ZipRecruiter

Log In

1

Prior Authorization Nurse Jobs (NOW HIRING)

Claim Health

Prior Authorization Specialist

Manhattan, NY · On-site

$19.75 - $26.50/hr

Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...

RPC Company

Be Seen First

Prior Authorization Specialist

Farmers Branch, TX · On-site

$22 - $24/hr

Prior Authorization Specialist - Pharmacy Technician Pay: $22-$24 per hour Location: Onsite New Hire Class Start Date: August 24 About the job: We are seeking a detail-oriented Prior Authorization ...

New

1840 & Company

$16.75 - $22.25/hr

Prior Authorization Specialist We are seeking a detail-oriented and experienced Prior Authorization Specialist to manage the full lifecycle of prior authorizations (PAs) for medical services. The ...

PurposeCare

Prior Authorization Specialist

Indianapolis, IN · On-site

$17.25 - $23/hr

Prior Authorization Specialist Are you searching for a Purpose? PurposeCare is Bringing Healthcare Home, and we want you to join our family! PurposeCare and its affiliate companies are looking for a ...

previous page

Showing results 41-60

All JobsPrior Authorization Nurse Jobs

Prior Authorization Nurse information

See salary details

$17

$38

$65

How much do prior authorization nurse jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for prior 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 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 cities are hiring for Prior Authorization Nurse jobs? Cities with the most Prior Authorization Nurse job openings:
What are the most commonly searched types of Prior Authorization Nurse jobs? The most popular types of Prior Authorization Nurse jobs are:
Who are the top companies hiring for Prior Authorization Nurse jobs? The top employers for Prior Authorization Nurse jobs are:
What states have the most Prior Authorization Nurse jobs? States with the most job openings for Prior Authorization Nurse jobs include:
What job categories do people searching Prior Authorization Nurse jobs look for? The top searched job categories for Prior Authorization Nurse jobs are:
Prior Authorization Nurse jobs near you
Infographic showing various Prior Authorization Nurse job openings in the United States 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 $80,321 per year, or $38.6 per hour.

Prior Authorization Specialist

General Physician

Buffalo, NY • On-site

$17.90 - $20/hr

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 15 days ago

Job description

Pay Range: $17.90 - $20.00*
General Physician, P.C. is one of WNY's largest and most respected multi-specialty medical groups! We are committed to providing comprehensive, high-quality patient-centered care to improve the overall quality of the lives of our patients.
Currently, we are seeking a Prior Authorization Specialist for our Cardiology office located in Buffalo, NY! This is a full-time position, scheduled Monday - Friday, and includes Free Parking!
No nights, weekends, or holidays!
We offer our Prior Authorization Specialist:
Employees are benefit-eligible on the first of the month following their start date
This includes:

  • Medical, dental, vision & much more
  • Generous PTO and paid holidays
  • Competitive salary
  • 401(K) 3% employer contribution
  • Verizon Wireless discount
  • Uniforms provided
Essential Duties of a Prior Authorization Specialist:
The primary purpose of this position is to: Obtain prior authorization for medications, imaging, and surgeries. Verify insurance and help patients apply for financial assistance.
  • Obtain prior authorizations for all oral medications, surgery, and blood work for all providers in Cardiology.
  • Verify eligibility for oral medications, chemotherapy, surgery, and blood work; 3. Find and set up financial assistance (copay assistance) for patients
  • Fax all infusion orders to the infusion center
  • Act as the point person if there is an issue with a prior authorization or a code for the hospital
  • Track prior authorizations for expiration dates
  • Manage incoming document bins and assist with the completion of necessary forms
  • Deliver exemplary customer service to provide a positive patient experience across the organization
  • Perform other duties assigned by management.
Minimum Qualifications of a Prior Authorization Specialist:
  • High school diploma required, two-year college degree preferred
  • Proven work experience in a healthcare facility and/or strong customer service experience preferred
  • Knowledge of insurance and medical terminology
  • Strong written and verbal communication skills with ability to utilize computer programs

General Physician P.C. is proud to be an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Applicants and employees are considered for positions and are evaluated without regard to mental or physical disability, race, color, religion, gender, national origin, age, genetic information, military or veteran status, sexual orientation, marital status, or any other protected Federal, State/Province or Local status unrelated to the performance of the work involved.
* The pay range listed is a good faith determination of potential base compensation that may be offered to a successful applicant at the time of posting. When determining pay, several factors will be considered including but not limited to location, specialty, service line, years of relevant experience, education, professional credentials, internal equity, and budget.

Apply