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Manager Prior Authorization Rn Jobs (NOW HIRING)

US Tech Solutions

Registered Nurse

Baton Rouge, LA

Registered Nurse with current license in LA state of employment. Additional licensure may be ... Utilization Management. Prior Authorization Review experience About US Tech Solutions: US Tech ...

US Tech Solutions

Registered Nurse

Baton Rouge, LA

Registered Nurse with current license in LA state of employment. Additional licensure may be ... Utilization Management. Prior Authorization Review experience About US Tech Solutions: US Tech ...

Curant Health

Prior Authorization Specialist

Smyrna, GA

$17.50 - $23.50/hr

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Arizona Priority Care

Prior Cert RN Manager

Chandler, AZ · Hybrid

$96K - $100K/yr

As the Pre Cert RN Manager, you will lead a high-performing team focused on ensuring timely ... Lead and support the Prior Authorization Supervisor and nursing staff to ensure effective daily ...

Aquent

Prior Authorization Specialist

Palo Alto, CA · On-site

$35.81 - $38.96/hr

As a key member of the administrative team, you will manage the end-to-end prior authorization ... Certified or Registered Pharmacy Technician (CPhT) credential or prior pharmacy experience.

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

Curant Health, the leader in patient-centric chronic disease management via specialty pharmacy is ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Grace Health

Prior Authorization Specialist

Battle Creek, MI · On-site

$17 - $22.75/hr

Grace Health is currently seeking an individual that will obtain prior authorizations for patients and assist with the managed care process. We offer competitive wages based on experience and up to 3 ...

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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 May 30, 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.

What cities are hiring for Manager Prior Authorization Rn jobs? Cities with the most Manager Prior Authorization Rn job openings:
What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What states have the most Manager Prior Authorization Rn jobs? States with the most job openings for Manager Prior Authorization Rn jobs include:
Manager Prior Authorization Rn jobs near you

Registered Nurse (RN) - Prior Authorization & Program Exception Review (Hybrid)

The CKHobbie Group

Harrisburg, PA • Hybrid

$34 - $35/hr

Full-time

Posted 14 days ago

Job description

We are seeking a Registered Nurse (RN) – Medical Necessity Review (Prior Authorization / Program Exception) to support the Pennsylvania Medical Assistance (Medicaid) program in a full-time, long-term contract role based in Harrisburg, PA, with a hybrid schedule (three days remote, two days onsite). This position focuses on reviewing outpatient authorization requests and program exception cases to ensure services are medically necessary, appropriately delivered, and compliant with state and federal regulations.

In this role, the nurse will review outpatient service authorization requests, including Prior Authorization and 1150 Waiver (Program Exception) requests for services such as medical supplies, prosthetics, orthotics, durable medical equipment (DME), skilled nursing care, home health services, and emergency medical services. The RN will evaluate clinical documentation to determine whether requested items and services meet Medical Assistance requirements for necessity.

The position also involves assessing requests that exceed standard fee schedules or quantity limits and coordinating with Rate Setting when additional pricing review is required. The nurse will ensure that appropriate fees are applied and that all determinations align with program guidelines while meeting established productivity standards.

This role requires strong analytical skills, attention to detail, and the ability to interpret medical records and regulatory requirements. The RN will work both independently and collaboratively to ensure accurate determinations, support program integrity, and maintain compliance across all authorization and exception review processes.