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Manager Prior Authorization Rn Jobs in Cincinnati, OH

Vigilant Health

Part-Time Registered Nurse

Hebron, KY · On-site

... management, and measurable health outcomes. We are seeking a Registered Nurse who shares our ... The Registered Nurse provides clinical support through patient triage, prior authorizations ...

Chnk Behavioral Health

Registered Nurse - R.N

Covington, KY · On-site

$30 - $35/hr

The Residential RN is responsible for providing support to the Residential Management for any staff ... Requires a minimum of 2 years prior nursing experience (strongly preferred), or a minimum of 1 year ...

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All JobsPrior Authorization Rn JobsManager Prior Authorization Rn JobsManager Prior Authorization Rn Jobs in Cincinnati, OH

Manager Prior Authorization Rn information

See Cincinnati, OH salary details

$24

$47

$80

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

As of Aug 24, 2026, the average hourly pay for manager prior authorization rn in Cincinnati, OH is $47.37, according to ZipRecruiter salary data. Most workers in this role earn between $36.68 and $53.51 per hour, depending on experience, location, and employer.

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.

Is manager prior authorization RN a stressful job?

Manager Prior Authorization RNs often experience stress due to managing complex approval processes, strict deadlines, and high caseloads. The role requires strong organizational skills and attention to detail, which can contribute to job pressure, especially in fast-paced healthcare environments.

What are the most commonly searched types of Prior Authorization Rn jobs in Cincinnati, OH?

The most popular types of Prior Authorization Rn jobs in Cincinnati, OH are:

Manager Prior Authorization Rn jobs near you

Prior Authorization Specialist

Riverhills Neuroscience

Norwood, OH • On-site

$18 - $22/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 2 days ago

Job description

Prior Authorization Specialist

For over two decades, Riverhills Neuroscience has been a pioneer in delivering exceptional neuroscience care. Our commitment to excellence extends across diagnosis, education, and treatment for those facing nervous system diseases and injuries.

Position: Prior Authorization Specialist

Location: Norwood Office

Department: Billing

Schedule: Monday-Friday, 8am-4:30pm, Hybrid, 2 days in office, 3 days remote after full in office training.

Pay: $18-22 per hour

Key Benefits for Full-Time Employees:

  • Competitive pay based on experience, minimum $18
  • 401k with Profit Sharing and 4% Company Match
  • Comprehensive Medical, Dental, and Vision insurance
  • Long-Term and Short-Term Disability Insurance
  • Company Paid Life Insurance
  • Paid Holidays
  • Over three weeks of Paid Time Off
  • Continuing Education Reimbursement
  • Uniform Allowance
  • Free Parking

Responsibilities:

  • Streamline pre-certification, authorization, and referral processes, ensuring compliance with insurance requirements
  • Coordinate with insurance entities, review organizations, and clinical contacts for effective communication and benefit determination
  • Facilitate peer-to-peer reviews for escalated encounters and address inquiries from providers, staff, and patients
  • Ensure timely and accurate insurance authorizations, conduct medical benefits investigations, and manage authorizations for botulinum toxin procedures
  • Monitor schedules for insurance coverage changes, oversee specialty pharmacy orders, and maintain/update the ordering spreadsheet
  • Initiate patient education on available assistance programs

Background and Experience:

  • 1-2 years of relevant experience in medical billing and/or prior authorization within a healthcare practice
  • Pain Management experience is a plus
  • Experience with an Electronic Medical Record (EMR) and practice management system
  • Knowledge of Medicare/Medicaid and major insurance carrier's guidelines
  • Working knowledge of ICD-9-10 medical coding and billing and medical terminology
  • Superior verbal and written skills are a must, as are sound judgement, maturity, and the ability to establish good rapport with employees, patients, physicians, and vendors

If you're eager to contribute to a world-class healthcare team, apply today. We look forward to welcoming dedicated professionals to contribute to the growth of our practice.

Equal Opportunity/Drug-Free Workplace:

Riverhills Neuroscience is an equal opportunity employer and maintains a drug-free workplace.

Apply