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NeueHealth

UM Prior Authorization Nurse, RN

NeueHealth · Remote

Posted 22 days ago · $74,286.15-$111,429.23

or apply directly on NeueHealth's site. We never take the application ourselves.

Is this posting real?

This role has been open
22 days
NeueHealth's roles stay open a median of 28 days
Reposted
No
Salary listed
Yes
42% of NeueHealth's roles list one
Ghost-job risk at NeueHealth
moderate
3 stale, 0 reposted of 12 open
Hiring momentum
19 roles opened in the last 90 days
↑ up vs. the prior 90 days
Last confirmed on the employer's board
2026-09-17

Measured from postings appearing on and disappearing from NeueHealth's own greenhouse board since 2026-08-03. Full hiring picture for NeueHealth.

About this role

The UM Prior Authorization Nurse at NeueHealth is responsible for evaluating and processing prior authorization requests to ensure appropriate benefit coverage for services. This role involves collaboration with Medical Directors and healthcare providers, assessing medical necessity, and maintaining compliance with regulations. The nurse will also document authorization activities and participate in quality improvement initiatives.

Our read on this posting4.0out of 5
benefits
3/5
freshness
4/5
career value
4/5
role clarity
4/5
pay transparency
5/5

Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of NeueHealth as an employer.

What you need

  • Licensed Registered Nurse (RN) with an active, unrestricted California nursing license
  • Minimum of 2-3 years of clinical nursing experience
  • At least 1 year in utilization review, case management, or a related field
  • Strong analytical and critical thinking skills
  • Proficiency in medical terminology and pharmacology
  • Effective written and verbal communication skills

Nice to have

  • Experience in a managed care setting with medical necessity reviews
  • Certified Professional in Utilization Review (CPUR)
  • Certified Case Manager (CCM)
  • Accredited Case Manager (ACM)
  • Additional clinical nursing or case management certifications

What you get

  • Health benefits
  • Life and disability benefits
  • 401(k) savings plan with match
  • Paid Time Off
  • Paid holidays

Worth weighing

  • Remote work environment with some travel required
  • Compensation range provided only for California applicants
  • Role requires strong communication skills due to frequent interactions with various stakeholders

Summarised from NeueHealth's posting. Read the full original.

Listed by NeueHealth on their greenhouse job board, last confirmed open on 2026-09-17. PitchMeAI is not the employer.

More roles at NeueHealth

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