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Overnight Prior Authorization Rn Jobs (NOW HIRING)

W3R

RN Prior Authorization

Austin, TX

The Registered Nurse conducts pre-service, concurrent/ retrospective reviews. * They will collaborate with healthcare providers to promote quality member outcomes, to optimize member benefits, and to ...

Regal Medical Group, Inc.

Position Summary: The role of the Director, Prior Authorization is to oversee the prior ... RN license.

CVS Health

Prior Authorization Clinical Reviewer

Home, KS · On-site

$26.01 - $74.78/hr

Prior authorization review of physical and behavioral health related services. * Utilization of ... Must have an active and unrestricted RN licensure in the state of Arizona or Compact RN licensure.

Regal Medical Group, Inc.

$45 - $50/hr

The role of the Prior Authorization Review Nurse, LVN/RN is to promote the quality and cost effectiveness of medical care by applying clinical judgement and the appropriate application of policies ...

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Overnight Prior Authorization Rn information

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$54

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

As of Jun 23, 2026, the average hourly pay for overnight prior authorization rn in the United States is $37.70, according to ZipRecruiter salary data. Most workers in this role earn between $28.85 and $46.39 per hour, depending on experience, location, and employer.

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 cities are hiring for Overnight Prior Authorization Rn jobs? Cities with the most Overnight 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 Overnight Prior Authorization Rn jobs? States with the most job openings for Overnight Prior Authorization Rn jobs include:
Overnight Prior Authorization Rn jobs near you
Prior Authorization Specialist

Prior Authorization Specialist

Parkview Health Services

Rocky River, OH

$22 - $28/hr

Full-time

Posted 14 days ago

Job description

Description of Responsibilities 

The patient care advocate serves as a crucial liaison for ensuring patients have timely access to necessary medications. This position is responsible for efficiently processing prior authorizations and appeals for both pharmacy and medical benefits, working closely with clinics and internal teams. This role requires a strong understanding of medication access processes, excellent communication skills, and a commitment to patient advocacy. 

Reporting Relationship 

Clinical Nurse Coordinator 

Scope of Supervision 

Responsibilities of the Patient Care Advocate include the following: 

  1. Complete prior authorization requests on behalf of clinics, ensuring timely and accurate processing along with communicating determination with clinic point of contact. 

  1. Prepare and submit appeals for denied prior authorizations, ensuring all necessary documentation is included and deadlines are met. 

  1. Address client inquiries and concerns promptly and professionally, providing effective solutions. 

  1. Communicate effectively with clients, physicians, and other healthcare providers about medication statuses. 

  1. Develop and maintain a strong understanding of the medical information related to the specified medications to effectively complete authorization requests. 

  1. Proficiently utilize various electronic health records (EHR) systems, and other software platforms to access patient information and track progress. 

  1. Report any misconduct, suspicious or unethical activities to the Compliance Officer. 

  1. Represent the pharmacy in a professional and courteous manner in all interactions with patients and clinicians. 

  1. Ensure compliance with all licensure and federal, state, and local laws and regulations; observe the pharmacy’s policies on ‘’best practices’’.  

  1. Assist in resolving patient concerns and complaints. 

  1. Assume on-call responsibilities in accordance with pharmacy guidelines. 

  1. Report product incidents as required in accordance with pharmacy policy. 

  1. Participate in surveys conducted by authorized inspection agencies.  

  1. Participate in the pharmacy’s Performance Improvement program as requested by the Performance Improvement Coordinator.  

  1. Participate in pharmacy committees when requested. 

  1. Participate in in-service education programs provided by the pharmacy.  

  1. Pursue continuing education programs appropriate to job responsibilities and certification requirements.  

The following functions require the professional judgment of a pharmacist and may not be performed by a pharmacy technician: 

  1. Acceptance of verbal prescriptions. 

  1. Certification of filled prescriptions. 

  1. Weighing or measuring active drug ingredients without verification by a pharmacist. 

  1. Reconstitution of prefabricated medication without verification by a pharmacist. 

  1. Entry of orders into the computer system without verification by pharmacist. 

Minimum Qualifications 

  1. Organizational skills sufficient to maintain consistently accurate records. 

  1. Ability to evaluate options and to make efficient decisions. 

  1. Current knowledge of all applicable state and federal pharmacy laws, rules, and regulations. 

  1. Computer skills that include proficiency with spreadsheets and use of the internet, as well as word processing, and efficient use of the internet and e-mail.  

Physical Requirements 

The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions in this job description:  

  1. The employee is regularly required to stand, walk, and sit, as well as talk and hear. 

  1. The employee is required to use hands to operate vehicles and office equipment. 

  1. The employee must occasionally lift and/or move up to 30 pounds. 

  1. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus. 

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