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Manpower

Manpower

via LinkedIn

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Remote RN โ€“ Prior Authorization & Utilization Review

Anywhere
full-time
Posted 9/13/2025
Verified Source
Key Skills:
RN license
Utilization review
Prior authorization
Clinical judgment
Communication
Documentation

Compensation

Salary Range

$73K - 85K a year

Responsibilities

Review medical services for prior authorization and utilization management to ensure appropriate, cost-effective patient care.

Requirements

Active RN license, strong clinical judgment, utilization review experience, excellent communication and documentation skills, and ability to work independently remotely.

Full Description

Now Hiring: Remote RN โ€“ Prior Authorization & Utilization Review (Texas Medicaid) ๐Ÿ”น ๐Ÿ’ผ Contract | Up to $41.04/hr ๐Ÿ“ Remote (Must reside near Austin, TX) ๐Ÿ•’ 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 Youโ€™ll Do: โœ… Review medical services (pre-service, concurrent, retrospective) โœ… Evaluate medical necessity of outpatient & out-of-network services โœ… Collaborate with providers to optimize care and resource use โœ… Ensure compliance with clinical guidelines What Youโ€™ll Need: โœ” Active RN license (in good standing) โœ” Strong clinical judgment & UR experience โœ” Excellent communication & documentation skills โœ” Ability to work independently in a remote setting โœ” 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): ๐Ÿฉบ Medical, dental, disability, life insurance ๐ŸŽ“ Full tuition coverage ๐Ÿ’ฐ 401(k) + referral bonuses ๐Ÿง  Employee Assistance Program ๐Ÿ“ฉ Interested or know someone whoโ€™d 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

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