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- ...eligibility to participate in these DOW sponsored programs. The Prior Authorization, Registered Nurse, RN, Intern will report to a manager of... ...troubleshoot and resolve basic technical difficulties in a remote environment. Possess an interest in working in the...Remote workFull timeFor contractorsApprenticeshipWork experience placementInternshipWork from homeHome officeWeekday work
Humana
Montgomery, AL3 days ago $33.94 - $50.91 per hour
...Department: 1007190 PRE-SERVICE AUTHORIZATION - EH SS Job Description: Conducts... ...of managed care, including the referral, prior authorization/precertification processes... ...of employment FTE: 1 Possible Remote/Hybrid Option: Remote Shift Rotation...Remote workWork from homeFlexible hoursShift workWeekend workEssentia Health
Duluth, MN3 hours agonew$75k
...on bonus. Hybrid work options that balance fieldwork with remote flexibility. Flexible schedules—no 12-hour shifts or... ...served, including submission of required documentation for prior authorization of services as needed based on pay sources Develop care plans...Remote workImmediate startRelocation packageFlexible hoursShift workRotating shiftSevita
Saint Joseph, MO2 days ago$20 - $22 per hour
...Title: Customer Service Rep II Job ID: 24186 Location: Remote Duration: 24 Months Pay Rate: $20 - 22.00/hr ALTERNATE... ...Access Representative JOB DESCRIPTION The Prior Authorization Representative is responsible for verifying prior...Remote workArtech
United States1 day ago- ...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...Remote workContract workWork at office
Molina Healthcare
United States7 hours ago - ...result notes, phone calls, and refill requests following the clinical process. Manage voicemails and faxes Complete prior authorizations for medications. Assist with rooming patients as needed. Qualifications: ~ LPN License We are committed...Remote workFlexible hours
Parallel ENT & Allergy
United States4 days ago - ...as a hybrid model. This means a rotating schedule of working remotely and from the office. JOB SUMMARY: We are seeking a... ...Participates in performance improvement projects. Obtain prior authorizations for medications and durable medical equipment as indicated....Remote workPart timeWork at officeMonday to Friday
Duke University
Durham, NC3 days ago $29 - $37 per hour
...contracted providers are in place when authorizing. Identify cases that require additional... ...Outpatient experience. 2-5 years of prior authorization experience in utilization... ...Work Environment The position offers a remote work environment with hours from Monday...Remote workContract workTemporary workMonday to FridayWeekend workUSA Jobs
Redlands, CA3 hours agonew$25 - $28.85 per hour
...clearance at the Secret level or higher. This is a mostly remote position. Candidates must be remotely available in the... ...NOT be performed outside of these locations except with the prior written authorization of the Company. This is a very administrative heavy job...Remote workHourly payFull timeContract workFor contractorsLive inWork at officeLocal areaRelocation packageFlexible hoursWeekend workAfternoon shiftUSA Jobs
Baltimore, MD23 hours ago- ...home health and hospice provider in the United States seeks an Insurance Verification and Authorization Specialist. In this remote role, you will verify insurance and obtain prior authorizations for home health services. The ideal candidate has a high school diploma, at...Remote job
- ...the life span, 2. Care coordination for patients, including prior authorization; identifying and seeking solutions for barriers to care 3.... ...Family Healthcare is currently registered to employ remote workers in the following states: Arizona, Delaware, Maryland...Remote workFull timeWork experience placementRelocation package
Westside Family Healthcare
United States7 hours ago $18.35 - $26.42 per hour
...Healthcare is hiring five Pharmacy Technicians who will work 100% remotely. Schedules will be MondayFriday, 10:00 AM6:30 PM Mountain... ...plan providers in resolution of member prescription claim, prior authorization, and pharmacy service access issues. Articulates pharmacy...Remote workHourly payWork experience placementWork at officeMolina Healthcare
Kenosha, WI7 hours ago$32.01 - $68.55 per hour
...and evening hours. Utilization Nurse Consultant Fully Remote- WFH Position Summary UM Nurse Consultant Training... ...be willing to work Sun-Thurs Preferred Qualifications Prior authorization utilization experience preferred Outpatient Clinical experience...Remote workHourly payPermanent employmentFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayFlexible hoursAfternoon shiftCVS Health
Rutherford, NJ4 days ago$67k - $68k
...opportunity with long-term potential and is located in Missouri (Remote). Please review the job description below and contact me... ...and make on-line payment determinations for claims and prior authorizations that require medical determination. Review exception requests...Remote workFull timeWork at officeLocal areaImmediate startPyramid Consulting
United States3 days ago- ...and experience with referral management, utilization review, prior authorization, and case management functions Detailed orientation and... ...based out of our Irving, TX headquarters; however, working remotely from outside the area is perfectly acceptable. For remote candidates...Remote workWork at office
Post Acute Analytics
Irving, TX2 days ago $20.27 per hour
...Job Title: Healthcare Call Center Representative (Remote - CST Hours) Start Date: May 11, 2026 Payrate: $20.27 We are seeking... ...Assist with healthcare-related inquiries including prior authorizations, appeals, and drug benefits Accurately document complex case...Remote workHourly payTemporary workWork experience placementLocal areaNight shiftWeekend workAdecco US, Inc.
