Remote RN Prior Authorization & Utilization Review - Manpower Group : Job Details

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 Youll 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 Youll 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 whod be a great fit? Apply today or message me for details!

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