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Full Time Prior Authorization Rn Jobs in Miami, FL

Molina Healthcare

Care Review Clinician (RN)

Miami, FL

$26.41 - $51.49/hr

... prior authorization/financial responsibility for Molina and its members. • Processes requests ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...

Molina Healthcare

Care Review Clinician (RN)

Miami, FL

$26.41 - $51.49/hr

... prior authorization/financial responsibility for Molina and its members. • Processes requests ... • Registered Nurse (RN). License must be active and unrestricted in state of practice. • ...

Trinity Health

RN - Neuro ALS

Fort Lauderdale, FL · On-site

Employment Type: Full time Shift: Description: Neuro ALS RN for Phil Smith Neuroscience Institute ... Coordinate referrals, diagnostic testing, and prior authorizations as needed. * Maintain compliance ...

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Full Time Prior Authorization Rn information

See Miami, FL salary details

$7

$40

$68

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

As of Aug 13, 2026, the average hourly pay for full time prior authorization rn in Miami, FL is $40.40, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $47.84 per hour, depending on experience, location, and employer.

What is a full time prior authorization RN?

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.

Is full time prior authorization RN a stressful job?

Full-time prior authorization RNs often experience stress due to managing high volumes of insurance requests, strict deadlines, and the need for accuracy in documentation. The role requires strong organizational skills and attention to detail, which can contribute to job pressure, especially during busy periods or complex cases.

What are the most commonly searched types of Prior Authorization Rn jobs in Miami, FL?

The most popular types of Prior Authorization Rn jobs in Miami, FL are:

Full Time Prior Authorization Rn jobs near you
Infographic showing various Full Time Prior Authorization Rn job openings in Miami, FL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 95% In-person, and 5% Remote job distribution, with an average salary of $84,040 per year, or $40.4 per hour.

RN Case Manager Prior Authorizations

Healthcare Support Staffing

Sunrise, FL • On-site

Full-time

Re-posted 25 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Will be requesting prior authorization of durable medical equipment for members.

100% Telephonic

Requests for prior authorization of DME

Review provider requests through fax or telephone to ensure medical necessity for services requiring pre-authorization

Utilize nationally recognized criteria to determine medical necessity of services requested

Refer provider requests appropriately to Medical Director when medical necessity of services is not met based on the criteria

Data enters authorizations into the system

Qualifications

RN

At least 1 years of DME experience * Preferred

At least 2 years of UM experience, must have atleast one year of authorization experience

Plus to have CCR

Experience utilizing medical management software programs. Interqual/Miilman

UM certification preferred.

Managed Care preferred not required

Look for people who come from any type of DME facility, pharmacy...

Will send from from large providers office is have over two years of Prior Auths. 

Additional Information

-Salary range 60K-72K

-Excellent opportunity to begin a career with one of Florida's leading health plans with excellent benefits

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About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

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