Remote RN – Prior Authorization & Utilization Review New

Now Hiring: Remote RN – Prior Authorization & Utilization Review (Texas Medicaid)

Contract | Up to $41.04/hr

Remote (Must reside near in TX)

Full-time | Primary shift: 10 AM – 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 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 guidelines

What 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 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):

Medical, dental, disability, life insurance

Full tuition coverage

401(k) + referral bonuses

Employee Assistance Program

Interested or know someone who’d be a great fit? Apply today or message me for details!

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