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
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