Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...
Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...
Prior Authorization RN Case Manager-Urgent
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case ... Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power ...
Prior Authorization RN Case Manager-Urgent
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case ... Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power ...
Perform telephonic review of prior authorization requests for appropriate care and setting ... Associate's degree in Nursing. * Minimum of 2-5 years of clinical experience in acute setting * One ...
Perform telephonic review of prior authorization requests for appropriate care and setting ... Associate's degree in Nursing. * Minimum of 2-5 years of clinical experience in acute setting * One ...
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a ... Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government ...
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a ... Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government ...
Prior Authorization Temp Nurse Case Manager
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick ... Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power ...
Prior Authorization Temp Nurse Case Manager
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick ... Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power ...
Prior Authorization Temp Nurse Case Manager
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Job Location: Northridge, CA Contract Assignment: 4 ... any ancillary professional services, i.e. (home health, infusion, PT, OT, ST, etc.). 12.
Prior Authorization Temp Nurse Case Manager
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Job Location: Northridge, CA Contract Assignment: 4 ... any ancillary professional services, i.e. (home health, infusion, PT, OT, ST, etc.). 12.
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of ... Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of ... Knowledgeable in computers and MS Office programs (i.e., Word, Excel, Outlook, Access and Power ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization Specialist - Prior Authorization - Full time
Glenwood Springs, CO · On-site
$24.25 - $38.81/hr
Prior Authorization Specialist We are currently hiring for a full time Prior Authorization ... I have worked for a HUGE corporation, and this is so much better!! It's like CHEERS, where ...
New
Prior Authorization Specialist - Prior Authorization - Full time
Glenwood Springs, CO · On-site
$24.25 - $38.81/hr
Prior Authorization Specialist We are currently hiring for a full time Prior Authorization ... I have worked for a HUGE corporation, and this is so much better!! It's like CHEERS, where ...
New
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization LVN
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... I have worked for a HUGE corporation, and this is so much better!! It's like CHEERS, where ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... I have worked for a HUGE corporation, and this is so much better!! It's like CHEERS, where ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... I have worked for a HUGE corporation, and this is so much better!!It's like CHEERS, where everybody ...
Prior Authorization Specialist - Prior Authorization - Full time
Basalt, CO · On-site
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... I have worked for a HUGE corporation, and this is so much better!!It's like CHEERS, where everybody ...
Prior Authorization Coordinator I
$22.55 - $27.41/hr
Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...
Prior Authorization Coordinator I
$22.55 - $27.41/hr
Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity, and client performance commitments. Uses various business applications to perform analysis ...
Prior Authorization Specialist
Middletown, NY · On-site
$21/hr
... a Prior Authorization Specialist to join our growing team in Middletown, NY. RATE OF PAY/SALARY ... Competitive salaries I Health Benefits I Retirement plan I Paid Time Off I Sick Time I Flexible ...
Prior Authorization Specialist
Middletown, NY · On-site
$21/hr
... a Prior Authorization Specialist to join our growing team in Middletown, NY. RATE OF PAY/SALARY ... Competitive salaries I Health Benefits I Retirement plan I Paid Time Off I Sick Time I Flexible ...
Prior Authorization Specialist - Prior Authorization - Full time
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... I have worked for a HUGE corporation, and this is so much better!!It's like CHEERS, where everybody ...
Prior Authorization Specialist - Prior Authorization - Full time
$24.25 - $38.81/hr
We are currently hiring for a full time Prior Authorization Specialist within the Prior ... I have worked for a HUGE corporation, and this is so much better!!It's like CHEERS, where everybody ...
Prior Authorization Specialist
Hilo, HI · On-site
$20.86 - $28.21/hr
Hawai'i Island Community Health CenterPrior Authorization Specialist ???? East or West Hawaiʻi ... Hawaiʻi Island Community Health Center is seeking a compassionate, detail-oriented Prior ...
Quick apply
Prior Authorization Specialist
Hilo, HI · On-site
$20.86 - $28.21/hr
Hawai'i Island Community Health CenterPrior Authorization Specialist ???? East or West Hawaiʻi ... Hawaiʻi Island Community Health Center is seeking a compassionate, detail-oriented Prior ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$19.75 - $24.50/hr
Prior Authorization Specialist Works as a member of the Prior Authorization Operations team. Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity ...
