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Overnight Prior Authorization Rn Jobs in Virginia

MFA

Prior-Authorization Technician- Pharmacy

Arlington, VA · On-site

$23.46 - $30.50/hr

Position Summary The Prior Authorization Technician will process prior authorizations and locate ... Certified Nurse Assistant, Medical Assistant, Licensed Practical Nurse) will be considered Physical ...

Summit BHC

Intake RN- Days

Williamsburg, VA · On-site

Intake RN- Days | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job ... Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ...

Summit BHC

Intake RN- Days

Williamsburg, VA

Intake RN- Days | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job ... Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ...

IntelyCare

Registered Nurse

Gate City, VA

$60.52K - $129.62K/yr

Registered Nurse We're building a world of health around every individual -- shaping a more ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

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Overnight Prior Authorization Rn information

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 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 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 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 cities in Virginia are hiring for Overnight Prior Authorization Rn jobs? Cities in Virginia with the most Overnight Prior Authorization Rn job openings:
Overnight Prior Authorization Rn jobs near you
Infographic showing various Overnight Prior Authorization Rn job openings in Virginia as of May 2026, with employment types broken down into 2% As Needed, 60% Full Time, 33% Part Time, 4% Contract, and 1% Nights. Highlights an 96% Physical, 1% Hybrid, and 3% Remote job distribution.
Prior-Authorization Technician- Pharmacy

Prior-Authorization Technician- Pharmacy

MFA

Arlington, VA • On-site

$23.46 - $30.50/hr

Full-time

Posted 24 days ago

Job description

Position Summary
The Prior Authorization Technician will process prior authorizations and locate foundation assistance for GW Medical Faculty Associates providers.
Essential Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.
Under the direct supervision of a licensed Pharmacist:
  • Initiate prior authorizations for medications and work with providers on completion
  • Confirm patient demographics are accurate and insurance information is correct
  • Communicate with the clinical team and patients about prior authorization status and provide updates accordingly
  • Identify patient foundation assistance and manufacturer copay assistance programs
  • Follow up with the pharmacy to ensure the medication is in process after approval received
  • Process prior authorization renewals
  • Work with the provider to resolve prior authorization denials, peer-to-peer reviews, and denials
  • At all times, maintain a courteous interaction with patients, visitors, departments, and medical personnel
  • Refer issues that require professional judgment to a pharmacist for follow-up
  • Other duties assigned

Minimum Qualifications
Education
  • High school diploma or an equivalent combination of education, training, and experience

Licenses/Certifications
  • A valid and active DC, MD, or VA pharmacy license is required.

Experience
  • A minimum of 2 years of Pharmacy Technician experience in retail, specialty, or mail-order pharmacy and a pharmacy license ( Must have a DC MD or VA active pharmacy license
    • A minimum of 2 years in an alternative healthcare role (i.e. Certified Nurse Assistant, Medical Assistant, Licensed Practical Nurse) will be considered

Physical Requirements
  • Stand, walk, bend, twist, and reach for long periods of time in a clinical setting.
  • Must be able to occasionally lift or carry and push or pull up to 100 lbs. as part of the role
  • Regularly exposed to healthcare settings that may require personal protective equipment
  • Requires manual dexterity to operate a computer keyboard, calculator, copier machine, and other equipment.

About GW MFA
MFA physicians provide comprehensive patient care, offering one practice for the whole person with 52 medical and surgical specialties. As members of the GW School of Medicine and Health Sciences faculty, MFA providers are teachers and mentors for medical students, residents, fellows, and researchers preserving the rich tradition of academics, research, and healing. In addition to maintaining a closely integrated alliance with The George Washington University and The George Washington University Hospital (GWUH) which is separately owned and operated by Universal Health Services (UHS), the GW MFA has active referring relationships with 12 area hospitals.
The GW MFA's leading healthcare presence in the DC metro region is complemented by a network of community-based practices in DC, Maryland, and Virginia. Given its geographic location in central NW Washington, DC, and proximity to more than 175 resident embassies, the MFA continues to evolve its international clinical outreach.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
This employer is required to notify all applicants of their rights pursuant to federal employment laws.
For further information, please review the Know Your Rights notice from the Department of Labor.

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