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Overnight Prior Authorization Rn Jobs in Lexington, KY

KENTUCKY RIVER FOOTHILLS DEVELOPMEN

RN/LPN

Clay City, KY · On-site

$23.25 - $31.50/hr

Assists completing prior authorizations of medications and diagnostic procedures. * Follows ... overnight travel may be expected. TB test is required. Agency policy regarding drug and alcohol ...

KENTUCKY RIVER FOOTHILLS DEVELOPMEN

RN/LPN

Clay City, KY · On-site

$20 - $22/hr

Assists completing prior authorizations of medications and diagnostic procedures. * Follows ... overnight travel may be expected. TB test is required. Agency policy regarding drug and alcohol ...

Phenom People

Registered Nurse

Wilmore, KY · On-site

The vaccine received must be one of the FDA-approved or FDA-authorized vaccines. Proof of ... prior to appointment for review and approval. This position, in Jessamine County, has an approved ...

Oak Street Health

Registered Nurse

Lexington, KY · On-site

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

Oak Street Health

Registered Nurse

Lexington, KY · On-site

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

CVS Health

Registered Nurse

Lexington, KY · On-site

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

Oak Street Health

Registered Nurse

Lexington, KY · On-site

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

Oak St. Health

Registered Nurse

Lexington, KY · On-site

$54K - $116K/yr

... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

Oak Street Health

Registered Nurse

Lexington, KY · On-site

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

Oak Street Health

Registered Nurse

Lexington, KY

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

CVS Health

Registered Nurse

Lexington, KY

... prior authorizations . * Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside * BLS or CPR ...

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Overnight Prior Authorization Rn information

See Lexington, KY salary details

$15

$37

$54

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

As of Aug 30, 2026, the average hourly pay for overnight prior authorization rn in Lexington, KY is $37.47, according to ZipRecruiter salary data. Most workers in this role earn between $28.65 and $46.11 per hour, depending on experience, location, and employer.

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 the key skills and qualifications needed to thrive as an Overnight Prior Authorization RN?

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 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 are the most commonly searched types of Prior Authorization Rn jobs in Lexington, KY?

The most popular types of Prior Authorization Rn jobs in Lexington, KY are:

Overnight Prior Authorization Rn jobs near you

RN Field Coordinator

Lexington, KY • On-site

Longevity Health Plan
See more jobs at Longevity Health Planexternal

Other

Posted 17 days ago

Job description

Description
Join us in transforming healthcare.
Longevity Health's Statement of Purpose is to improve the health and quality of life of nursing home residents by caring for their unique medical, social, and emotional needs.
Job Summary:
This role blends hands-on patient care with administrative coordination in long-term care settings. The RN Field Coordinator is instrumental in supporting Longevity Health's Institutional Special Needs Plan (I-SNP), ensuring smooth transitions of care, and educating facility staff on our clinical model. The RN Field Coordinator will travel to various Nursing Homes upon request and assignment by the Market Director of Clinical Services (MDCS).
Requirements
Key Tasks and Responsibilities:
  • Conduct in-person visits at multiple nursing homes to assist Advanced Practice Providers (Nurse Practitioners) with clinical and administrative tasks.
  • Use facility EMRs to prescreen new enrollees and identify continuity of care needs, including access to external specialists.
  • Collaborate with clinical and operations teams to oversee member appointments and ensure timely communication with providers and facility staff.
  • Support transitions of care, assist with prior authorization requests, and help members access services outside the nursing facility.
  • Communicate with patients, families, and physicians as delegated by nurse practitioners.
  • Lead orientation sessions for new and existing nursing homes to educate staff on Longevity Health Plan model of care.
  • Help initiate telehealth services in newly onboarded facilities, including staff education and follow-up.
  • Maintain proficiency in the Longevity Health Plan electronic medical record system and assist with data entry when needed.
  • Participate in clinical meetings and contribute to hospitalization review sessions.
  • Perform additional responsibilities as assigned by the Market Director of Clinical Services (MDCS), based on caseload and team needs.
Credentials & Coverage:
  • Licensed registered professional nurse in good standing.
  • Valid state drivers' license with a good driving record and proof of automobile insurance required.
  • Auto insurance coverage as required by your state of residence. New employees will be responsible for providing proof of coverage prior to hire and on an ongoing basis.
Education and Training:
  • Associate degree in nursing required, bachelor's degree in nursing or other healthcare related discipline but must be a licensed professional registered nurse.
Knowledge and Experience:
  • Nursing home background or health plan case management experience preferred.
  • Minimum 2 years' experience as a Registered Nurse.
  • Excellent verbal and written communication skills.
  • Excellent computer skills, EMR/clinical Platform/MS Office Products.
  • Knowledge of the challenges and opportunities to serve the long-term nursing home population.
  • Able to travel.
  • Required to have managed care coordination background/experience.

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