Remote Clinical Nurse Jobs
Remote Clinical Nurse jobs are open across the U.S. in telehealth, managed care, insurance utilization review, and digital health, at companies ranging from remote-first virtual care platforms to large distributed health systems. Employers hiring remotely right now include Centene, ThedaCare, and TapestryHealth. Find a role that fits below and apply directly.
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You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Work Location
This is a fully remote role. Candidates must hold active New York State Registered Nurse (RN) licensure and be willing to work Eastern Time (ET/EST) hours.
Licensure Requirement
Active and unrestricted New York State Registered Nurse (RN) licensure is required for consideration.
Schedule
This position follows a Monday–Friday schedule from 8:30 AM to 5:00 PM Eastern Time (ET/EST), with a one‑hour assigned lunch break. Candidates must be able to work during these hours.
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
- Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
- Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care
- Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member
- Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
- Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
- Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines
- Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members
- Provides feedback on opportunities to improve the authorization review process for members
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.
Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:
- For Fidelis Plan Only: A clinical degree as a healthcare professional is required along with the appropriate license. Examples include Nursing, PT and OT.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.
Work Location
This is a fully remote role. Candidates must hold active New York State Registered Nurse (RN) licensure and be willing to work Eastern Time (ET/EST) hours.
Licensure Requirement
Active and unrestricted New York State Registered Nurse (RN) licensure is required for consideration.
Schedule
This position follows a Monday–Friday schedule from 8:30 AM to 5:00 PM Eastern Time (ET/EST), with a one‑hour assigned lunch break. Candidates must be able to work during these hours.
Position Purpose: Analyzes all prior authorization requests to determine medical necessity of service and appropriate level of care in accordance with national standards, contractual requirements, and a member's benefit coverage. Provides recommendations to the appropriate medical team to promote quality and cost effectiveness of medical care.
- Performs medical necessity and clinical reviews of authorization requests to determine medical appropriateness of care in accordance with regulatory guidelines and criteria
- Works with healthcare providers and authorization team to ensure timely review of services and/or requests to ensure members receive authorized care
- Coordinates as appropriate with healthcare providers and interdepartmental teams, to assess medical necessity of care of member
- Escalates prior authorization requests to Medical Directors as appropriate to determine appropriateness of care
- Assists with service authorization requests for a member’s transfer or discharge plans to ensure a timely discharge between levels of care and facilities
- Collects, documents, and maintains all member’s clinical information in health management systems to ensure compliance with regulatory guidelines
- Assists with providing education to providers and/or interdepartmental teams on utilization processes to promote high quality and cost-effective medical care to members
- Provides feedback on opportunities to improve the authorization review process for members
- Performs other duties as assigned
- Complies with all policies and standards
Education/Experience: Requires Graduate from an Accredited School of Nursing or Bachelor’s degree in Nursing and 2 – 4 years of related experience.
Clinical knowledge and ability to analyze authorization requests and determine medical necessity of service preferred.
Knowledge of Medicare and Medicaid regulations preferred.
Knowledge of utilization management processes preferred.
License/Certification:
- For Fidelis Plan Only: A clinical degree as a healthcare professional is required along with the appropriate license. Examples include Nursing, PT and OT.
Centene offers a comprehensive benefits package including: competitive pay, health insurance, 401K and stock purchase plans, tuition reimbursement, paid time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility.
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
Qualified applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance Act
See All 27 Remote Clinical Nurse Jobs
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Find Remote Clinical Nurse JobsRemote Clinical Nurse Job Market
Who's Hiring
Top Industries Hiring
- Insurance
- Healthcare & Medical Services
What Employers Look For
The qualifications that appear most often in remote clinical nurse jobs.
- Active registered nurse (RN) license in the state of employment
- Current BLS certification required at time of hire
- Associate or Bachelor of Science in Nursing from an accredited program
- One to two years of acute care or specialty unit experience preferred
- ACLS certification required for critical care, telemetry, and procedural roles
- Proficiency with electronic health record systems such as Epic or Cerner
Tips for Your Remote Clinical Nurse Job Search
Apply early to remote roles that fit
Migrate Mate lists remote clinical nurse openings from across the U.S. in one place, so you can find roles that match your license, specialty, and schedule and apply directly without sorting through unrelated listings.
Show async communication skills up front
Remote clinical employers prioritize written clarity because care coordination, documentation, and escalations happen over chat, email, and EHR notes. Include concrete examples in your resume of written clinical communication, such as care summaries or patient education materials you produced independently.
Highlight your EHR and telehealth platform experience
Remote hiring managers screen for specific systems. Name every EHR platform, telehealth tool, or care management software you have used, including Epic, Cerner, or proprietary platforms, directly in your resume skills section so it clears automated screens.
Prepare for a remote interview format
Most remote clinical nurse interviews happen over video and test how you present clinical reasoning without physical cues. Practice walking through patient scenarios verbally, check your audio and lighting before any call, and have a quiet, professional background ready.
Remote Clinical Nurse Jobs: Frequently Asked Questions
How do I get a remote clinical nurse job?
Remote clinical nurse roles are most common at telehealth platforms, managed care organizations, insurance carriers, and digital health companies that run distributed clinical teams. Remote employers screen hard for self-direction, clear async written communication, and the ability to triage or document without in-person backup. Candidates who can demonstrate EHR fluency, prior telephonic or virtual patient interaction, and comfort with video consultation tools consistently stand out.
Which companies hire remote clinical nurses?
Remote clinical nurse roles are posted by Centene, ThedaCare, and TapestryHealth and others right now, based on current remote listings on Migrate Mate as of August 2026. These include remote-first telehealth companies, distributed managed care and insurance teams, and digital health platforms that deliver care or care coordination outside a physical clinical setting.
Can you get a remote clinical nurse job with no experience?
Yes, but remote entry-level clinical nurse roles are harder to land because employers expect you to work independently from day one without on-site supervision. Telehealth platforms and insurance companies occasionally hire new graduates into structured remote training programs. Showing clinical simulation experience, strong written documentation skills, and any virtual patient interaction, even from rotations, helps bridge the experience gap.
Do you need a degree for remote clinical nurse jobs?
Usually, yes. Most remote clinical nurse roles require at minimum an Associate Degree in Nursing and an active RN license, and many employers at telehealth and managed care organizations prefer a BSN. Where employers show flexibility is on post-graduation experience, particularly when candidates can demonstrate strong telehealth documentation skills, EHR proficiency, or prior telephonic triage work.
Which industries hire the most remote clinical nurses?
The sectors hiring the most remote clinical nurses are Insurance and Healthcare & Medical Services, based on current remote listings on Migrate Mate as of August 2026. These industries rely on distributed clinical teams to deliver care coordination, utilization review, and patient support across wide geographic footprints without requiring nurses to be on-site.
See All 27 Remote Clinical Nurse Jobs
Find roles that match your experience and apply in just a few clicks.
Find Remote Clinical Nurse Jobs