Clinical Review Nurse

A valid nursing license is mandatory, alongside experience with prior authorization processes. Employers in Georgetown typically seek candidates familiar with clinical guidelines and regulatory compliance, ensuring they can effectively manage medical claim reviews as a Clinical Review Nurse.

Yes, this particular Clinical Review Nurse opportunity with A-line Staffing Solutions is remote, allowing professionals to handle prior authorization reviews and collaborate with healthcare providers without a daily commute in Austin or Georgetown, TX.

The role involves examining prior authorization requests, ensuring adherence to clinical criteria, and coordinating with medical teams for additional data. Strong documentation skills are crucial to communicate decisions clearly and maintain compliance with health regulations.

Clinical Review Nurses in this region typically earn between $75,000 and $95,000 annually, depending on experience and licensure. Remote roles with companies like A-line Staffing Solutions may offer competitive compensation aligned with market standards.

The demand for nurse reviewers in Georgetown is moderate but growing, especially for remote clinical review roles. Candidates with strong prior authorization experience and nursing licenses find favorable opportunities with staffing agencies like A-line Staffing Solutions.

Full-time employees become eligible for benefits after 90 days, including health coverage and a 401(k) plan with company matching after one year. These perks support long-term career stability for Clinical Review Nurses working remotely or onsite in Austin.

This position emphasizes prior authorization clinical reviews with a strong focus on regulatory compliance. Unlike some roles, it offers remote work flexibility, collaboration with diverse healthcare providers, and opportunities to impact patient care quality through meticulous claims evaluation.

While an active nursing license suffices, familiarity with Texas Medicaid prior authorization protocols and experience with insurance claim audits can significantly boost employability in Georgetown and the broader Austin area.

Remote Clinical Review Nurses must navigate effective communication with healthcare providers virtually, maintain strict adherence to documentation standards, and stay updated on evolving clinical guidelines without onsite supervision, requiring strong self-discipline and tech proficiency.

The company integrates up-to-date clinical policies and leverages remote workflows to streamline prior authorization processes. This approach helps Clinical Review Nurses stay aligned with current healthcare standards while offering flexibility uncommon in traditional nursing roles.