Prior Authorization Registered Nurse - Work at Home - Oklahoma

At reputed company, we're building a world of health around every consumer and surrounding ourselves with dedicated colleagues who are passionate about transforming health care. As the nation's leading health solutions company, we reputed company millions of Americans through our local reputed company, digital channels and more than 300,000 purpose-driven colleagues - caring for people where, reputed company and how they choose in a way that is uniquely more connected, more convenient and more compassionate. And we do it reputed company with heart, each and every day. Applicants Must Reside in Oklahoma Position Summary: Applies clinical expertise to assess, plan, and coordinate healthcare services for members. Utilizes clinical guidelines and judgment to reputed company coverage determinations and facilitate appropriate care. Engages with providers to support treatment plans and identifies opportunities for referrals and program integration. Promotes quality and effective benefit utilization, consults with internal and external stakeholders, and meets productivity and quality standards. Requires strong computer proficiency, multitasking, and effective verbal and written communication in a fast-paced environment. Required Qualifications:

• 3+ years of clinical experience as a Registered Nursein Med-Surg
• Must have active, reputed company and unrestricted Oklahoma RN licensure Preferred Qualifications:
• Prior Authorization Experience
• Utilization Management Experience
• Managed Care experience preferred Education: Associates Degree in Nursing Required BSN preferred Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $26.01 - $56.14 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in our comprehensive and competitive mix of pay and benefits - investing in the physical, emotional and financial wellness of our colleagues and their families to help them be the healthiest they can be. In addition to our competitive wages, our great benefits include:
• Affordable medical plan options, a 401(k) plan (including matching company contributions), and an employee stock purchase plan.
• No-cost programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs, confidential counseling and financial coaching.
• Benefit solutions that address the different needs and preferences of our colleagues including paid time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical access and many other benefits depending on eligibility. For more information, visit We anticipate the application window for this opening will reputed company on: 11/08/2025 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job

Apply tot his job Apply To this Job