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Part Time Prior Authorization Nurse Jobs (NOW HIRING)

Vergence

RN Specialist

Indianapolis, IN · On-site

$38/hr

Pay: $38.00/hour Part-time, Hybrid position in Indianapolis In this role you will determine medical eligibility and provide prior authorization of services to families of participants with serious ...

Vergence

RN Specialist

Indianapolis, IN · Hybrid

$38/hr

Pay: $38.00/hour Part-time, Hybrid position in Indianapolis In this role you will determine medical eligibility and provide prior authorization of services to families of participants with serious ...

Integrative Rheumatology PLLC

Infusion Nurse

Charlotte, NC · On-site

$24 - $34/hr

This position will be part-time, with occasional PRN requests as needed for patient accommodation ... Track benefit investigation and prior authorization status of infused medications. * Monitor and ...

OncoHealth

Medical Director (Part-Time)

The primary area of focus is on prior authorization reviews, but additional areas of focus could ... Collaborates with nurses, pharmacists, other clinicians, and data analysts on research projects ...

Summit BHC

Intake RN-PRN

Champaign, IL

$45 - $50/hr

Intake RN-PRN | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: About ... Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ...

Summit BHC

Intake RN-PRN

Williamsburg, VA · On-site

$36K - $41K/yr

Intake RN-PRN | The Pavilion at Williamsburg Place | Williamsburg, Virginia About the Job: PURPOSE ... Facilitates intake, admission, and prior authorization process for incoming patients. * Performs ...

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All JobsPrior Authorization Nurse JobsPart Time Prior Authorization Nurse Jobs

Part Time Prior Authorization Nurse information

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$17

$38

$65

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

As of Aug 10, 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 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.

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.
More about Part Time Prior Authorization Nurse jobs
What cities are hiring for Part Time Prior Authorization Nurse jobs? Cities with the most Part Time Prior Authorization Nurse job openings:
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Part Time Prior Authorization Nurse jobs near you
Infographic showing various Part Time Prior Authorization Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Specialty Pharmacy Technician

Riverside Health System

Newport News, VA • On-site

$23.90 - $31.10/hr

Part-time

Re-posted 23 days ago

Job description

Newport News, Virginia
Hiring Range
$23.90 - $31.10/HourlyActual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
Overview
A Specialty Medication Coordinator is responsible for performing tasks related to the management of third-party billing or patient financial assistance for patients within the health system. A Specialty Medication Coordinator assists with managing and processing high dollar specialty medications (e.g. oncology, infectious disease, multiple sclerosis) and may be responsible for benefits investigation, obtaining prior authorizations, copay/foundation assistance, drug replacement services, and patient financial counseling. Additional activities may include patient onboarding, order entry, financial tracking, patient care coordination, medication ordering/tracking, cold chain distribution and shipping activities.
What you will do
  • Timely process of referrals and submit clinical supporting documentation to insurance carriers, manufacturers, or foundations to expedite prior authorization and/or patient assistance processes. Collaborate with other departments to assist in obtaining prior authorizations, patient assistance medications or financial assistance. Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed. Follows prior authorization and/or patient assistance workflows and policies/procedures.
  • Demonstrates the ability to work independently, meet deadlines and possesses excellent time management skills. Perform tasks accurately and efficiently. Possesses excellent interpersonal, customer service and communication skills (both written and verbal); timely responses to key stakeholders.
  • Accurate documentation of all intake referrals and/or prior authorization information in patient medical record or patient assistance tracking software in compliance with policy and procedure/workflow. Completes timely documentation within the required tracking systems and retrieves necessary documentation and maintains up to date knowledge of the pharmaceutical companies' patient assistance programs.
  • Proactively tracks and manages patient refills/outreach to ensure timely prescription/infusion service.
  • Proactively works on prior authorization and patient assistance enrollments that are due to expire.
  • Secure patients' demographic and medical information in compliance with organization HIPAA policies and procedures.
  • Assists management with inspections, audits, reports and training to ensure compliance with standards and to provide quality service.

Qualifications
Education
  • Program Graduate, Pharmacy Technician Training Program or equivalent (Preferred) or
  • Program Graduate, Licensed Practical Nurse (Required) or
  • Program Graduate, Certified Medical Assistant (Required)

Experience
  • 3-4 years Experience as a Pharmacy Technician, LPN or CMA (in lieu of education) (Required)
  • 1 year Experience obtaining and managing medication prior authorization as part of job function (Preferred)
  • 1 year Prior Experience obtaining and managing patient assistance program applications (Preferred)

Skills and Abilities
  • Familiar with medical and pharmacy terminology
  • Prescription drug and over-the-counter knowledge
  • Basic math skills, including pharmaceutical calculations
  • Basic pharmacy workflow
  • Understanding pharmacy computer systems
  • Ability to navigate and read electronic health record
  • Strong written and verbal communication skills
  • Ability to prioritize, problem solve and multitask
  • Excellent customer service skills
  • Knowledge of patient assistance programs
  • Experience with prior authorization of medications
  • Strong organizational skills and detail oriented

Licenses and Certifications
  • Registered Pharmacy Technician - Virginia Department of Health Professions (VDHP) Upon Hire(Required) and
  • Pharmacy Technician Certification Board (PTCB) - Pharmacy Technician Certification Board (PTCB) PTCB or ExCPT Upon Hire(Required) or
  • Licensed Practical Nurse (LPN) - Virginia Department of Health Professions (VDHP) Upon Hire(Required) or
  • Certified Medical Assistant (CMA) - American Association of Medical Assistants (AAMA) Upon Hire(Required)
  • Advanced certification in specialty pharmacy field (PTCB, ASHP, NCODA and other approved programs) (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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