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Overnight Prior Authorization Rn Jobs (NOW HIRING)

Varite

Licensed Practical Nurse - Prior Authorization

$26.25 - $35.75/hr

Review criteria-based prior authorizations following policy and procedure. * Provide on-call after hours nurse availability for urgent PA requests. * Provide internal nurse support to the PA team and ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

Pharmacy Careers

Remote Prior Authorization Pharmacist

$59.50 - $71.75/hr

Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...

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Overnight Prior Authorization Rn information

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$15

$37

$54

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

As of Jul 15, 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
Medication Prior Authorization Specialist

Medication Prior Authorization Specialist

St. Luke's University Health Network

Allentown, PA • On-site

$17.75 - $23.75/hr

Full-time

Posted 13 days ago

St. Luke's University Health Network rating

7.2

Company rating: 7.2 out of 10

Based on 265 frontline employees who took The Breakroom Quiz

329th of 885 rated healthcare providers

Job description

St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care.The Medication Prior Authorization Specialist is responsible for the coordination of insurance prior authorizations for applicable patient prescriptions. This role liaises with providers, insurance companies, and patients to perform insurance verification, obtain prior authorizations, and bring the authorization process to resolution.

JOB DUTIES AND RESPONSIBILITIES:

  • Monitors prior authorization work queues WQ(s) and promptly obtains and/or reviews patient insurance information and eligibility verification required to secure medication prior authorizations.
  • Utilizes online, fax, and telephony pathways to obtain prior authorizations from insurance companies for prescribed medications and documents medication prior authorizations in the medical record as necessary.
  • Seeks additional information and/or communicates updates to patients and providers as appropriate throughout the prior authorization process.
  • Engages insurance company representatives and provides required clinical information to secure prior authorization, when necessary.
  • Engages practice operations and incorporates clinical care team when prior authorization attempt is unsuccessful and/or a peer-to-peer and/or alternative medication is required.
  • Escalates complex prior authorization issues to Supervisor, Medication Prior Authorization for assistance/guidance.
  • Maintains working knowledge of St. Luke's electronic medical record system, internal systems and tools, and other online insurance websites.
  • Maintains solution-oriented/creative mindset to effectively anticipate and tend to patient needs by partnering with other organizational team members/departments.
  • Actively participates in performance improvement and continuous quality improvement activities.
  • Other related duties as assigned.

PHYSICAL AND SENSORY REQUIREMENTS:

Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephones, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 15 pounds. Stoops, bends, and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and reviewing computer screen.

EDUCATION:

  • High School graduate or equivalent.

TRAINING AND EXPERIENCE:

Required:

  • One year practice-based experience or in a similar healthcare setting.

Preferred:

  • Customer service experience.
  • Previous prior authorization experience.
  • Previous Medical Assistant experience.

Please complete your application using your full legal name andcurrent home address. Be sure toincludeemployment history forthe past seven (7) years, including your present employer. Additionally, you areencouraged to upload a current resume, including all work history, education, and/or certifications andlicenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!!

St. Luke's University Health Network is an Equal Opportunity Employer.

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