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Overnight Prior Authorization Rn Jobs in Ohio (NOW HIRING)

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

Registered Nurse

Cleveland, OH · On-site

$60K - $129K/yr

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

Registered Nurse Full TIme, Part Time Nightshifts Location: Armada Detox - Akron, Ohio Position ... Respond to overnight incidents, emergencies, or patient needs * Support infection control and ...

Registered Nurse Full TIme, Part Time Nightshifts Location: Armada Detox - Akron, Ohio Position ... Respond to overnight incidents, emergencies, or patient needs * Support infection control and ...

... Prior experience in on-call or overnight nursing roles • Strong documentation and electronic ... Registered Nurse (RN) On Call - 7 Days On, 7 Days Off About Gentiva Gentiva is a family of industry ...

New

The RN Primary Care, will build and create positive relationships with patients both on-site as ... Completes appropriate prior authorizations and patient assistance forms. * Ask prompted health ...

The RN Primary Care, will build and create positive relationships with patients both on-site as ... Completes appropriate prior authorizations and patient assistance forms. * Ask prompted health ...

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Overnight Prior Authorization Rn information

What is the difference between Overnight Prior Authorization Rn vs Medical Assistant?

AspectOvernight Prior Authorization RnMedical Assistant
CredentialsRegistered Nurse (RN) licensePost-secondary certificate or diploma
Work EnvironmentHospitals, clinics, insurance companiesDoctor's offices, clinics, outpatient facilities
Job FocusReviewing insurance authorizations, patient advocacyAssisting with patient care, administrative tasks

The Overnight Prior Authorization RN primarily handles insurance approvals and patient advocacy during overnight shifts, requiring RN licensure. In contrast, Medical Assistants focus on direct patient care and administrative support in outpatient settings. While both roles support healthcare operations, their credentials, responsibilities, and work environments differ significantly.

What is an Overnight Prior Authorization RN?

An Overnight Prior Authorization RN is a Registered Nurse who works overnight shifts to review and process requests for prior authorization of medical services, procedures, or medications. Their role involves evaluating clinical documentation to determine if requested treatments meet insurance or organizational guidelines for approval. These nurses collaborate with providers, patients, and insurance companies to ensure timely and appropriate care. Working overnight allows for 24/7 coverage, supporting urgent cases and maintaining continuous workflow in healthcare authorization departments.

What are some unique challenges faced by Overnight Prior Authorization RNs, and how can they effectively manage them?

Overnight Prior Authorization RNs often work independently with limited immediate support, which can present challenges such as handling complex cases without direct peer consultation and maintaining focus during non-traditional hours. They must be adept at managing high volumes of authorization requests, prioritizing urgent cases, and communicating effectively with providers and insurance companies outside regular business hours. Staying organized, utilizing clear documentation, and leveraging electronic health record systems can help manage workload efficiently. Building strong relationships with day-shift colleagues for smooth case handoffs is also crucial for success in this role.

What are the key skills and qualifications needed to thrive as an Overnight Prior Authorization RN, and why are they important?

To thrive as an Overnight Prior Authorization RN, you need a current RN license, strong clinical judgement, and in-depth knowledge of insurance guidelines and medical necessity criteria. Familiarity with prior authorization software, electronic health records (EHR), and payer-specific systems is typically required. Exceptional attention to detail, critical thinking, and effective communication skills are vital for navigating complex cases and collaborating remotely. These skills ensure timely and accurate authorization decisions, supporting patient care and compliance during overnight shifts.
What are the most commonly searched types of Prior Authorization Rn jobs in Ohio? The most popular types of Prior Authorization Rn jobs in Ohio are:
What cities in Ohio are hiring for Overnight Prior Authorization Rn jobs? Cities in Ohio with the most Overnight Prior Authorization Rn job openings:
Registered Nurse

$60K - $129K/yr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 18 days ago


CVS Health rating

5.8

Company rating: 5.8 out of 10

Based on 4,281 frontline employees who took The Breakroom Quiz

81st of 104 rated pharmacies


Job description

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselvesaccountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time.

Title: Registered Nurse

Company: Oak Street Health

Role Description:

The purpose of a Registered Nurse at Oak Street Health is to build strong relationships with Oak Street Health patients by coordinating their care and providing a seamless experience to patients and their support team.

At Oak Street Health you will use an integrated approach toward achieving desired patient outcomes by utilizing standards, guidelines and pathways for care delivery. Through clinical assessment, intervention and education you will ensure our patients are provided competent nursing care in a timely manner. Our Registered Nurses drive quality care, it is of vital importance that our nurses incorporate data and information to improve care and enhance our patient outcomes. You will work to create an engaging and welcoming environment through team communication and delegation to empower other members of the care team to deliver the best care to our patients.

Our Registered Nurses report to the Practice Manager or Nurse Supervisor (where applicable).

Core Responsibilities:

  • Provide competent nursing care by displaying proficiency in this role and executing job responsibilities in a safe and consistent manner
  • Respond to incoming telephonic requests in a dependable manner, ensuring we are responsive to their needs and exceeding expectations
  • Provide clinically competent triage and symptom management to patients who may or may not be physically present
  • Utilize standardized protocols for medication management, prescription refills and prior authorizations.
  • Conduct thorough and accurate reviews of patient medications and update as needed
  • Provide comprehensive education and direct patient care, particularly around chronic conditions; may occur in person, over the phone or in group settings
  • Actively collaborate and monitor the implementation and progress of the care plan for patients on multiple provider panels
  • Form relationships with patients and their caregivers to support preventative care and ED/hospital diversion where appropriate
  • Create a welcoming and engaging environment to meet the needs of our patients, communities, families and teams where they are
  • Delegation of activities to other clinical care team members to support the needs of our patients
  • Participate in care team meetings to discuss patient care and clinic operations
  • Deliver an exceptional patient experience through service, responsiveness and respectful care
  • Perform point of care testing, procedures and specimen collection (including phlebotomy) as needed
  • Performs other related duties as assigned

What we're looking for

Required Qualifications:

  • Active Registered Nurse (RN) Licensure in good standing with the applicable state
  • BLS Certification
  • Electronic Medical Record (EMR) experience
  • Ability to maintain patient confidentiality and process information in a confidential manner
  • US work authorization
  • Ability to assess patients without face-to face interaction, strong communication and assessment skill

Strongly Preferred Qualifications:

  • Ability to collaborate and communicate with members of an interdisciplinary care team
  • Excellent computer skills with ability to read, interpret and analyze data from various computer systems
  • Effective problem solving and prioritization skills
  • 2+ years of healthcare experience, working as an RN

Preferred Qualifications:

  • Previous experience in clinic setting
  • Ability to work independently
  • Fluency in Spanish, Polish, Russian, or other languages spoken by people in the communities we serve

Anticipated Weekly Hours

40

Time Type

Full time

Pay Range

The typical pay range for this role is:

$60,522.00 - $129,615.00

This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above.

Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong.

Great benefits for great people

We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families.

This fulltime position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial wellbeing of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility.


Additional details about available benefits are provided during the application process and on Benefits Moments.

We anticipate the application window for this opening will close on: 11/08/2026

Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.


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