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Manager Prior Authorization Rn Jobs in Milwaukee, WI

Authorization Specialist

West Allis, WI · On-site

$17.50 - $23.50/hr

Receives, reviews and processes prior authorization requests, and inpatient admissions, as it ... prior experience in an insurance, healthcare, or managed care setting Required * Managed care ...

Authorization Specialist

West Allis, WI · On-site

$17.50 - $23.50/hr

Receives, reviews and processes prior authorization requests, and inpatient admissions, as it ... prior experience in an insurance, healthcare, or managed care setting Required * Managed care ...

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

As of May 30, 2026, the average hourly pay for manager prior authorization rn in Milwaukee, WI is $48.64, according to ZipRecruiter salary data. Most workers in this role earn between $37.64 and $54.95 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.

What are the most commonly searched types of Prior Authorization Rn jobs in Milwaukee, WI? The most popular types of Prior Authorization Rn jobs in Milwaukee, WI are:
What cities near Milwaukee, WI are hiring for Manager Prior Authorization Rn jobs? Cities near Milwaukee, WI with the most Manager Prior Authorization Rn job openings:
Prior Authorization Assistant

$18 - $23.50/hr

Contractor

Posted 23 days ago


Job description

Job Description

Duration: 3 to 6 months

Medicaid/Medicare background preferred but not required.

Job Description

Nature of Work:

This position provides assistance to the Prior Authorization Department. This position reports to the Prior Authorization Manager.

Duties and Responsibilities:

  • Duties listed below may vary in terms of importance and other duties may be added or eliminated as this position develops.
  • Essential Duties and Responsibilities:
  • Process and documents all incoming inpatient and outpatient prior authorization (PA) requests as outlined by Client policies and procedures.
  • Contacts providers via phone or fax to request additional information or clarification as needed per established process.
  • Communicates effectively with customers/providers (both internally and externally) regarding the status of PA requests.
  • Enters PA requests into the prior authorization database , prepares documentation, and tasks to the appropriate staff member for clinical review.
  • Completes special projects as requested.

Marginal Functions:

Required Qualifications:

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • A combination of education, training and experience which provides the necessary knowledge, skills, and abilities as listed below will be considered:
  • Ability to communicate effectively both verbally and in writing.
  • Knowledge of general business practices
  • Detail oriented and organized work ethic.
  • Ability to work independently as well as in a team environment.
  • Ability to use a personal computer and Microsoft Office software applications, including Word and Excel.
  • Knowledge of appropriate telephone etiquette and general business practices

Desirable Qualifications:

  • Previous experience in a clinical environment.
  • Previous experience working in managed health care setting or insurance environment.
  • Knowledge of Medical Terminology.
  • Knowledge of additional Microsoft Office software such as PowerPoint.

Physical Demands:

  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of the job. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.
  • Must be able to communicate with members, providers, and staff in an effective manner via the telephone and in person.
  • Must be able to communicate in writing and understand written materials of a complicated manner.
  • Must be able to use a computer terminal to input and access information in a timely manner.
  • Must be able to work in a fast-paced environment.
  • More than 50% of the time, employee will be working at a desk, with a PC terminal.

Work Conditions/Environment:

Additional Information

All your information will be kept confidential according to EEO guidelines.


Integrated Resources logo

About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996