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Full Time Prior Authorization Rn Jobs in Rochester, NY

Rochester Regional Health

Educator - RN

Rochester, NY · On-site

$76.50K - $105K/yr

Three years prior training/teaching experience in related educational field. UNION: RUNAP (RGH) RN ... full time applicant. It may be modified in the future and eligible for additional pay components.

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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

Registered Nurse (RN) Supervisor

Ontario Center

Canandaigua, NY

Full-time

Medical, Dental

Posted 3 days ago

Job description

 We are offering a $5,000 sign-on bonus!!

Registered Nurse (RN) Supervisor 

Ontario Center for Rehabilitation and Nursing is actively seeking an experienced Registered Nurse (RN) Supervisor to work for our Skilled Nursing Facility located in Canandaigua, NY. The ideal candidate will have prior supervisor experience in long-term care and strong communication skills!

Travel Reimbursement from Rochester for Gas and Tolls!

We now offer Daily Pay through a trusted third-party provider giving you faster access to your earnings.

Premium health coverage through Aetna with low out-of-pocket costs!

Ontario Center Benefits Include:

  • Tuition Reimbursement Program!

  • Generous pay rates based on experience

  • Flexible schedules for Full-Time, Part-Time, or Per-Diem status

  • Career Advancement Opportunities

  • Two-Tiered Insurance Plan: Medical and Dental!

Duties:

  • Maintain nursing guidelines by writing and updating policies and procedures

  • Complete Resident care requirements by scheduling and assigning nursing staff

  • Establish a compassionate environment by providing support to Residents and their families

  • Provide information to Residents and Staff by answering questions and requests

  • Ensure safe and clean working environment by following procedures, rules, and regulations

  • Promote Resident confidence by monitoring confidential information processing

  • Manage documentation of Resident care services by auditing Resident and department records

  • Upkeep nursing supplies inventory and other responsibilities as required

Requirements:

  • Must hold valid RN License

  • Long-Term Care Experience

  • Basic computer skills

  • Excellent communication skills and strong team player

ONT1996

About Us:

Ontario Center for Rehabilitation and Healthcare is a long-term care facility that provides the highest possible quality of care and quality of life for all Health Facility residents. The facility provides a versatile nursing home environment that encourages creativity among residents, managers, and staff. In addition to an emphasis on individuality and self-determination, the nursing home is viewed as home as much as a medical institution, with the residents’ psychosocial needs deserving a prominence at least equal to their medical condition. At Ontario Center, we offer a friendly working environment, excellent compensation, a comprehensive benefits package, professional growth & stability, innovative training programs, and more. Ontario Center is a proud member of the Centers Health Care Consortium.

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