Remote RN - Prior Authorization & Utilization Review

Now Hiring: Remote RN - Prior Authorization & Utilization Review (Texas Medicaid) Contract | Up to $41.04/hrRemote (Must reside near in TX)Full-time | Primary shift: 10 AM - 7 PMAre you a detail-oriented RN looking to step away from bedside care while still making a meaningful impact? Join a collaborative healthcare partnership team supporting Medicaid services in TexasThis non-clinical role focuses on prior authorization and utilization management, helping ensure patients receive high-quality, cost-effective care.What You'll Do: ? Review medical services (pre-service, concurrent, retrospective) ? Evaluate medical necessity of outpatient & out-of-network services ? Collaborate with providers to optimize care and resource use ? Ensure compliance with clinical guidelinesWhat You'll Need: ? Active RN license (in good standing)? Strong clinical judgment & UR experience? Excellent communication & documentation skills? Ability to work independently in a remote setting? Availability for 8-hour shifts between 7 AM - 7 PMWhy Join Us?This is a fantastic opportunity for RNs seeking a non-bedside role with real impact on patient outcomes and healthcare delivery.Manpower Benefits (Upon Eligibility):?? Medical, dental, disability, life insurance?? Full tuition coverage?? 401(k) + referral bonuses?? Employee Assistance ProgramInterested or know someone who'd be a great fit? Apply today or message me for details!RNJobs #RemoteRN #UtilizationReview #TexasMedicaid #HealthcareCareers #ManpowerJobs #NursingOpportunities #NonClinicalRN

Created: 2025-10-01