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Prior Authorization Lpn Jobs (NOW HIRING)

Fenway Health

LPN

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Centstone HC

LPN

Sidney, MT · On-site

$1.3K - $1.5K/wk

LPN - ENT - Clinic Location: Sidney, Montana Pay Rate: $ 1300 To $ 1512/Week Contract: 13 Weeks ... Perform vital signs, patient triage, prescription refills, prior authorizations, and referral ...

Fenway Health

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

Fenway Health

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

FENWAY HEALTH

LPN, Part-Time

Boston, MA · On-site

$28.21 - $31.13/hr

  • Medical

  • Dental

  • Retirement

  • PTO

As an LPN, you will provide specialized nursing support for patients and medical providers, phone ... Works with MA and pharmacy to call in prescription refills or obtain prior authorizations * Assists ...

AMBER HEALTHCARE LLC

Be Seen First

Licensed Practical Nurse

Baltimore, MD · On-site

$28 - $30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Coordinate referrals, prior authorizations, and follow-up appointments * Maintain exam rooms and ... Current Maryland Licensed Practical Nurse (LPN) license * Current CPR/BLS certification * Minimum ...

AMBER HEALTHCARE LLC

Be Seen First

Licensed Practical Nurse

Baltimore, MD · On-site

$28 - $30/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

Coordinate referrals, prior authorizations, and follow-up appointments * Maintain exam rooms and ... Current Maryland Licensed Practical Nurse (LPN) license * Current CPR/BLS certification * Minimum ...

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Prior Authorization Lpn information

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How much do prior authorization lpn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for prior authorization lpn in the United States is $29.88, according to ZipRecruiter salary data. Most workers in this role earn between $24.76 and $33.65 per hour, depending on experience, location, and employer.

What is a Prior Authorization LPN?

A Prior Authorization LPN is a Licensed Practical Nurse who reviews medical insurance requests to determine if procedures, medications, or treatments meet coverage criteria. They collaborate with healthcare providers, insurance companies, and patients to ensure authorization for necessary care. This role involves assessing medical records, verifying policy guidelines, and advocating for patient access to services while maintaining compliance with regulations.

What are the key skills and qualifications needed to thrive as a Prior Authorization LPN?

To thrive as a Prior Authorization LPN, you need a current LPN license, strong clinical knowledge, and experience interpreting medical records and insurance guidelines. Familiarity with prior authorization software systems, electronic health records (EHRs), and payer-specific portals is highly valuable. Attention to detail, organizational skills, and effective communication are crucial soft skills for success in this role. These skills ensure accurate, timely authorization processing, help facilitate patient access to necessary care, and support smooth coordination between healthcare providers and insurers.

What does a Prior Authorization LPN do?

A typical day for a Prior Authorization LPN involves reviewing patient records, verifying insurance benefits, and submitting prior authorization requests to insurance companies for various treatments or medications. You’ll work closely with physicians, nurses, and administrative staff to ensure all required documentation is accurate and complete, and follow up as needed on pending cases. The role often requires frequent phone or electronic communication with both internal teams and external payers. Although much of the work is independent, you’ll be part of a collaborative team environment focused on streamlining access to care for patients.

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Prior Authorization Lpn jobs near you
Infographic showing various Prior Authorization Lpn 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 $62,140 per year, or $29.9 per hour.

LPN

Fenway Health

Boston, MA • On-site

$28.21 - $31.13/hr

Full-time

Medical, Dental, Retirement, PTO

Re-posted 7 days ago

Job description

Job Type
Full-time
Description
Our nurses are the heart and soul of Fenway Health. Every day, they work tirelessly to ensure that our patients receive compassionate, high-quality care. We are currently seeking LPNs to join our team of mission-driven nurses at our outpatient community health center. As an LPN, you will provide specialized nursing support for patients and medical providers, phone support and triage, as well as general support for other clinical activities to ensure our patients receive the highest quality care. The schedule is based on clinic needs and may include covering evening and Saturday clinics on a rotating basis.
Duties :
Providing Patient Triage: the safe, effective and appropriate disposition of health-related problems
  • Administers comprehensive evaluation of patient telephone callers, "Code Blue" events, and walk-in patients, develops care plan, consults with other disciplines as needed, and implements plan including referrals
  • Advocates for patient care as nurse member of the multidisciplinary medical team
  • Care plan is communicated to patients in a timely manner
  • Documents triage encounters in medical record, documenting all appropriate activities and plans

