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Internship Prior Authorization Rn Jobs in Chicago, IL

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

Prior Authorization for Admission: * Review clinical documentation against payor medical necessity ... Active, unrestricted Illinois license: LCSW, LCPC, LMFT, or RN. * 2 or more years of post licensure ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

Showing results 41-60

Internship Prior Authorization Rn information

See Chicago, IL salary details

$9

$17

$23

How much do internship prior authorization rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for internship prior authorization rn in Chicago, IL is $17.28, according to ZipRecruiter salary data. Most workers in this role earn between $14.86 and $19.33 per hour, depending on experience, location, and employer.

What is the difference between Internship Prior Authorization Rn vs Medical Billing Specialist?

AspectInternship Prior Authorization RnMedical Billing Specialist
CredentialsRN license, internship experienceCertification in medical billing or coding
Work EnvironmentHospitals, clinics, healthcare facilitiesMedical offices, billing companies, healthcare providers
Employer & Industry UsageHealthcare providers requiring authorization for patient careHealthcare billing and insurance reimbursement

The Internship Prior Authorization RN focuses on obtaining approval for patient treatments, requiring nursing credentials and clinical experience. In contrast, a Medical Billing Specialist handles billing processes, insurance claims, and coding. Both roles are essential in healthcare but serve different functions—one ensures proper authorization for care, the other manages financial reimbursement.

What are the most commonly searched types of Prior Authorization Rn jobs in Chicago, IL?

The most popular types of Prior Authorization Rn jobs in Chicago, IL are:

CASE MANAGER- RN required

Methodist Hospitals

Merrillville, IN • On-site

Full-time

Re-posted 24 days ago


Job description

Overview
Case Manager is responsible for chart review to evaluate medical necessity for admission, continued stay, and the appropriate level of care. Monitors the care of assigned patients to assure quality cost effective utilization of resources and optimal outcomes. Responsible for coordinating the patient's plan of care from admission to discharge and or transfer to another level of care.
Responsibilities
PRINCIPAL DUTIES AND RESPONSIBILITIES(*Essential Functions)
  1. Applies to individual case, through chart review, third payer regulations that govern admissions, continued stay, and discharge, i.e. IS/SI.
  2. Collects data related to clinical improvement initiatives for the purpose of developing action plans.
  3. Conducts concurrent chart reviews to assure complete and accurate medical records documentation.
  4. Coordinates the patient's plan of care with all members of the health care team including the patient, caregiver, and or family members and case management.
  5. Demonstrates proficiency in patient assessment and documentation.
  6. Interviews and assesses patients to determine potential barriers to timely discharge/transfer to another level of care.
  7. Provides all payers with accurate, updated information.
  8. Obtains covered stay certification and prior authorization as appropriate.
  9. Refers cases when appropriate to physician advisor for medical necessity, continued stay, physician education and appropriate level of care.
  10. Refers to Social Services when appropriate.
  11. Ensures discharge planning to the appropriate level of care, sub-acute, hospital units, and outpatient services.
  12. Supports hospital CQI programs by participation on relevant teams.

Qualifications
JOB SPECIFICATIONS(Minimum Requirements)
KNOWLEDGE, SKILLS, AND ABILITIES
  • Knowledge of appropriate and timely return transition levels of care.
  • Knowledge of CARF, Regulatory Agencies and State Board of Health, Long Term Care, Acute Care and Ambulatory Care Standards.
  • Demonstrates excellent interpersonal and problem-solving skills.
  • Demonstrates self-directed, goal orientated and customer service.
  • Excellent organizational and prioritization skills to meet deadlines.
  • Capable of functioning effectively across service lines.
  • Ability to assess and interpret data about the patient's status in order to identify each patients age, specific needs and provide the care needed by the infant, child, adolescent, young adult, middle adult and geriatric patient.
  • Ability to independently perform comprehensive chart review with subsequent abstraction or relevant information including interpretation of lab results, EKG and other medical tests.
  • Ability to communicate effectively both verbally and in writing.
  • Ability to provide compassionate patient care orientated with an effort for timeliness and accuracy in the delivery of service.
  • Ability to respond positively to the needs of patients and family.
  • Addresses customer concerns in a private, respectful and calm manner.

EDUCATION
  • Bachelors Nursing Required
  • 3 Required RN Case Manager Expereince
  • Licensed Registered Nurse
  • Certified Cardiac Pulmonary Resuscitation

STANDARDS OF BEHAVIOR
Meets the Standards of Behavior as outlined in Personnel Policy and Procedure #1, Employee Relations Code.
CONFIDENTIALITY/HIPAA/CORPORATE COMPLIANCE
Demonstrates knowledge of procedures for protecting and maintaining security, confidentiality and integrity of employee, patient, family, organizational and other medical information. Understands and supports the commitment of Methodist Hospitals in adhering to federal, state and local laws, rules and regulations governing ethical business practices for healthcare providers.
DISCLAIMER - The above statements are intended to describe the general nature and level of work being performed by people assigned to this job. The statements are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required.

Methodist Hospitals logo

About Methodist Hospitals

Sourced by ZipRecruiter

Methodist Hospitals is a reputable institution in the healthcare and medical industry with its base in Gary, Indiana, United States. A trusted name in comprehensive medical services, the organization is primarily known for its robust offering in the fields of emergency and acute medical care, tracking back its foundational roots to the year 1923. Catholic nun Sister Gesuina set up the hospital with the sole mission of providing affordable healthcare services to the residents of Gary. Today, their mission stays true to promoting health, healing, and well-being in the communities they serve, encompassing a diverse representation of races, ethnicities, genders, ages, religions, abilities, and sexual orientations.

Industry

Health care and social assistance

Company size

1,001 - 5,000 Employees

Headquarters location

Gary, IN, US

Year founded

1923

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