Remote RN – Prior Authorization & Utilization Review

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! #RNJobs #RemoteRN #UtilizationReview #TexasMedicaid #HealthcareCareers #ManpowerJobs #NursingOpportunities #NonClinicalRN Apply tot his job Apply To this Job