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Manager Prior Authorization Rn Jobs (NOW HIRING)

Claim Health

Prior Authorization Specialist

New York, NY · On-site

$19.75 - $26.25/hr

Deep familiarity with Medicare Advantage, Medicaid, managed Medicaid, commercial insurance, and ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...

Claim Health

Prior Authorization Specialist

Manhattan, NY · On-site

$19.75 - $26.50/hr

Deep familiarity with Medicare Advantage, Medicaid, managed Medicaid, commercial insurance, and ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...

CVS Health

Prior Authorization UM Nurse Consultant

Utilization Management Nurse Consultant (RN) Remote | Prior Authorization | Utilization Management Are you an experienced RN with utilization management or prior authorization experience looking to ...

Taha'a

Prior Authorization

American Fork, UT · On-site

$16 - $21.50/hr

... nurse case managers, and DOL claims examiners - Track authorization statuses, follow up on pending cases, and prepare appeals as needed - Coordinate equipment ordering, delivery, and setup to ensure ...

New

Flagler Health

Prior Authorization Specialist (Contract)

$18.50 - $24.50/hr

Role Overview Flagler partners directly with pain management and orthopedic clinics to help optimize operations and improve financial performance. Prior authorizations are a critical component of ...

Innovaccer Inc.

$93K - $123K/yr

Background in prior authorization, revenue cycle, or payer connectivity. * 3+ years in software product management, with demonstrated ownership of an end-to-end roadmap and direct accountability for ...

Astera Cancer Care

Team Leadership:Manage a team of oncology prior authorization specialists, assigning tasks ... nurses, and patients to address any prior authorization delays or denials, exploring appeals ...

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Manager Prior Authorization Rn information

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

As of Sep 14, 2026, the average hourly pay for manager prior authorization rn in the United States is $49.37, according to ZipRecruiter salary data. Most workers in this role earn between $38.22 and $55.77 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 cities are hiring for Manager Prior Authorization Rn jobs?

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Manager Prior Authorization Rn jobs near you

Prior Authorization Nurse - RN/LPN

Beulah, ND • On-site

Coalcountryhealth
See more jobs at Coalcountryhealthexternal

Other

Medical, Dental, Vision, Retirement, PTO

Posted 12 days ago

Job description

Prior Authorization Nurse – RN/LPN

Coal Country Community Health Center (CCCHC) is seeking a full-time dedicated and detailed orientated Prior Authorization Nurse (RN or LPN) to join our team.

This position offers a hybrid work arrangement, combining remote work from an approved location within the State of North Dakota with onsite work from CCCHC Beulah Clinic location.

The Prior Authorization Nurse plays an important role in supporting patients and providers by coordinating insurance authorizations and ensuring patients have timely access to medically necessary services, medications, procedures, and treatments.

Position Highlights
  • Hybrid work schedule – combination of remote and onsite work.
  • Remote work must be performed within the State of North Dakota.
  • No weekends or call.
  • Collaborative healthcare environment, working with prior authorizations for Critical Access Hospital (CAH) and Federally Qualified Health Center (FQHC).
  • Opportunity to support quality patient care and access to services.
Why Join CCCHC?

At Coal Country Community Health Center, we are committed to providing quality, compassionate, accessible healthcare to the communities we serve. Our teams values Quality, Compassion, Integrity, Teamwork, and Safety.

We offer a competitive wage and benefit package that includes health, dental, and vision insurance, 401(k), Paid Time Off, Extended Sick Time and other employee benefits.

Join our team and make a difference in helping patients receive the care they need.

Qualifications
  • Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN),
  • Minimum of 3-5 years of clinical nursing experience,
  • Proficiency in using EMR (EPIC) and Microsoft Office,
  • Strong organizational skills,
  • Excellent written and verbal communication skills,
  • Ability to work independently and collaboratively while meeting deadlines, required.
  • Prior authorization experience, preferred.
  • Experience with Medicare, Medicaid, and commercial insurance, preferred.
Prior Authorization Nurse (RN/LPN)

The Prior Authorization Nurse is responsible for coordinating and obtaining insurance prior authorization for medical services, medications, procedures, durable medical equipment (DME), specialty referrals, and hospital services. Working collaboratively with providers, clinical staff, and insurance payers, this position ensures timely access to medically necessary care while minimizing delays in treatment.

If you are an optimistic, goal orientated team contributor and looking for a unique opportunity to use your nursing skills caring for our communities,

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Apply