Prior Authorization Coordinator
Community Health Network of Connecticut, Inc. · United States · US
Utilization Review
Remote
Nurse
Dentist
Demand78
Career growth65
Healthcare fit78
Remote potential60
Salary band
USD 51k – 68k
5-year outlook
Stable payer-side role with predictable salary progression tied to utilization management experience and certifications; exact compensation varies by region and employer.
Clinical license
Required
Applicant reach
moderate
Seniority
mid
Employment type
full-time
Date found
2026-10-07
Intelligence details
Flexible work details
- Engagement type
- Permanent
- Hours
- Full-time
- Eligible countries
- United States
- License jurisdiction
- US
- Profession fit
- Nurse, Dentist
- Rate period
- Annual
Listing via Himalayas.
Eligibility, licensing, and location restrictions can change. Always confirm details on the source posting before applying.
Why this is worth applying to
A solid non-clinical transition for LPNs seeking payer-side utilization review with regular hours and benefits; less suitable for clinicians without an LPN license or those wanting direct patient care.
Who should apply
LPNs with 3-5 years of clinical experience interested in managed care, utilization review, or prior authorization; nurses seeking remote/hybrid payer roles.
CV angle
Emphasize clinical assessment, medical necessity decision-making, InterQual/Medicaid criteria, prior authorization workflows, provider communication, and documentation of denial letters.
Skills to highlight
- Medical Necessity Review
- Prior Authorization
- InterQual Criteria
- Medicaid Benefits
- DME Review
- Care Coordination
- Provider Communication
- Denial Letter Documentation
Role summary
Review prior authorization and benefit coverage requests for Medicaid members, apply InterQual/Medicaid medical necessity criteria, approve or deny services, and coordinate with providers and medical reviewers.
We publish our own intelligence summary, never the full job description. Always confirm details with the employer when you apply.