ZipRecruiter

Log In

1

Pre Authorization Nurse Jobs (NOW HIRING)

AppleOne

Pre-Authorization Nurse

Guaynabo, PR · On-site

$38K/yr

The Pre-Authorization Nurse plays an important role in ensuring requested services are reviewed accurately, aligned with clinical protocols, and documented properly. This opportunity offers a ...

New

Carle Health

Pre-Authorization Spec

$18 - $29.13/hr

Documents pre-authorization results completely and communicates to leadership, Providers and/or Nurses pre-authorization approvals or denials. Advocates for patients/providers by processing pre-auths ...

Carle Health

Pre-Authorization Spec

Champaign, IL · On-site +1

$18 - $29.13/hr

Documents pre-authorization results completely and communicates to leadership, Providers and/or Nurses pre-authorization approvals or denials. Advocates for patients/providers by processing pre-auths ...

UHS

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Responsibilities Pre-Authorization Representative Aiken Regional Medical Centers, located in Aiken ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

UHS

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Responsibilities Pre-Authorization Representative Aiken Regional Medical Centers, located in Aiken ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

UHS

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Responsibilities Pre-Authorization Representative Aiken Regional Medical Centers, located in Aiken ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

UHS

Pre-Authorization Representative

Aiken, SC · On-site

$15.25 - $20.50/hr

Responsibilities Pre-Authorization Representative Aiken Regional Medical Centers, located in Aiken ... Clinical Nursing Ladder opportunities * SoFi student loan refinancing program * 401(K) with company ...

Care Navigators On Demand

$39 - $45/hr

Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of ... pre-auth coordinator team, high-risk nurse casemanagers, inpatient nurse case managers, medical ...

MJHS

Pre-Authorization Unit Supervisor

Manhattan, NY

$70K - $70K/yr

... DSNP pre-authorization functions. The supervisor's daily oversight includes reviewing data to ... Graduate of an accredited nursing program: baccalaureate degree preferred. * Minimum one to three ...

MJHS

Pre-Authorization Unit Supervisor

Manhattan, NY · On-site

$101K - $126K/yr

... DSNP pre-authorization functions. The supervisor's daily oversight includes reviewing data to ... Graduate of an accredited nursing program: baccalaureate degree preferred. * Minimum one to three ...

MJHS

Pre-Authorization Unit Supervisor

Manhattan, NY · On-site

$101K - $126K/yr

... DSNP pre-authorization functions. The supervisor's daily oversight includes reviewing data to ... Qualifications: * Graduate of an accredited nursing program: baccalaureate degree preferred.

next page

Showing results 1-20

All JobsPre Authorization Nurse Jobs

Pre Authorization Nurse information

See salary details

$17

$38

$65

How much do pre authorization nurse jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for pre 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 pre authorization nurse?

Pre Authorization Nurses are registered nurses who evaluate and process requests for medical procedures, treatments, or medications to determine if they meet insurance or healthcare plan requirements for coverage. They review clinical information provided by healthcare providers, assess medical necessity, and coordinate with insurance companies to approve or deny requests. Their work ensures that patients receive appropriate care while helping healthcare organizations comply with payer guidelines and manage costs.

What are the key skills and qualifications needed to thrive as a pre authorization nurse?

To thrive as a Pre Authorization Nurse, you need a solid background in nursing practices, a current nursing license (RN or LPN), and knowledge of insurance and medical necessity guidelines. Familiarity with health insurance portals, electronic medical records (EMR), and utilization management software is typically required. Attention to detail, strong communication, and organizational skills help in efficiently coordinating with providers and insurers. These competencies are crucial for ensuring timely, accurate authorization of medical services and optimizing patient care while managing healthcare costs.

What are the main challenges a pre authorization nurse faces when coordinating with insurance companies?

Pre Authorization Nurses often encounter challenges such as navigating complex insurance policies, handling high volumes of requests, and ensuring timely communication between healthcare providers and insurers. They must be detail-oriented to avoid delays or denials and need strong interpersonal skills to advocate for patients while maintaining professionalism with insurance representatives. Staying updated on policy changes and documentation requirements is also crucial for success in this role.