United States2 days ago$4,000 per month
...Enter imaging and lab orders as directed by APPs Complete prior authorizations If you are eager to learn new things and grow in a... ...required or must obtain within 30 days of start date. Fully remote care team members are exempt from BLS certification requirement...Remote workDaily paidFull timePart timeWork at officeImmediate startRelocation packageMonday to FridayFlexible hoursWeekend workAfternoon shiftMaineHealth
Scarborough, ME3 days ago$12.19 - $26.42 per hour
...Molina Healthcare is hiring for remote Certified Pharmacy Technicians. These roles will be in our Prior Authorization department. You will review prior auth requests that are submitted. Schedules for these roles will be Mon through Fri 11am-7:30pm MST or 12:30pm-...Remote workHourly payWork experience placementWork at officeMolina Healthcare
United States1 day ago$75.5 per hour
...Health Plan or Risk-Based MSO setting. DIRECT HIRE, 100% Remote Mon-Fri 8-5, expectation for on-call availability Expected... ...for their team, managing escalations. -Candidates must have prior authorization experience (ambulatory, health plans). If candidates have...Remote workHELP-Hire
Costa Mesa, CA7 hours ago- ...Rate: $60.00/Hr. to $65.00/Hr. On W2 (Based on experience) Shift - 9 am to 6 pm EST Location – Remote TX Responsibilities Reviews a completed prior authorization request received from the provider and/or reviews the pharmacy technician’s recommended denial,...Remote workWork at officeShift work
Pacer Group
Corpus Christi, TX20 days ago - ...insurance company is seeking a Registered Nurse Intern to support their National Medicaid team. This remote position involves clinical reviews of prior authorization requests, communication with healthcare providers, and mentoring nonclinical staff. Candidates must be...Remote jobInternship
- A leading health insurance company is seeking a Registered Nurse Intern for a remote position. The role involves conducting clinical reviews for prior authorization requests, communicating with healthcare providers, and documenting findings. Candidates must have an active...Remote jobInternship
- ...Job Summary: This is a remote position and requires the ability to effectively support... ...calls, processing cases and electronic authorizations, loading authorizations, and making... ...Experience: Review criteria-based prior authorizations following policy and procedure...Remote workWork from homeShift work
Varite
United States3 days ago - A leading health insurance company is seeking a Prior Authorization RN Intern. This role is specifically designed for transitioning military... ...possess effective communication and documentation skills. This remote position offers training and support tailored to military...Remote jobInternship
- A managed care organization is seeking a motivated Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This is an ideal work-from-home position for pharmacists transitioning from retail or hospital settings. Responsibilities...Remote jobWork from home
- ...Indianapolis is seeking a detail-oriented individual for a role focused on obtaining authorizations for Financial Clearance Services. The position includes insurance verification, prior authorizations, and benefits verification. Ideal candidates should have insurance...Remote job
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to work from home evaluating prescription requests and ensuring medical necessity. This role offers flexibility with competitive compensation, benefits, and opportunities for growth...Remote jobWork from home
- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests while working from home. The ideal candidate will hold a PharmD or Bachelor of Pharmacy, possess an active U.S. pharmacist license, and have experience...Remote jobWork from homeFlexible hours
$24 - $28 per hour
...as needed. Coordinate care : Manage patient medication prior authorizations, and assist with outgoing referrals and scheduling.... ...patient care needs as part of our hybrid care model, including remote check-in and clinician support when needed. Requirements...Remote workLocal areaWork from homeMonday to FridayRotating shiftWeekday workknownwell
Woburn, MA4 days ago- A confidential managed care organization is seeking a Remote Prior Authorization Pharmacist to evaluate prescription requests and ensure medical necessity. This work-from-home position is perfect for pharmacists transitioning from retail or hospital environments while...Remote jobWork from home
