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Full Time Prior Authorization Rn Jobs in Rochester, NY

Allied Digestive Health

Full Time RN

Rochester, NY · On-site

As a Registered Nurse at Rochester Gastroenterology Associates (RGA), you will play a critical role ... Ensure procedure rooms are appropriately stocked and all equipment is functioning properly prior to ...

Elderwood

RN - Registered Nurse

Brockport, NY · On-site

$45/hr

We are hiring: * Full-Time RNs (benefit eligible) * Part-Time RNs (benefit eligble) * Per Diem RNs through Elderwood Staffing Solutions (ESS) One application. Multiple pathways. Option 1: Join the ...

Angels In Your Home LHCSA

Registered Nurse

Rochester, NY · On-site

$75K - $83K/yr

Position Summary The RN Case Manager is responsible for completing initial and ongoing nursing ... Ensure all care delivery is compliant with the care plan, authorized tasks, and scope-of-practice ...

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Full Time Prior Authorization Rn information

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$7

$41

$71

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

As of May 30, 2026, the average hourly pay for full time prior authorization rn in Rochester, NY is $41.68, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $49.33 per hour, depending on experience, location, and employer.

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.

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 most commonly searched types of Prior Authorization Rn jobs in Rochester, NY? The most popular types of Prior Authorization Rn jobs in Rochester, NY are:
Full Time Prior Authorization Rn jobs near you
Full Time RN

Full Time RN

Allied Digestive Health

Rochester, NY • On-site

Full-time

Posted yesterday

Allied Digestive Health rating

8.0

Company rating: 8.0 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

About the Role:

As a Registered Nurse at Rochester Gastroenterology Associates (RGA), you will play a critical role in delivering comprehensive nursing care to patients with gastrointestinal conditions. Your primary focus will be to provide direct patient care, ensuring that each individual receives personalized and compassionate treatment throughout their healthcare journey. You will collaborate closely with physicians, nurse practitioners, and other healthcare professionals to implement care plans, monitor patient progress, and educate patients and their families about their conditions and treatments. This role demands a strong commitment to patient advocacy, ensuring that patients' needs and concerns are addressed promptly and effectively. Ultimately, your contributions will enhance patient outcomes and support the overall mission of RGA to provide exceptional gastroenterology care.This position will be for our Canal landing location.

Basic Function

Collaborates with physicians and the Nurse Manager to provide high-quality nursing care to patients undergoing endoscopic procedures. Responsible for patient assessment, procedural assistance, recovery care, patient education, and maintaining a safe and efficient clinical environment.

Responsibilities
  • Prepare equipment, supplies, and medications for scheduled procedures each day.
  • Ensure procedure rooms are appropriately stocked and all equipment is functioning properly prior to procedures.
  • Perform comprehensive pre-procedure patient assessments including current medications, baseline vital signs, allergies, medical and surgical history, and verification of compliance with procedure preparation instructions.
  • Establish IV access for administration of conscious sedation, antibiotics, IV fluids, and additional medications as needed during or after procedures.
  • Administer conscious sedation medications and continuously monitor patients for adverse reactions, providing rapid intervention when necessary.
  • Collaborate with providers during procedures and assist with collection and handling of pathology specimens.
  • Provide complete verbal handoff reports to recovery room nursing staff.
  • Deliver post-procedure monitoring and nursing care appropriate to the procedure performed.
  • Provide discharge instructions and educational materials to patients and family members.
  • Assess and document patients’ return to a safe physiological baseline prior to discharge.
  • Assist with cleaning and turnover of procedure rooms to maintain procedural flow and scheduling efficiency.
  • Prepare pathology specimens for courier pickup and ensure accurate labeling and documentation.
  • Assist with post-procedure follow-up phone calls and next-day appointment confirmation calls.
  • Maintain patient and procedure logs as required.
  • Maintain daily narcotic inventory and documentation logs in accordance with regulatory requirements.
  • Review daily procedure schedules in Athena and assist medical office staff with patient selection criteria and chart review.
  • Utilize Provation for accurate pre-, intra-, and post-procedure documentation.
Skills
  • Excellent verbal and written communication skills
  • Strong customer service and interpersonal skills
  • Organizational and multitasking abilities
  • Proficiency with email and Microsoft Office applications
  • Ability to work efficiently in a fast-paced clinical environment
  • Knowledge of electronic medical record systems preferred
Education and Training
  • Current Registered Nurse (RN) license required
  • Bachelor of Science in Nursing (BSN) preferred
  • Basic Life Support (BLS) certification required
  • Advanced Cardiac Life Support (ACLS) certification preferred
Experience
  • Minimum of two (2) years of Registered Nurse experience required
  • Endoscopy or procedural nursing experience preferred
Physical Requirements
  • Ability to stand and walk for extended periods throughout the workday.
  • Frequent bending, stooping, reaching, pushing, pulling, and lifting required.
  • Ability to lift and move equipment and supplies up to 25 pounds independently and heavier items with assistance.
  • Manual dexterity sufficient to operate medical equipment, start IVs, administer medications, and perform patient care activities.
  • Visual acuity required for patient assessment, monitoring equipment, medication preparation, and documentation.
  • Ability to respond quickly and appropriately in emergency situations.
  • Frequent use of computers, keyboards, telephones, and other office and medical equipment.
  • Ability to assist with patient positioning and transport as needed.
  • Exposure to blood, bodily fluids, infectious diseases, chemicals, cleaning agents, and other potential hazards associated with a clinical environment.
  • Ability to wear required personal protective equipment (PPE), including masks, gloves, gowns, and eye protection.
  • Ability to maintain concentration and multitask in a fast-paced procedural setting.