Remote RN Clinical Annotator for AI & Prior Authorization

Palo Verde Community College District

Atlanta (GA)

Remote

USD 40,000 - 72,000

Full time

9 days ago

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Benefits offered by this job

Comprehensive benefits
Incentive and recognition programs
Equity stock purchase
401k contribution

Job summary

UnitedHealth Group is seeking a Registered Nurse Clinical Annotator to support AI-driven prior authorization in healthcare. You will interpret clinical data, apply guideline-based criteria, and ensure accurate annotations for model training. This remote role covers work across the U.S.

and emphasizes compliance with UM guidelines and patient privacy. Ideal candidates hold an active RN license with 3+ years of relevant experience, strong EMR skills, and the ability to work independently while

Qualifications

  • Active, unrestricted RN license.
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  • 3+ years of clinical experience in acute care, UM, or related field.
  • Experience applying guideline-based criteria (InterQual, MCG) in clinical review or UM workflows.
  • Solid understanding of clinical documentation, medical terminology and evidence-based practice.
  • Familiarity with HIPAA and safe handling of patient information.
  • Proficiency with EMR and navigating multiple clinical systems.
  • Ability to interpret medical records and determine clinical appropriateness using structured criteria.
  • Experience with payer-based clinical prior authorization reviews and medical necessity determinations.

Responsibilities

  • Review medical records and interpret clinical documentation with accuracy and clinical judgment.
  • Apply guideline-based criteria to annotate, categorize, and label case data for AI model training.
  • Ensure annotations are clinically sound and aligned with UM guidelines.
  • Contribute to high-quality training datasets for safe AI model performance.
  • Identify gaps or inconsistencies in documentation and elevate issues as needed.
  • Refine annotation guidelines and clinical rules with cross-functional teams.
  • Collaborate with data science, clinical operations and product teams for accuracy.
  • Support testing, validation and quality review for AI-supported UM tools.
  • Maintain documentation of annotation decisions and rationales.
  • Uphold clinical, ethical and regulatory standards in data handling.

Skills

RN clinical annotation
Clinical judgment
EMR navigation
HIPAA compliance
Medical terminology
Evidence-based practice
Independent work
Payer-based PA reviews

Education

BSN

Job description

UnitedHealth Group is seeking a Registered Nurse Clinical Annotator to support AI-driven prior authorization in healthcare. You will interpret clinical data, apply guideline-based criteria, and ensure accurate annotations for model training. This remote role covers work across the U.S.

and emphasizes compliance with UM guidelines and patient privacy. Ideal candidates hold an active RN license with 3+ years of relevant experience, strong EMR skills, and the ability to work independently while

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