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Manager Prior Authorization Rn Jobs in Springfield, IL

AltaStaff

Care Review Clinician

Springfield, IL · On-site

$40 - $42/hr

... prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. * Additional duties assigned Education/Experience: * RN license in IL ...

AltaStaff, LLC

Care Review Clinician

Springfield, IL · Remote

$40 - $42/hr

... prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team. * Additional duties assigned Education/Experience: * RN license in IL ...

Orthopaedic Center Of Illinois

RN/LPN/MA

Springfield, IL · On-site

$17 - $40/hr

Registered Nurse / Licensed Practical Nurse / Medical Assistant Orthopedic Center of Illinois ... Manage prior authorizations, referrals, and prescription refill requests in coordination with ...

TNAA TotalMed RN

Travel OR RN

Springfield, IL · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TNAA TotalMed RN

Travel OR RN

Springfield, IL · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TNAA TotalMed RN

Travel OR RN

Springfield, IL · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TNAA TotalMed RN

Travel OR RN

Springfield, IL · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TNAA TotalMed RN

Travel OR RN

Springfield, IL · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

TNAA TotalMed RN

Travel OR RN

Springfield, IL · On-site

TNAA TotalMed RN is seeking a travel nurse RN OR - Operating Room for a travel nursing job in ... manage medication and home care needs. Additional duties for Circulating OR Nurses may include:

Springfield Clinic

RN - (Float Pool)

Springfield, IL · On-site

Job Relationships Reports to the Operations Manager Principal Responsibilities * Obtain medical ... prior authorizations or certifications as needed. * Serve as a patient advocate by protecting ...

Springfield Clinic

RN - (Float Pool)

Springfield, IL · On-site

$19.13 - $27.73/hr

Job Relationships Reports to the Operations Manager Principal Responsibilities * Obtain medical ... prior authorizations or certifications as needed. * Serve as a patient advocate by protecting ...

Kaplan

Home Health RN

Springfield, IL · On-site

Perform patient assessments, medication management, and care planning * Educate and empower ... NOTICE : * Successful completion of a drug screen prior to employment is part of our background ...

Kaplan, Inc.

Home Health RN

Springfield, IL · On-site

Perform patient assessments, medication management, and care planning * Educate and empower ... NOTICE : * Successful completion of a drug screen prior to employment is part of our background ...

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Showing results 1-20

All JobsPrior Authorization Rn JobsManager Prior Authorization Rn JobsManager Prior Authorization Rn Jobs in Springfield, IL

Manager Prior Authorization Rn information

See Springfield, IL salary details

$25

$48

$83

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 Springfield, IL is $48.93, according to ZipRecruiter salary data. Most workers in this role earn between $37.88 and $55.29 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 Springfield, IL?

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

Manager Prior Authorization Rn jobs near you
Infographic showing various Manager Prior Authorization Rn job openings in Springfield, IL as of August 2026, with employment types broken down into 62% Full Time, 24% Part Time, and 14% Contract. Highlights an 93% In-person, and 7% Remote job distribution, with an average salary of $101,771 per year, or $48.9 per hour.

Care Review Clinician

AltaStaff

Springfield, IL • On-site

$40 - $42/hr

Other

Posted 5 days ago

Job description

AltaStaff is a staffing agency currently looking for a Care Review Clinician I to work with our Managed Care Client!
Pay Rate: $40 - 42.00 hourly
Schedule: Monday-Friday 9am-5:30pm CST, Rotating Saturday 7-11am CST, Rotating Holidays
This is a fully remote role but candidates must have a valid RN license in Illinois
Position Purpose: Care Review Clinician works with the Utilization Management team primarily responsible for medical necessity/utilization review aimed at providing members with the right care.

  • Assess and analyze clinical service requests (e.g., surgeries, outpatient therapies, DME) using evidence-based MCP/MCG criteria.
  • Verify member benefits and eligibility and Process prior authorization determinations within regulatory timelines
  • Collaborate with multidisciplinary teams
  • Completes/reviews Authorizations, reviewing faxes that can be 50-100 pages long
  • Will be expected to manage 25-30 cases successfully daily.
  • Should be able to quickly and accurately determine whether the criteria meet medical necessity.
  • Provides daily review and evaluation of members that require hospitalization and/or procedures providing prior authorizations and/or concurrent review.
  • Assesses services for Molina Members to ensure optimum outcomes, cost effectiveness and compliance with all state and federal regulations and
  • guidelines.
  • Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
  • Additional duties assigned
Education/Experience:
  • RN license in IL required
  • Must have 2+ years clinical practice experience (hospital, case management, utilization management)
  • Must have 1-3+ years of hospital or medical clinic, utilization review
  • Must have 2-3 years of Prior Authorization OR Med-Surg experience; Familiarity with Inpatient Medical Necessity
  • Must have solid experience within a clinical setting as RN's must be able to use their knowledge to extrapolate key information during the authorization process

If you've applied and would like to view your application status, please visit: https://altastaff.zenople.com/login/ALTA
AltaStaff is an Equal Employment Opportunity Employer. We provide equal employment opportunities to all qualified applicants for employment without regard to age, race, color, creed, religion, sex, marital status, national origin, ancestry, citizenship, disability, veteran status, sexual orientation, or any other protected status, in accordance with applicable federal, state, and local laws.
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