ZipRecruiter

Log In

2

Full Time Prior Authorization Rn Jobs in Boston, MA

Fenway Health

LPN

Boston, MA · On-site

$28.21 - $31.13/hr

Job Type Full-time Description Our nurses are the heart and soul of Fenway Health. Every day, they ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Vinfen

Clinical Care Manager (RN)

Allston, MA · On-site

$90K/yr

The RN is supervised by the Care Team Leader and will learn about working on a community-based ... Obtain required Prior Authorization from Managed Care Plan (ACOs, MCOs) for relevant and necessary ...

Vinfen

Clinical Care Manager (RN)

Somerville, MA · On-site

$90K/yr

The RN is supervised by the Care Team Leader and will learn about working on a community-based ... Obtain required Prior Authorization from Managed Care Plan (ACOs, MCOs) for relevant and necessary ...

Fenway Health

LPN

Boston, MA · On-site

$28.21 - $31.13/hr

Provides nursing support to RNs, LPNs and MAs * Places and Maintains IV Lines * Administers ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Salter Healthcare

RN Case Manager

Winchester, MA

$45 - $55/wk

Obtain prior approval for all HMO patients for transportation, therapy, and other services * Track ... Obtain pre-authorization as needed for special services and equipment * Ensure sound clinical and ...

Salter Healthcare

RN Case Manager

Winchester, MA · On-site

$45 - $55/wk

Obtain prior approval for all HMO patients for transportation, therapy, and other services * Track ... Obtain pre-authorization as needed for special services and equipment * Ensure sound clinical and ...

MED STAFFING, INC.

Registered Nurse (RN)

Woburn, MA · On-site

Current PPD or Chest X-Ray. * One year prior Long Term Care (LTC) Registered Nurse (RN) experience preferred. * Current BLS card * Successful completion of screening tests for the clinical specialty ...

next page

Showing results 1-20

All JobsPrior Authorization Rn JobsFull Time Prior Authorization Rn JobsFull Time Prior Authorization Rn Jobs in Boston, MA

Full Time Prior Authorization Rn information

See Boston, MA salary details

$8

$45

$78

How much do full time prior authorization rn jobs pay per hour?

As of Jul 16, 2026, the average hourly pay for full time prior authorization rn in Boston, MA is $45.89, according to ZipRecruiter salary data. Most workers in this role earn between $34.23 and $54.33 per hour, depending on experience, location, and employer.

What are Full Time Prior Authorization RNs?

Full Time Prior Authorization Registered Nurses (RNs) are healthcare professionals who work primarily in administrative roles to review and evaluate medical service requests. Their main responsibility is to determine if specific treatments, medications, or procedures meet insurance company criteria for coverage before they are provided to patients. They use their clinical knowledge to assess medical necessity and ensure compliance with healthcare policies and guidelines. These nurses typically interact with physicians, insurance companies, and patients to manage authorizations and appeals, ensuring that care is both appropriate and covered under a patient’s health plan.

What is the difference between Full Time Prior Authorization Rn vs Medical Coder?

AspectFull Time Prior Authorization RnMedical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), knowledge of medical coding systems
Work EnvironmentHealthcare facilities, insurance companies, utilization review departmentsMedical offices, hospitals, insurance companies, coding agencies
Job FocusReviewing and authorizing medical procedures and treatmentsTranslating medical records into standardized codes for billing

While both roles require healthcare knowledge, the Full Time Prior Authorization RN focuses on evaluating medical necessity for treatments, whereas Medical Coders translate medical documentation into codes for billing. Both are essential in healthcare administration but serve different functions within the patient care and billing process.

What are the key skills and qualifications needed to thrive as a Full Time Prior Authorization RN, and why are they important?

To thrive as a Full Time Prior Authorization RN, you need a strong nursing background (active RN license), in-depth knowledge of medical terminology, and experience with insurance processes or utilization review. Familiarity with prior authorization software, electronic health records (EHRs), and insurance payer portals is typically required. Exceptional attention to detail, critical thinking, and strong communication skills help you effectively evaluate medical necessity and advocate for patient care. These abilities ensure timely, accurate authorizations, reduce claim denials, and promote optimal patient outcomes.

What are some typical challenges faced by Full Time Prior Authorization RNs, and how can they be managed?

Full Time Prior Authorization RNs often encounter challenges related to navigating complex insurance guidelines, managing high caseloads, and ensuring timely communication between healthcare providers and payers. Staying organized, keeping up-to-date with frequently changing insurance policies, and developing strong collaboration skills with both clinical and administrative teams are key to success in this role. Leveraging electronic health records and standardized workflows can also help streamline the authorization process and reduce delays for patients.
Full Time Prior Authorization Rn jobs near you
Infographic showing various Full Time Prior Authorization Rn job openings in Boston, MA as of July 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% In-person job distribution, with an average salary of $95,460 per year, or $45.9 per hour.
Surgical Scheduler and Surgery Authorization

Surgical Scheduler and Surgery Authorization

Fyzical

North Andover, MA • On-site

$19 - $24.50/hr

Full-time

Re-posted 17 days ago

FYZICAL rating

6.2

Company rating: 6.2 out of 10

Based on 41 frontline employees who took The Breakroom Quiz

699th of 886 rated healthcare providers

Job description

Busy medical practice seeking an individual with experience in surgical scheduling and prior authorizations.
Full Time, Monday - Friday, no weekends or holidays.
This position is responsible for assisting the department with coordinating and scheduling surgical procedures and obtaining prior authorizations .
Maintains a professional and working relationship with hospitals and surgery centers.
Schedules location of procedures and maintains the physicians surgical schedules. Identifies conflicts and communicates changes.
Ensures that all paperwork is complete and prior authorization has been obtained.
Prior authorization process includes: collecting necessary documentation, accurate use of diagnostic codes, contacting patients and providers for additional information, obtaining medical clearance, and complete and timely submission of prior and retroactive authorization requests.
New England ENT & Facial Plastic Surgery
FYZICAL Therapy & Balance Centers
What's it like to be a part of the FYZICAL team? Challenging. But not because you can't help your client improve for lack of technology or because your ideas got lost in management. It's challenging because pushing yourself and your clients beyond expectations, beyond 'good enough' is hard.
We're a high energy team, we treat clients with dignity and empathy, and we work hard to improve lives through physical therapy. Our people are our greatest asset - we hire individuals who are professional and respond to advances in research, technology, science and health care. In exchange, our team provides a superb working environment, and unique and exciting possibilities for expansion.

What FYZICAL employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Apply