.92 per hour
Career Opportunities with 61st Street Service Corp Current job opportunities are... ...here as they become available. Authorization Specialist III #Full Time #Remote The 61st Street Service Corporation... ...for obtaining accurate and timely pre-authorizations for professional services...Remote jobHourly payFull timeWork at officeLocal areaImmediate start- ...Services Pre-Sales Consultant Location: TBD Job Type: Full-Time Employment Department... ...does not serve as the final technical authority. Appropriate technical resources will review... ...1452 Scottsdale, Arizona 85251 Remote working/work at home options are available...Remote workFull timeWork from home
$56.2k - $100.98k
...Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards... ...holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual...Remote workHourly payFull timePart timeWork at officeFlexible hours$90k - $110k
...Status: Regular Full-Time Office: Remote After Training Salary: $90,00... ...examples of how we are expanding services in response to our patients' and members'... ...management processes preferred Current NY RN license and registration required CCM...Remote workFull timePart timeWork at officeRelocation packageFlexible hours$45 per hour
...healthcare workers with their dream job Pre-Certification RN Location: Remote (must reside in PA, NJ, or DE)... ...to determine medical necessity for services. This role applies advanced clinical... ...information when needed, and authorizes medically necessary services. Cases...Remote workPermanent employmentTemporary workMonday to FridayDay shift- Banner Health is seeking an experienced RN for Medical Management Services. This remote role supports pre-service determinations, case management, and utilization... ...rotations. The ideal candidate has prior authorization experience, a solid understanding of care management...Remote jobWeekday work
$44 per hour
...Clinical Review Nurse - Prior Authorization Various, NV Clinical... ...All On-site Location: Fully Remote – Prefer Candidates reside in... ...elsewhere if they have an NV RN License. SHIFT: Training schedule... ...medical necessity of service and appropriate level of care...Remote workPermanent employmentContract workLive inShift work$26.01 - $56.14 per hour
...community at a time. Utilization Management Nurse Consultant (RN) - Remote | Prior Authorization | Utilization Management Are you an experienced RN with... ...timely, appropriate, and cost-effective healthcare services through evidence-based clinical review and decision-making...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from home$40 - $50 per hour
...across 195 countries – from pre-pregnancy through... ...time to full-time, fully remote Registered Nurses who... ...all U.S. states. As an RN in this network, you are... ...pharmacy callbacks and prior authorizations in coordination with... ...do meaningful work in service of a deeply human...Remote workFull timeTemporary workPart timeFor contractorsWorldwideMonday to FridayFlexible hoursShift work$54.37 - $81.21 per hour
...Our Team as a Registered Nurse (RN) at Legacy Good Samaritan... ...transplantation to world-class services in robotic surgery, rehabilitation... ...provide seamless care. The Pre- Admission RN is responsible for... ...the phone either on site or remotely. Qualifications What We’re Looking...Remote workRelocation package$144 per hour
...is under Extended Care Nursing Service at the West Texas VA Health... ...personnel actions under this authority The waiver will not apply to persons... ...would generally not require a pre-placement examination English... ...problems Works with the RN and/or MD/DO to appropriately...Remote workPermanent employmentFull timeWork experience placementLocal areaRelocation packageMonday to Friday- HOPCo is seeking a Surgical Authorization Specialist for a remote role. You will monitor upcoming surgical case authorizations, verify demographics and eligibility, and complete cost estimations for pre-service collection. The position requires at least 2 years in healthcare...Remote job
- .... Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards. Position Details: Registered Nurse (RN) - Pre Procedure Phase II Hours: 10am - 10:30pm, .9 FTE (36 hours per week) 1 major or 1 minor holiday...Full timeImmediate startShift work
- ...We are seeking a dynamic and compassionate Pre-Op/Post-Op/Intra-Operative Registered Nurse (RN) to join our surgical team in Fort Lauderdale, Florida. This... ...positive, team-oriented approach For roles that are remote (i.e., Work From Home (WFM)) or hybrid (i.e.,...Remote workFull time
- ...intermittent professional nursing services • Performs nursing service for... ...with Drips - Required RN Medical Surgical Telemetry Nights... ...Population: Medical-Surgical Remote telemetry Patient Ratios: 1:5... ...Practice Council that uses autonomy, authority and accountability in...Remote workFull timeImmediate startRelocation packageNight shift
- ...We provide comprehensive, full-service outpatient mental health... ...Option to work fully (100%) remotely if a collaborating physician... ...employee’s Form I-9 to confirm work authorization. Please note that we do not use this information to pre-screen job applicants. Drug...Remote workHourly payFor contractors
- ...This is a remote position. Only LATAM-based candidates (bilingual in Spanish and English) We are hiring an experienced Pre-Authorization & Referral Coordinator to support a fast-paced U.S.-based... ..., imaging, and specialty services Submit and track authorization requests...Remote workFull timeFor contractorsWork at officeLocal areaMonday to Friday
- ...CVS Health is seeking an experienced Utilization Management Nurse Consultant (RN) to remotely review authorizations and assess medical necessity across multiple specialties. You will collaborate with care teams to ensure compliant, evidence-based reviews and timely decisions...Remote work
$71.03k
...environments, including remote work opportunities. With... ...dedicated team. Medical Prior Authorization Consultant Division of Fee for Service Management (DFSM) Job... ...Arizona medical license (RN or higher) or Arizona Behavioral... ...of population served. Pre-Employment Requirements:...Remote workFull timePart timeInternshipWork from homeFlexible hours- ...Nurse As a home care registered nurse (RN), you will ensure hospice patients are comfortable... ...team, you will give your best each day in service of our core commitment: Delivering... ...vision, life and disability insurance ~ Pre-tax healthcare and dependent care FSA/HSA...Remote workWork at officeLocal area1 day per week
$19.41 - $28.14 per hour
Job Description: The Pre-Access Authorization Specialist I is responsible for accurately verifying and... ...unsecured prior to scheduled date of service Effectively escalates issues which cannot... ...and expectations. If applying for a remote or hybrid role, this includes remote...Remote workHourly payWork at office- ...OR Pre-Op RN – PRN Days The OR RN Pre-Op at Morgan Medical Center plays a critical role... ...destination delivering advanced clinical services while preserving the personal touch that... ...physicians Georgia DPH Designated Remote Stroke Treatment Center Expanded surgical...Remote workRelief
- ...Utilization Management RN Remote I'm currently working on a Utilization Management RN... ...This position will be reviewing prior authorization requests, assessing medical necessity and... ...inpatient, post-acute, and outpatient services. Epic experience is a plus. Please share...Remote workContract workTemporary workMonday to FridayShift work
- Service Corporation International is seeking a part-time Sales Professional for outside sales in Texas. The role involves working from home, generating leads in the community, presenting pre-need services, and guiding families through final arrangements. You will schedule...Remote jobPart timeWork from homeWeekend workAfternoon shift
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote RN - Pre-Service Authorization. Be the first to apply!





