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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 ...

Arizona Priority Care

Prior Cert RN Manager

Chandler, AZ · Hybrid

$96K - $100K/yr

As the Pre Cert RN Manager, you will lead a high-performing team focused on ensuring timely ... Lead and support the Prior Authorization Supervisor and nursing staff to ensure effective daily ...

Regal Medical Group, Inc.

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

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

As of May 30, 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 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 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
Infographic showing various Overnight Prior Authorization Rn job openings in the United States as of May 2026, with employment types broken down into 2% As Needed, 57% Full Time, 36% Part Time, 4% Contract, and 1% Nights. Highlights an 97% Physical, 1% Hybrid, and 2% Remote job distribution, with an average salary of $78,408 per year, or $37.7 per hour.

Prior Authorization Temp Nurse Case Manager

Care Navigators On Demand

Northridge, CA • On-site

$38 - $42/hr

Temporary

Posted 19 days ago

Job description

Job Description
Prior Authorization Temp Nurse Case Manager, RN
Northridge, CA
4-Month Contract Assignment
  • Quick On-Boarding/Placement Process
  • Career Stepping Stone from Bedside Nursing to Case Management (acute care experience and working knowledge of pre-auth process required)

Description
The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. The PACM will review for appropriate care and setting, and following guidelines/policies, will approve services when indicated. If not indicated, PACM will forward requests to the appropriate physician or medical director with recommendations for other determinations, ensuring that the member is receiving the appropriate quality care in a preferred setting, while making sure regulatory guidelines are followed.
1. Understand, promote and review with the principles of medical management to facilitate the right care at the right time in the right setting.
2. Communicate effectively and interact with providers, staff and health plans daily regarding medical management and referral authorization issues.
3. Maintain a working relationship with PACM colleagues, the pre-auth coordinator team, high-risk nurse case managers, inpatient nurse case managers, medical directors, and network management.
4. Research alternative care plans and when necessary, assist in the routing of members to the most appropriate care/setting, in order to provide right care/right setting.
5. When necessary, act as liaison between the case managers, UM coordinators, contracted providers (PCPs/specialists/ancillary), and the members/families.
6. Perform case reviews base on key screening outpatient indicators, and evaluate the PCP submitted plan of care for its completeness of documentation, consistency of treatment with medical groups clinical practice guidelines, adherence to standard evidence-based or consensus guidelines, and health plan and CMS guidelines and/or medical policies.
7. Maintain regulatory Turnaround Time Standards per regulatory guidelines.
8. Document accurately and completely all necessary information in authorization notes.
9. Understand all applicable capitation contracts and how they apply to review duties.
10. For those PACMs involved in DME, understand the contracts, and need to review rental vs. purchase approvals, and continued use so that equipment is picked up when needed.
11. When appropriate, coordinate and review for medical necessity and appropriate utilization any ancillary professional services, i.e. (home health, infusion, PT, OT, ST, etc.).
12. Demonstrates the ability to follow through with requests, sharing of critical information, and getting back to individuals in a timely manner.
13. Participates in "service recovery" through follow-up with an upset patient or provider, gathering information, and demonstrating empathy.
14. Identifies network needs and report to management for potential contracting opportunities.
Qualifications
1.Graduate from an accredited Registered Nursing Program
2.Current California RN License
3.Minimum of 1 year acute experience
4.Knowledge of Managed Care preferred.
5.Knowledge of NCQA, CMS, HSAG, and health plan requirements related to utilization management.
6.Knowledgeable with the pre-authorization process and workflow, with prior authorization experience preferred.
7.Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point).
8.Ability to deal with responsibility with confidential matters
9.Ability to work in a multi-tasking, fast-paced, high-stress environment.
Compensation
$38-$42/Hr
Negotiable based on experience

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