Prior Authorization Coordinator I
San Diego, CA · On-site
$19.75 - $24.50/hr
Prior Authorization Specialist Works as a member of the Prior Authorization Operations team. Processes prior authorization requests in accordance with standards for accuracy, timeliness, productivity ...
Prior Authorization Specialist
$51K - $70K/yr
Prior Authorization Specialist Minneapolis, MN Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are ...
Prior Authorization Specialist
$51K - $70K/yr
Prior Authorization Specialist Minneapolis, MN Inspire is the first of its kind medical device designed to make a difference in the lives of those living with Obstructive Sleep Apnea (OSA). We are ...
Prior Authorization Nurse I information
See salary details
$17.31 - $21.68
3% of jobs
$21.68 - $26.05
7% of jobs
$29.33 is the 25th percentile. Wages below this are outliers.
$26.05 - $30.42
20% of jobs
The median wage is $34.13 / hr.
$30.42 - $34.79
24% of jobs
$34.79 - $39.16
14% of jobs
$41.84 is the 75th percentile. Wages above this are outliers.
$39.16 - $43.53
11% of jobs
$43.53 - $47.90
7% of jobs
$47.90 - $52.27
5% of jobs
$52.27 - $56.64
3% of jobs
$56.64 - $61.01
3% of jobs
$61.01 - $65.38
2% of jobs
$17
$38
$65
How much do prior authorization nurse i jobs pay per hour?
As of Aug 18, 2026, the average hourly pay for prior authorization nurse i 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 does a Prior Authorization Nurse I do?
A Prior Authorization Nurse I is responsible for reviewing medical requests to determine if they meet the criteria for insurance coverage or payment. They assess documentation provided by healthcare providers and use clinical guidelines to decide if treatments, procedures, or medications are medically necessary and covered by the patient’s health plan. These nurses communicate decisions to providers and patients and may assist in appeals or further reviews. Their work ensures appropriate use of healthcare resources and helps patients access needed care.
What are the key skills and qualifications needed to thrive as a Prior Authorization Nurse I, and why are they important?
To thrive as a Prior Authorization Nurse I, you need a valid RN license, strong clinical knowledge, and experience with insurance or utilization management processes. Familiarity with electronic medical records (EMRs), prior authorization software, and health plan guidelines is typically required. Attention to detail, problem-solving, and clear communication with providers and patients are essential soft skills. These capabilities ensure accurate, timely authorization decisions and effective coordination between healthcare providers, payers, and patients.
What are some common challenges faced by Prior Authorization Nurse I professionals, and how can they be managed?
Prior Authorization Nurse I professionals often encounter challenges such as managing a high volume of authorization requests, staying updated with constantly changing insurance policies, and effectively communicating with providers and patients. To manage these challenges, strong organizational skills, attention to detail, and the ability to quickly interpret policy updates are essential. Building good relationships with colleagues and utilizing electronic health records systems can streamline case management and improve workflow efficiency.
What is the difference between Prior Authorization Nurse I vs Prior Authorization Nurse II?
| Aspect | Prior Authorization Nurse I | Prior Authorization Nurse II |
|---|---|---|
| Credentials | RN license, basic understanding of insurance policies | RN license, additional certifications or experience preferred |
| Work Environment | Entry-level, supervised, healthcare or insurance settings | More autonomous, complex cases, leadership roles |
| Responsibilities | Initial review, basic authorization processing | Complex case review, mentorship, process improvement |
Prior Authorization Nurse I typically handles basic authorization tasks under supervision, while Prior Authorization Nurse II manages more complex cases with greater independence. The roles differ mainly in experience level and responsibility scope, but both require RN licensure and knowledge of insurance procedures.
More about Prior Authorization Nurse I jobs
What cities are hiring for Prior Authorization Nurse I jobs?
Cities with the most Prior Authorization Nurse I job openings:
What states have the most Prior Authorization Nurse I jobs?
States with the most job openings for Prior Authorization Nurse I jobs include:
What job categories do people searching Prior Authorization Nurse I jobs look for?
The top searched job categories for Prior Authorization Nurse I jobs are:
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Company Job Description/Day to Day Duties: Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care
Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.
Additional Information
Employment Type: Temporary Assignment (1-2 months)
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003