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Part Time Prior Authorization Nurse Jobs (NOW HIRING)

... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ... Prior Authorization experience. * 1 year of customer service or call-center experience, preferred.

Prior Authorization experience. 1 year of customer service or call-center experience, preferred ... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ...

... PT, OT, or ST license from the State of Texas. Minimum of two (2) years post licensure experience ... Prior Authorization experience. * 1 year of customer service or call-center experience, preferred.

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Part-Time Authorization Specialist Cochise Sleep Center - Sierra Vista, AZ Cochise Sleep Center is ... Obtain prior authorizations for sleep studies and related services. * Confirm authorization ...

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Initiate appeals for denied authorizations prior to service rendered avoiding denials and/or ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Initiate appeals for denied authorizations prior to service rendered avoiding denials and/or ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Initiate appeals for denied authorizations prior to service rendered avoiding denials and/or ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Position Description: The Pre-Authorization Specialist is responsible for identifying prior ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

Job Type Part-time Description Our nurses are the heart and soul of Fenway Health. Every day, they ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

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Part Time Prior Authorization Nurse information

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How much do part time prior authorization nurse jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for part time prior authorization nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is a part time prior authorization nurse?

A Part Time Prior Authorization Nurse is a registered nurse who works reduced hours and specializes in reviewing medical requests to determine if procedures, medications, or services meet insurance coverage criteria. They assess clinical documentation and communicate with healthcare providers, patients, and insurance companies to ensure appropriate authorization is obtained before care is provided. This role requires strong clinical judgment, attention to detail, and an understanding of insurance policies. Part time positions offer flexibility, making them suitable for nurses seeking work-life balance.

What are the key skills and qualifications needed to thrive as a part time prior authorization nurse, and why are they important?

To thrive as a Part Time Prior Authorization Nurse, you need a valid RN license, strong clinical knowledge, and experience with insurance processes and medical necessity reviews. Familiarity with electronic health record (EHR) systems, utilization management software, and payer-specific authorization portals is typically required. Excellent attention to detail, strong communication skills, and the ability to work independently are critical soft skills for this role. These competencies are essential for ensuring accurate, timely authorization decisions that support patient care and compliance with payer requirements.

What are the main challenges a part time prior authorization nurse may face, and how can they be managed?

A Part Time Prior Authorization Nurse often encounters challenges such as managing a high volume of authorization requests and keeping up with frequently changing insurance policies. Balancing efficiency with accuracy is crucial, as errors can lead to delays in patient care. To manage these challenges, it's important to stay organized, maintain up-to-date knowledge of insurance guidelines, and communicate effectively with providers and payers. Many teams use digital tools and regular training sessions to help nurses stay current and streamline the authorization process.

What is the difference between Part Time Prior Authorization Nurse vs Part Time Medical Coder?

AspectPart Time Prior Authorization NursePart Time Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), knowledge of medical coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, hospitals, insurance companies, remote
Industry UsageUtilization review, insurance authorization, patient advocacyMedical billing, coding, documentation review

While both roles require healthcare knowledge, the Part Time Prior Authorization Nurse focuses on reviewing patient cases for insurance approval, requiring nursing credentials. In contrast, the Part Time Medical Coder specializes in translating medical records into codes for billing, requiring coding certifications. Both roles often work in healthcare settings but serve different functions within the industry.

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Infographic showing various Part Time Prior Authorization Nurse job openings in the United States as of September 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Prior Authorization Coordinator - Part Time - West