Case Management
  • In conjunction with patient team, coordinate services to our patients to improve their care using careful assessment, planning, coordination and delivery of care, and outcome evaluation of the plan.
  • Coordinates follow up care for acutely ill patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services
  • Coordinates preventative services for defined population including education, vaccinations, monitoring and arranging lab tests and referrals.
  • Evaluates adherence to care plan and intervenes to promote patient's well-being
  • Documents services in medical record, documenting all appropriate activities and plan

Providing direct patient care, using nursing procedures as appropriate under nurse licensure in an outpatient clinic
  • Assists with patient care under the direction of appropriate medical provider and/or under nursing scope of practice
  • Provides nursing support to RNs, LPNs and MAs
  • Places and Maintains IV Lines
  • Administers medications vaccinations, (PO, IM, SC, PR, ID, INH, IV) per medical provider order
  • Checks supplies for nursing patient encounters and notifies manager or supply ordering designee of additional stock needed
  • Administers all medical tests and (e.g. EKG, spirometry, CLIA) and procedures (e.g. ear lavage, nebulizer) as per protocol and medical provider request
  • Works with MA and pharmacy to call in prescription refills or obtain prior authorizations
  • Assists with preventative medicine efforts (e.g.: flu, STD, vital sign checks, occupational health)
  • Coordinates follow-up care for acutely ill patients including primary care and specialty visits, VNA, Infusion companies, and prior authorization for services
  • Helps coordinate preventative services for defined population including education, vaccination, monitoring and arranging for lab tests, and referrals
  • Documents services in medical record, documenting all appropriate activities and plan
  • Obtains and delivers lab reports once reviewed by a provider
  • Assists with sample management and all necessary forms for alternative insemination
  • Collection of lab samples, including use of phlebotomy; packaging and providing for transport to lab
  • Attends to healthcare issues of specific populations

Maintains comprehensive knowledge of medical issues
  • Includes those both acute and chronic care as appropriate to an ambulatory care setting especially HIV/AIDS (i.e. opportunistic infections, medication side effects) and behavioral issues (ie medication compliance, safe sex) issues as well as other medical conditions as appropriate for nursing case management
  • Seeks out continuing education opportunities related to essential job functions
  • Completes continuing education requirements per the Massachusetts Board of Nursing regulations
  • Understands and maintains universal precautions in all clinical activities

Provides health education
  • Provides community health education
  • Provides patient education related to their medical and psychosocial needs
  • Maintains comprehensive knowledge of vaccines, medications, and other therapeutic interventions as appropriate to our outpatient clinic
  • Maintains comprehensive knowledge of FH policies, procedures and services including those of TFI
  • Maintains knowledge of community resources
  • Assists in training other employees in the medical department including orientation of new staff, volunteers, and students

Performs other related duties as required
Requirements
  • Current licensure as an LPN in the Commonwealth of Massachusetts
  • Current CPR certification
  • Demonstrated ability to work respectfully and effectively with individuals from a wide range of backgrounds, perspectives, and life experiences. This includes engaging constructively with colleagues, patients, clients, and vendors in a manner that reflects professionalism, empathy, and cultural awareness, without regard to race, color, national origin, sex, gender identity, sexual orientation, religion, age, disability, or other protected characteristics as defined by applicable law.

Preferred Qualifications:
  • IV insertion / Phlebotomy skills
  • Supervisory experience
  • 1-year of experience in an ambulatory care setting
  • Experience with patients with HIV and electronic medical records
  • Interest in LGBT health and commitment to community health
  • Experience working with an ethnically, culturally, and racially diverse environment

Working Conditions and Physical Effort:
  • Work involves considerable exposure to unusual elements such as extreme temperatures, unpleasant odors and/or loud noises
  • Moderate physical activity Requires handling average-weight objects up to 15-20 pounds, assisting with patients and standing and/or walking for most the day
  • May work with blood or blood-borne pathogens and will require OSHA training
  • Work environment involves exposure to potentially dangerous materials and situations that require following extensive safety precautions and may include the use of protective equipment

This is a union position in a Fenway Health bargaining unit represented by 1199 SEIU United Healthcare Workers East.
We offer competitive salaries, and for those who qualify, an excellent benefits package; including comprehensive medical and dental insurance plans, and a retirement plan with employer match. We also provide 11 paid holidays, paid vacation, and more. LGBTQIA+ identified persons, Black, Indigenous, and other people of color (BIPOC), and individuals from other historically underrepresented communities are strongly encouraged to apply
Salary Description
$28.21-$31.13 per hour

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