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Manager Prior Authorization Rn Jobs in Iowa (NOW HIRING)

Medical Associates

LPN/RN - Rheumatology

Dubuque, IA · On-site

$25.75 - $35/hr

Coordinate and manage prior authorization requests for medications and procedures. Work closely ... Valid LPN/RN Licensure with the ability to practice in Iowa. Interpersonal Skills - A significant ...

Medical Associates

LPN/RN - Rheumatology

Dubuque, IA · On-site

$25.75 - $35/hr

Coordinate and manage prior authorization requests for medications and procedures. Work closely ... Valid LPN/RN Licensure with the ability to practice in Iowa. Interpersonal Skills - A significant ...

Medical Associates

LPN/RN - Rheumatology

Dubuque, IA

$25.75 - $35/hr

Coordinate and manage prior authorization requests for medications and procedures. Work closely ... Valid LPN/RN Licensure with the ability to practice in Iowa. Interpersonal Skills - A significant ...

WOLFE EYE CLINIC MASTER

Registered Nurse

Spencer, IA · On-site

Registered Nurse Join the TEAM that generations of Iowans have trusted to provide a higher standard ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

Wolfe Eye Clinic

Registered Nurse

Spencer, IA

Registered Nurse Join the TEAM that generations of Iowans have trusted to provide a higher standard ... Complete prior authorizations for procedures. * Triage phone calls and respond to tasks.

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All JobsManager Prior Authorization Rn JobsManager Prior Authorization Rn Jobs in Iowa

Manager Prior Authorization Rn information

What is the difference between Manager Prior Authorization Rn vs Nurse Case Manager?

AspectManager Prior Authorization RnNurse Case Manager
CredentialsRN license, certifications in prior authorizationRN license, case management certification
Work EnvironmentUtilization review, insurance companies, healthcare administrationPatient advocacy, care coordination, healthcare facilities
Employer & IndustryInsurance companies, healthcare organizationsHospitals, clinics, insurance providers

The Manager Prior Authorization Rn primarily focuses on reviewing and approving insurance claims for medical procedures, ensuring compliance with policies. Nurse Case Managers coordinate patient care, advocate for patients, and manage treatment plans. While both roles require RN licensure and healthcare knowledge, the Manager Prior Authorization Rn emphasizes administrative review, whereas Nurse Case Managers are more involved in direct patient care coordination.

What cities in Iowa are hiring for Manager Prior Authorization Rn jobs? Cities in Iowa with the most Manager Prior Authorization Rn job openings:
Manager Prior Authorization Rn jobs near you
Prior Authorization Specialist (LPN/RN) (FT) | Prior Authorization | Ames | 2026-119

Prior Authorization Specialist (LPN/RN) (FT) | Prior Authorization | Ames | 2026-119

McFarland Clinic PC

Ames, IA • On-site

$17.50 - $23.50/hr

Full-time

Medical, Dental, Retirement, PTO

Posted 5 days ago

McFarland Clinic rating

6.9

Company rating: 6.9 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

Job description

McFarland Clinic is currently accepting applications for Prior Authorization Specialist (LPN/RN) for its Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

Responsibilities include: Complete and prioritize prior authorization requests received through the electronic health record, phone, fax, or payer websites, and monitor each request through final determination. Review requests for accuracy and completeness, obtain supporting clinical documentation, and submit medical records or referrals needed to expedite payer review. Communicate with providers, departments, nurse managers, and insurance representatives regarding medications, requirements, authorization status, and next steps. Review denials, identify appeal opportunities, obtain medically necessary information from providers, and submit appeals as appropriate. 

Education

  • Graduate of an accredited school of nursing

Certification/License

  • Possession of State Licensed Practical Nurse license. 
  • Possession of State Registered Nurse license.
  • Current Basic Life Support certification for Health Care Providers.
  • Mandatory Reporting of Dependent Adult and Child Abuse. 

Days: Monday - Friday

Hours: 8:00 AM - 5:00 PM

Experience

  • Preferred experience with medication prior authorizations and appeals

Pre-employment drug screen and criminal history background checks are a condition of hire.

Benefits

McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here for details. 

McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 75 years experience of caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve.

McFarland Clinic is an Equal Opportunity Employer
McFarland Clinic makes every effort to comply with all requirements of federal, state and local laws relating to Equal Employment Opportunity.

What McFarland Clinic employees say

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