Remote RN: Prior Authorization Nurse Analyst (Mon–Fri)

MaziCTools; United States; Remote; USD 66,000 - 68,000; Full time

Job summary

MaziCTools is looking for a full-time Prior Authorization Nurse Analyst to review medical documentation for prior authorization requests. This role offers a remote work opportunity, providing an excellent balance of flexibility with no on-call work.

The ideal candidate will have a Bachelor’s Degree and an active RN license, along with clinical decision-making skills. The salary range for this position is $66,000 to $68,000, reflecting the importance of defending nursing knowledge in decision-making.

Qualifications

• Bachelor’s Degree in a related field or equivalent post high school education.
• Active RN license applicable to the state of practice.
• Prior authorization, utilization management, or medical/chart review experience preferred.

Responsibilities

• Perform review of submitted documentation to assure planned services are medically necessary.
• Provide written explanations for non-affirming prior authorization requests.

Skills

Clinical decision making

Written communication

Technical proficiency

Independence

Education

Bachelor’s Degree in a related field

Active RN license

Tools

Hyland OnBase

Job description

MaziCTools is looking for a full-time Prior Authorization Nurse Analyst to review medical documentation for prior authorization requests. This role offers a remote work opportunity, providing an excellent balance of flexibility with no on-call work.

The ideal candidate will have a Bachelor’s Degree and an active RN license, along with clinical decision-making skills. The salary range for this position is $66,000 to $68,000, reflecting the importance of defending nursing knowledge in decision-making.