$73K - 85K a year
Review medical services for prior authorization and utilization management to ensure appropriate, cost-effective patient care.
Active RN license, strong clinical judgment, utilization review experience, excellent communication and documentation skills, and ability to work independently remotely.
Now Hiring: Remote RN โ Prior Authorization & Utilization Review (Texas Medicaid) ๐น ๐ผ Contract | Up to $41.04/hr ๐ Remote (Must reside near Austin, TX) ๐ Full-time | Primary shift: 10 AM โ 7 PM Are 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 Texas. This non-clinical role focuses on prior authorization and utilization management, helping ensure patients receive high-quality, cost-effective care. What Youโll Do: โ Review medical services (pre-service, concurrent, retrospective) โ Evaluate medical necessity of outpatient & out-of-network services โ Collaborate with providers to optimize care and resource use โ Ensure compliance with clinical guidelines What Youโll Need: โ Active RN license (in good standing) โ Strong clinical judgment & UR experience โ Excellent communication & documentation skills โ Ability to work independently in a remote setting โ Availability for 8-hour shifts between 7 AM โ 7 PM Why 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): ๐ฉบ Medical, dental, disability, life insurance ๐ Full tuition coverage ๐ฐ 401(k) + referral bonuses ๐ง Employee Assistance Program ๐ฉ Interested or know someone whoโd be a great fit? Apply today or message me for details! #RNJobs #RemoteRN #UtilizationReview #TexasMedicaid #HealthcareCareers #ManpowerJobs #NursingOpportunities #NonClinicalRN
This job posting was last updated on 9/19/2025