Washington, IN • On-site

TrueScripts
11 - 50 employees

$16 - $19.75/hr

Part-time

Posted 14 days ago


Job description

Position Overview:
This is a general role that handles the review and processing of prior authorization requests for pharmacy claims while providing exceptional service to TrueScripts' members. The Prior Authorization Coordinator is responsible for prior authorizations received electronically (ePA), via fax, or by provider or member request. The Prior Authorization Coordinator will verify what documentation has been received and obtain any necessary documentation required by benefit plan parameters per guidance of pharmacist. The Prior Authorization Coordinator will be an expert in the use of PA navigation software and will be responsible for the navigation of all submitted PAs from receipt through clinical review determination. **To be considered for this role applicants must reside in Pacific time zone** This is a part time position working up to 24 hours a week.
Principal Roles and Responsibilities:
• Complete new/renewal prior authorization requests for specialty & non-specialty drugs with accuracy in a timely manner.
• Reach out to members, pharmacies, and physician offices by telephone, email, and fax as deemed necessary.
• Ensure compliance with benefit plan parameters.
• Educate and assist members with pharmacy benefit plan understanding and prior authorization requests.
• Monitor PA queues to ensure PA requests are updated and processed according to company guidelines.
• Investigate, solve problems, and resolve issues related to prior authorization requests.
• Receive automated clinical review responses from ePA and manual clinical reviews from pharmacists.
• Create and send denial letters to providers.
• Move approved prior authorization to the appropriate Member or Clinical Care queues.
• Perform other duties as assigned.
Qualifications:
• High school diploma required, two-year degree in related field preferred.
• Demonstrated reliable work history.
• Some experience in pharmacy prior authorizations or retail pharmacy experience.
• Effective communication skills with members, physicians' offices, and pharmacies.
• Ability to learn and explain pharmacy benefit plans to benefit holders.
• Proactive mindset, with ability to work diligently through prior authorizations queues.
• Ability to work independently.
• Proficiency in Microsoft Office 365 (Word, Excel, Outlook, etc.).
• Capacity to multitask and adjust priorities based on business needs.
• Collaborative team player mindset with strong problem-solving abilities, analytical thinking, and attention to detail.
• The drive to learn business processes specific to the Pharmacy Benefit Management (PBM) industry.
Requirements
Position Overview:
This is a general role that handles the review and processing of prior authorization requests for pharmacy claims while providing exceptional service to TrueScripts' members. The Prior Authorization Coordinator is responsible for prior authorizations received electronically (ePA), via fax, or by provider or member request. The Prior Authorization Coordinator will verify what documentation has been received and obtain any necessary documentation required by benefit plan parameters per guidance of pharmacist. The Prior Authorization Coordinator will be an expert in the use of PA navigation software and will be responsible for the navigation of all submitted PAs from receipt through clinical review determination.
Principal Roles and Responsibilities:
• Complete new/renewal prior authorization requests for specialty & non-specialty drugs with accuracy in a timely manner.
• Reach out to members, pharmacies, and physician offices by telephone, email, and fax as deemed necessary.
• Ensure compliance with benefit plan parameters.
• Educate and assist members with pharmacy benefit plan understanding and prior authorization requests.
• Monitor PA queues to ensure PA requests are updated and processed according to company guidelines.
• Investigate, solve problems, and resolve issues related to prior authorization requests.
• Receive automated clinical review responses from ePA and manual clinical reviews from pharmacists.
• Create and send denial letters to providers.
• Move approved prior authorization to the appropriate Member or Clinical Care queues.
• Perform other duties as assigned.
Qualifications:
**To be considered for this role applicants must reside in Pacific time zone**
• High school diploma required, two-year degree in related field preferred.
• Demonstrated reliable work history.
• Some experience in pharmacy prior authorizations or retail pharmacy experience.
• Effective communication skills with members, physicians' offices, and pharmacies.
• Ability to learn and explain pharmacy benefit plans to benefit holders.
• Proactive mindset, with ability to work diligently through prior authorizations queues.
• Ability to work independently.
• Proficiency in Microsoft Office 365 (Word, Excel, Outlook, etc.).
• Capacity to multitask and adjust priorities based on business needs.
• Collaborative team player mindset with strong problem-solving abilities, analytical thinking, and attention to detail.
• The drive to learn business processes specific to the Pharmacy Benefit Management (PBM) industry.