What is the difference between Pre Authorization Nurse vs Utilization Review Nurse?

AspectPre Authorization NurseUtilization Review Nurse
CredentialsRN license, possibly certifications in case managementRN license, often with certifications in utilization review or case management
Work EnvironmentHealthcare facilities, insurance companies, or telehealthInsurance companies, healthcare organizations, or telehealth
Employer & IndustryHospitals, insurance providers, healthcare agenciesInsurance companies, managed care organizations

Pre Authorization Nurses primarily review requests before services are provided to ensure coverage, while Utilization Review Nurses evaluate the necessity of ongoing or completed treatments. Both roles require similar credentials and often work within insurance or healthcare settings, but their focus points differ in the patient care timeline.

What does a pre-authorization nurse do?

A pre-authorization nurse reviews insurance requests for medical procedures or treatments to determine coverage eligibility. They assess patient information, verify medical necessity, and communicate with healthcare providers and insurance companies to obtain approval before services are provided.
More about Pre Authorization Nurse jobs

What cities are hiring for Pre Authorization Nurse jobs?

Cities with the most Pre Authorization Nurse job openings:

What states have the most Pre Authorization Nurse jobs?

States with the most job openings for Pre Authorization Nurse jobs include:

What are popular job titles related to Pre Authorization Nurse jobs?

For Pre Authorization Nurse jobs, the most frequently searched job titles are:

Pre Authorization Nurse jobs near you
Infographic showing various Pre Authorization Nurse job openings in the United States as of September 2026, with employment types broken down into 1% Internship, 1% As Needed, 78% Full Time, 16% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Pre-Authorization Nurse

Guaynabo, PR • On-site

AppleOne
Recruiting and Staffing Services • 1 - 5K employees
Learn more about AppleOneexternal

$38K/yr

Full-time

Medical, Dental, Vision, Retirement

Posted 2 days ago

New

Job description

Job Summary
We are seeking a detail-oriented Pre-Authorization Nurse for a temp-to-hire opportunity in Guaynabo, PR within the insurance industry. This role is ideal for a nursing professional who enjoys clinical review, service coordination, coverage evaluation, and working closely with providers and policyholders to support timely healthcare decisions.
The Pre-Authorization Nurse plays an important role in ensuring requested services are reviewed accurately, aligned with clinical protocols, and documented properly. This opportunity offers a structured healthcare environment where teamwork, accuracy, communication, and sound clinical judgment are valued. Candidates can expect to work with supportive leadership, established guidelines, and cross-functional teams focused on quality service and appropriate care coordination.
Key Responsibilities
- Receive, review, and evaluate service requests according to established clinical criteria, policies, and protocols.
- Coordinate services with providers, verify coverage terms, review codes, and confirm that requested services align with treatment needs.
- Refer requests that do not meet clinical criteria to the appropriate medical officer or medical advisor for further review.
- Communicate case resolutions to policyholders and providers in a professional and timely manner.
- Document all interventions, determinations, follow-ups, appeals, and service request activity in the electronic system.
- Identify cases appropriate for Disease Management or Case Management and follow up on rental equipment cases when needed.
Compensation and Benefits
- Salary: $38,000 per year.
- Job Type: Temp-to-Hire.
- Location: Guaynabo, PR.


Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#2233

Company Description

This company offers growth and a great group of people to work with.

AppleOne logo

About AppleOne

Sourced by ZipRecruiter

AppleOne is a renowned staffing service based in Glendale, California, USA. Positioned in the Human Resources industry, the company offers extensive staffing and recruiting solutions, such as temporary, full-time, and part-time placement, to companies across diverse industry sectors. The company was established by Bernie Howroyd in 1964, launching the business to aid others in finding excellent jobs and companies in finding excellent people.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Glendale, CA, US

Year founded

1964

View All AppleOne Jobs