ZipRecruiter

Log In

1

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

Center for Discovery

RN (PRN)

Edmonds, WA · On-site

$57.86 - $68.88/hr

The Registered Nurse (RN) is a vital member of a dynamic, multidisciplinary team, delivering ... securing prior authorizations for necessary treatments and tests. Documentation & Compliance

New

previous pagenext page

Showing results 21-40

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 Sep 3, 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 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 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 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.

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.

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 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 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $90,347 per year, or $43.4 per hour.

Psychiatric Registered Nurse PART TIME

Clarvida

Tacoma, WA • Remote

$43 - $55/hr

Full-time, Part-time

Medical, Dental, Vision, Retirement, PTO

Posted 6 days ago

Key responsibilities

  • Meet with clients regularly to provide medical assessments, review medication, and support the client's plan of care.

  • Complete medication reviews, establish priorities of client care, and link clients to medical providers for follow-up on labs, refills, prescriptions, and prior authorizations.

  • Provide in-service training to staff regarding medical and psychiatric nursing issues and consult on the client's treatment plan.

Clarvida rating

6.7

Company rating: 6.7 out of 10

Based on 67 frontline employees who took The Breakroom Quiz

64th of 246 rated social care providers

Job description

Description

Clarvida’s success is built on the strength of our people: individuals who bring the right skills and a deep commitment to our mission of improving lives and communities. Our employees are empowered to bring their full potential to the table, ensuring long-term success for our team and those we serve.  
 
Registered Nurse - Community Based Tacoma, WA
In this integral part-time position, you will meet with clients, typically adults who have been discharged from state hospitals, or reside in assisted living facilities / adult family homes, and have difficult behaviors to manage.    
You will meet with your clients regularly to provide medical assessments and history information, to support the Nurse Practitioner’s goal directed plan of care.  You will complete medication reviews, establish priorities of client care, and link clients to medical providers and follow up on labs, refills, prescriptions, and prior authorizations. As part of the medical team, you will provide in-service training to staff regarding medical and psychiatric nursing issues and consult on the client’s treatment plan.  This position works weekdays with an occasional option to work evenings and weekends, and works on-call 1-4 times a year. 
 
Perks of this role:  
  • $43-$55/hour Part Time 20 hours a week
  • Flexible daytime/evening schedule with remote/community work
  • Productivity Incentives
  • New hire mentorship to aid in your transition and training
  • Reimbursement for annual licensure for fully licensed employees
  • Stability and growth working for a national company
   
What we’re looking for:  
  • Washington RN license, with 1 or more courses on psychiatric nursing and psychotropic medications
  • Preferably residing in county served
  • 1 or more years’ experience working with psychiatric client populations
  • Intermediate PC skills and strong clinical / communication skills
  • Ability to travel within the county/neighboring county to see patients (dependent on caseload).
  • Ability to pass state and federal background checks and have reliable transportation with active car insurance.
What we offer:   
Full Time Employees:   
  • Paid vacation days that increase with tenure  
  • Separate sick leave that rolls over each year  
  • Up to 10 Paid holidays*  
  • Medical, Dental, Vision benefit plan options  
  • DailyPay- Access to your daily earnings without waiting for payday*  
  • Training, Development and Continuing Education Credits for licensure requirements  
All Employees:  
  • 401K  
  • Free licensure supervision  
  • Employee Assistance program   
  • Pet Insurance  
  • Perks @Clarvida- national discounts on shopping, travel, Verizon, and entertainment  
  • Mileage reimbursement*  
  • Company cellphone  
   
*benefits may vary based on Position/State/County  
   
Application Deadline: Applications will be reviewed on a rolling basis until the position is filled. 
 
Learn more:  www.clarvida.com/mission-vision-and-values  
See other opportunities:  www.clarvida.com/working-at-clarvida  
 
Equal Opportunity Statement 
Clarvida is an equal opportunity employer committed to diversity and inclusion. All qualified applicants will receive consideration without regard to race, color, religion, gender, national origin, age, sexual orientation, gender identity, disability, veteran status, or any other protected category. 
 
 
"We encourage job seekers to be vigilant against fraudulent recruitment activities that are on the rise across the healthcare industry. Communication about legitimate Clarvida job opportunities will only come from an authorized Clarvida.com email address, from a notifications@jobvite.com  email, or a personal LinkedIn account that is associated with a Clarvida.com email address."  

What Clarvida employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom