ZipRecruiter

Log In

1

Prior Authorization Nurse Jobs in Renton, WA (NOW HIRING)

Molina Healthcare

Care Review Clinician (RN)

Bothell, WA · On-site

$26.41 - $59.21/hr

Conducts reviews to determine prior authorization/financial responsibility for Molina and its ... Registered Nurse (RN). License must be active and unrestricted in state of practice. Ability to ...

Molina Healthcare

Care Review Clinician (RN)

Bothell, WA · On-site

$26.41 - $59.21/hr

... prior authorization/financial responsibility for Molina and its members. • Processes requests ... . License must be active and unrestricted in state of practice. • Ability to prioritize and ...

CardioOne

Invasive and Non-Invasive Scheduler

Lynnwood, WA · On-site

$24 - $25/hr

Solid understanding of insurance verification, insurance registration workflows, and prior authorization requirements. * Liaise between patients, nurses, and cardiologists. * Coordinate appointments ...

CardioOne

Invasive and Non-Invasive Scheduler

Lynnwood, WA · On-site

$24 - $25/hr

Solid understanding of insurance verification, insurance registration workflows, and prior authorization requirements. * Liaise between patients, nurses, and cardiologists. * Coordinate appointments ...

MultiCare

Pre Authorization Specialist

Tacoma, WA · On-site

$20.27 - $29.16/hr

Pre-Authorization Specialist At MultiCare, you're more than just a job title -- you're part of a team built on trust that cares for each other, our patients and our communities. Belonging here means ...

next page

Showing results 1-20

All JobsPrior Authorization Nurse JobsPrior Authorization Nurse Jobs in Renton, WA

Prior Authorization Nurse information

See Renton, WA salary details

$19

$43

$73

How much do prior authorization nurse jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for prior authorization nurse in Renton, WA is $43.44, according to ZipRecruiter salary data. Most workers in this role earn between $33.27 and $48.65 per hour, depending on experience, location, and employer.

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

AspectPrior Authorization NurseUtilization Review Nurse
CredentialsRN license, possibly certifications in case managementRN license, certifications in case management or utilization review
Work EnvironmentHealthcare facilities, insurance companies, or telehealthHospitals, insurance companies, or managed care organizations
Job FocusPre-authorization of specific procedures or treatmentsReviewing medical necessity and appropriateness of ongoing care

While both roles involve nursing expertise and work within healthcare and insurance settings, the Prior Authorization Nurse primarily focuses on obtaining approval before procedures, whereas the Utilization Review Nurse evaluates ongoing care for medical necessity. Understanding these differences helps in choosing the right career path or job search focus.

What does a prior authorization nurse do?

As a prior authorization nurse, you review requests for authorization for specific medications, treatments, or surgeries. Your duties include reviewing medical records and documents related to the application. You consider each prior authorization request and collect evidence and patient information to support your decision. You communicate with the insurance provider to obtain additional information if needed. Your responsibilities in this position also involve ensuring the authorization meets regulations and requirements and contractual obligations of all parties involved. Your job can also require coordinating with administrators and healthcare providers to gain necessary information and ensure that patients receive authorized care.

What is a prior authorization nurse?

Prior Authorization Nurses are registered nurses who evaluate medical requests and determine if procedures, medications, or services meet clinical guidelines for insurance coverage. They work closely with healthcare providers, insurance companies, and patients to ensure that prior authorization requirements are met before treatments or medications are approved. Their role helps streamline care delivery, reduce unnecessary costs, and ensure patients receive appropriate, covered services in a timely manner.

What are the key skills and qualifications needed to thrive as a prior authorization nurse, and why are they important?

To thrive as a Prior Authorization Nurse, you need a solid background in nursing, knowledge of insurance guidelines, and an active RN license. Familiarity with prior authorization software, electronic health records (EHRs), and payer-specific portals is typically required. Strong attention to detail, critical thinking, and effective communication help in collaborating with providers and navigating complex cases. These skills are essential to ensure accurate, timely authorization of medical services, which directly impacts patient care and healthcare reimbursement.

What are some common challenges faced by prior authorization nurses in coordinating with insurance providers?

Prior Authorization Nurses often encounter challenges such as navigating varying requirements from different insurance providers, managing tight turnaround times for approvals, and ensuring that clinical documentation is thorough and accurate. Effective communication and attention to detail are essential, as missing or unclear information can delay authorizations. Building collaborative relationships with providers, physicians, and insurance representatives helps streamline the process and improves patient outcomes.
More about Prior Authorization Nurse jobs
What are the most commonly searched types of Prior Authorization Nurse jobs in Renton, WA? The most popular types of Prior Authorization Nurse jobs in Renton, WA are:
What are popular job titles related to Prior Authorization Nurse jobs in Renton, WA? For Prior Authorization Nurse jobs in Renton, WA, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Nurse jobs in Renton, WA look for? The top searched job categories for Prior Authorization Nurse jobs in Renton, WA are:
What cities near Renton, WA are hiring for Prior Authorization Nurse jobs? Cities near Renton, WA with the most Prior Authorization Nurse job openings:
Prior Authorization Nurse jobs near you
Infographic showing various Prior Authorization Nurse job openings in Renton, WA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $90,347 per year, or $43.4 per hour.

RN Prior Authorization Nurse

Healthcare Support Staffing

Tacoma, WA • On-site

$78K/yr

Full-time

Medical, Retirement

Re-posted 4 days ago

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

Daily Responsibilities Prior Auth RN:

  • Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
  • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
  • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
  • Educate providers on utilization and medical management processes
  • Provide clinical knowledge and act as a clinical resource to non-clinical team staff
  • Enter and maintain pertinent clinical information in various medical management systems


Qualifications

Requirements RN Prior Authorizations:

  • RN license
  • Associate's degree in Nursing.
  • Minimum of 2-5 years of clinical experience in acute setting
  • One of these 2: experience authorizing services or experience calling in for auths from a provider setting
  • Knowledge of utilization management principles and managed care.
  • Must be comfortable with computers and with learning software programs


Hours for this Position:

M-F 8-5:30

Advantages of this Opportunity:

  • Competitive salary ($64-78K) plus annual bonus
  • Fun and positive work environment
  • Room for growth
  • Medical benefits 1st of the month after hire
  • 401k Matching
Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.

Healthcare Support logo

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

Social media

FacebookTwitter

View All Healthcare Support Jobs

Apply