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Part Time Prior Authorization Rn Jobs (NOW HIRING)

Fenway Health

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

Provides nursing support to RNs, LPNs and MAs * Places and Maintains IV Lines * Administers ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Franciscan Health

Registered Nurse

Mooresville, IN · On-site

... * RN, Specialty, Part-time, 3 days weekly, OB/GYN Mooresville * Enjoy work life balance with ... Acquire pre-certs/prior authorizations for patient needs QUALIFICATIONS * Associate's Degree ...

IVX Health

FT Registered Nurse (RN)

New Providence, NJ · On-site

$42.50 - $50.41/hr

Support Operations and Training - Assist in inventory management, prior authorizations, and ... to part-time employees. North Jersey Area Pay Range $42.50-$50.41 USD About IVX Health IVX Health ...

IVX Health

FT Registered Nurse (RN)

New Providence, NJ

$42.50 - $50.41/hr

Support Operations and Training - Assist in inventory management, prior authorizations, and ... part-time employees. North Jersey Area Pay Range $42.50--$50.41 USD About IVX Health IVX Health is ...

Kaplan, Inc.

Hospice RN, Part Time

Traverse City, MI · On-site

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

UWHealth

RN - Ambulatory, Nephrology

Madison, WI · On-site

... prior authorization and other duties related to support the general Nephrology and Polycystic ... Relevant RN experience Preferred Licenses & Certifications * Registration as a registered nurse in ...

Excela Health

REGISTERED NURSE RN

Greensburg, PA · On-site

The RN coordinates, directs, and actively participates as an effective member of the ... Obtains prior authorizations and/or assists with indigent programs per physician order based on the ...

Excela Health

REGISTERED NURSE RN

Greensburg, PA · On-site

The RN coordinates, directs, and actively participates as an effective member of the ... Obtains prior authorizations and/or assists with indigent programs per physician order based on the ...

Adams Memorial Hospital

RN or LPN

Decatur, IN · On-site

$26.25 - $35.75/hr

The RN or LPN in this role provides patient care in a medical office setting under the provider ... such as prior authorizations and scheduling OR procedures, ensuring comprehensive patient ...

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

As of Jun 1, 2026, the average hourly pay for part time prior authorization rn in the United States is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $50.00 per hour, depending on experience, location, and employer.

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

AspectPart Time Prior Authorization RnPart Time Medical Coder
CredentialsRN license, certifications in case management or utilization reviewCertification in coding (CPC, CCS), knowledge of medical coding systems
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding jobs
Employer & IndustryHospitals, insurance providers, healthcare organizationsHealthcare providers, insurance companies, billing services

While both roles work within healthcare and require industry-specific knowledge, Part Time Prior Authorization Rns focus on reviewing medical necessity for treatments, whereas Part Time Medical Coders translate medical records into codes for billing. They share some certifications and work environments but serve different functions in healthcare administration.

What cities are hiring for Part Time Prior Authorization Rn jobs? Cities with the most Part Time 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:
Part Time Prior Authorization Rn jobs near you
RN, Registered Nurse Clinical Care Coordinator - Case Management

RN, Registered Nurse Clinical Care Coordinator - Case Management

CHRISTUS Health

Santa Fe, NM • On-site

Part-time

Posted 16 days ago

CHRISTUS Health rating

6.7

Company rating: 6.7 out of 10

Based on 512 frontline employees who took The Breakroom Quiz

527th of 864 rated healthcare providers

Job description

Summary:
The Registered Nurse Clinical Care Coordinator is responsible for establishing, coordinating, and maintaining the process to increase patient throughput to the most appropriate level of care while facilitating interdisciplinary care across the continuum for the ED. The RN Clinical Care Coordinator collaborates with the patient and/or family, multidisciplinary team, physicians, community partners, and payers to ensure the patient's progress and level of care are appropriately determined and evaluates or screens patients entering the CHRISTUS Health System for medical necessity. The RN Clinical Care Coordinator will collaborate with relevant providers and partners to determine the appropriate patient class and level of care of patients entering the CHRISTUS Health system to ensure the appropriate utilization of resources and maximize appropriate reimbursement opportunities. The RN Clinical Care Coordinator will utilize problem-solving and customer service skills to determine the best course of action for the patient, the physician, and the hospital by working closely with facility House Supervisors, referring physicians, ED, and inpatient staff to ensure the effective and efficient admission/placement of every patient. This job requires the full understanding and active participation in fulfilling the Mission of CHRISTUS Health. It is expected that the associate demonstrates behavior consistent with the Core Values. The associate shall support CHRISTUS Health's strategic plan and the goals and direction of their Performance Improvement Plan (PIP).
Responsibilities:
  • Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
  • Reviews clinical information for patients upon entry into the health system to determine appropriate placement and patient class to maximize appropriate hospital reimbursement and positively manage length of stay.
  • Coordinates with onsite partner providers (LTACH, Inpt Rehab) to review requests for facility services and ensure appropriate use of outpatient hospital resources for (their patients) including scheduling coordination and appropriate escort by sending provider.
  • Review all ED patients identified by the treating physician as requiring admission to the hospital to ensure appropriate patient class and resource utilization.
  • Educates hospital and ED providers on levels of care, resource utilization, payor practices, and documentation. Escalates to Physician Advisor or CMO when discrepancies are present.
  • Performs the initial clinical medical necessity review utilizing evidence-based criteria and enters into the medical record for the receiving CM team.
  • Utilizes high risk screening criteria to make appropriate community and post-ED referrals.
  • Initiates prior authorization process when indicated for post-ED referrals and services.
  • Escalates to physician advisor when unable to resolve discrepancies with the attending physician.
  • Manages high-use patients and works to find alternatives for care to frequent ED visits.
  • Plans for discharges from the ED for patients who do not require admission to include arranging for Home Health, DME, placement, and community resources as they relate to social determinants of health.
  • Provides patient and family education and counseling about existing health problem related care.
  • Anticipates barriers/variances to the delivery of care and intervenes as necessary.
  • Intervenes with physicians and ancillary departments concerning clinical and utilization issues to ensure optimal patient outcomes.
  • Coordinates and facilitates patient progression throughout the continuum.
  • Collaborates with all members of the interdisciplinary team to facilitate appropriate care coordination and care delivery.

Job Requirements:
Education/Skills
  • Graduate of an accredited school of nursing required

Experience
  • 2 years of experience in Case Management and/or Utilization Management required

Licenses, Registrations, or Certifications
  • RN License in the state of employment required
  • BLS required

Work Schedule:
MULTIPLE SHIFTS AVAILABLE
Work Type:
Part Time

What CHRISTUS Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

CHRISTUS Health logo

About CHRISTUS Health

Sourced by ZipRecruiter

CHRISTUS Health is a prominent name in the healthcare industry, with its headquarters situated in Irving, TX, USA. Established in 1999, the company has since been devoted to providing comprehensive care and extending the healing ministry of Jesus Christ. This not-for-profit health system primarily operates more than 600 healthcare services and programs, including long-term care facilities, health insurance products, community clinics, and outreach services, serving both urban and rural populations.

Industry

Outpatient health care

Company size

1,001 - 5,000 Employees

Headquarters location

Irving, TX, US

Year founded

1999

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