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Manager Prior Authorization Rn Jobs in Springfield, IL

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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 Jul 14, 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.

Flex Clinical RN/LPN - Float Pool (Full-time or Part-time)

Flex Clinical RN/LPN - Float Pool (Full-time or Part-time)

Springfield Clinic

Springfield, IL • On-site

$27 - $36.75/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.


Springfield Clinic rating

6.6

Company rating: 6.6 out of 10

Based on 57 frontline employees who took The Breakroom Quiz

563rd of 884 rated healthcare providers


Job description

The Flex Clinical Staff member is responsible for patient care according to individual needs of the patient population within the rules and regulations of their scope of practice and managing the operations of the office on a daily basis.

Job Relationships

Reports to the Operations Manager

Principal Responsibilities

  • Obtain medical information, chief complaints, vital signs and diagnostic test results in preparation for physician examination and documents in the medical record.
  • Assist the physician in the examination treatment of the patient by handing instruments, providing dressings, preparing equipment, etc. according to Infection Control Policy.
  • Administer care treatments prescribed by the provider within scope of practice.
  • Provides for continuity of care with patient treatment plans prescribed by the provider by putting in orders, scheduling tests and procedures, relaying patient results to providers and patients as appropriate, make referrals to other agencies, obtaining prior authorizations or certifications as needed.
  • Serve as a patient advocate by protecting patient rights and give attention to complaints regarding service.
  • Provide emotional support and guidance to patients/family.
  • Demonstrate professionalism by adhering to performance standards including dress code.
  • Insure confidentiality for patients and staff.
  • Maintain knowledge by attending appropriate education programs, reading current journals and literature, and documents for yearly evaluation.
  • Comply with the Springfield Clinic incident reporting policy and procedures.
  • Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
  • Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
  • Orient new personnel to specialty.
  • Perform other job duties as assigned.

Education/Experience

  • Educated as an LPN or RN by an approved program.

Licenses/Certificates

  • Current licensure in the state of Illinois or certification for CMA.
  • CPR certification per American Heart Association guidelines required within 30 days of hire.

Knowledge, Skills and Abilities

  • Assume accountability and responsibility for own practice and that, which is delegated.

Working Environment

  • Works in office setting during the hours the Clinic is available to patients/families.
  • Sitting vs. standing averages to 50-50%.
  • Minimal lifting requirements. Occasional lifting required for orthopedics, geriatrics and internal medicine.

PHI/Privacy Level

HIPAA1


What Springfield Clinic employees say

Pay

Benefits

Hours and flexibility

Workplace

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