This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
Nurse Case Manager, Prior Authorization RN HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members ...
Nurse Case Manager, Prior Authorization RN HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members ...
Prior Authorization RN
Manhattan, NY · On-site
$90K - $108K/yr
Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if ... Experience in prior authorization or utilization review processes * Excellent clinical judgment ...
Prior Authorization RN
Manhattan, NY · On-site
$90K - $108K/yr
Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if ... Experience in prior authorization or utilization review processes * Excellent clinical judgment ...
Prior Authorization RN
$90K - $108K/yr
Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if ... Experience in prior authorization or utilization review processes * Excellent clinical judgment ...
Prior Authorization RN
$90K - $108K/yr
Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if ... Experience in prior authorization or utilization review processes * Excellent clinical judgment ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
RN Prior Authorization
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
RN Prior Authorization
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
RN Prior Authorization
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
RN Prior Authorization
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
Prior Authorization RN Reviewer
Phoenix, AZ · On-site
The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with ...
Prior Authorization RN Reviewer
Phoenix, AZ · On-site
The Prior Authorization RN is responsible for reviewing and processing medical prior authorization requests to ensure services are medically necessary, meet evidence-based guidelines, and align with ...
RN Prior Authorization
Springfield, IL · On-site
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
RN Prior Authorization
Springfield, IL · On-site
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
RN Prior Authorization
Springfield, IL · On-site
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
RN Prior Authorization
Springfield, IL · On-site
$27.68/hr
Please ensure that you are logged into Workday and applying through the Jobs Hub before proceeding. RN Prior Authorization Prior Authorization RN is responsible to obtain prior authorization for ...
Prior Authorization RN in New York, NY
Manhattan, NY · On-site
$90K - $108K/yr
Prior Authorization RN Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible for a $15,000 sign-on bonus. Location:
Prior Authorization RN in New York, NY
Manhattan, NY · On-site
$90K - $108K/yr
Prior Authorization RN Pre-Authorization RN Compensation Salary Range: $90,000 - $108,000 per year Bonus / Commission (if applicable): This role is eligible for a $15,000 sign-on bonus. Location:
Prior Authorization RN
Long Beach, CA · On-site
... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse ...
Prior Authorization RN
Long Beach, CA · On-site
... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...
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 ...
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 ...
Prior Auth RN
Chandler, AZ · On-site
The Prior Authorization Registered Nurse (RN) is responsible for conducting initial clinical reviews of preservice authorization requests, focusing on continuity of care and the proper utilization of ...
Quick apply
Prior Auth RN
Chandler, AZ · On-site
The Prior Authorization Registered Nurse (RN) is responsible for conducting initial clinical reviews of preservice authorization requests, focusing on continuity of care and the proper utilization of ...
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 ... Current California RN License * Minimum of 1 year acute experience * Knowledge of Managed Care ...
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 ... Current California RN License * Minimum of 1 year acute experience * Knowledge of Managed Care ...
Prior Authorization Registered Nurse information
See salary details
$7.45 - $13.33
0% of jobs
$13.33 - $19.21
0% of jobs
$19.21 - $25.09
4% of jobs
$25.09 - $30.97
18% of jobs
$31.74 is the 25th percentile. Wages below this are outliers.
$30.97 - $36.84
20% of jobs
The median wage is $39.26 / hr.
$36.84 - $42.72
18% of jobs
$48.01 is the 75th percentile. Wages above this are outliers.
$42.72 - $48.60
16% of jobs
$48.60 - $54.48
10% of jobs
$54.48 - $60.36
6% of jobs
$60.36 - $66.24
4% of jobs
$66.24 - $72.12
3% of jobs
$7
$42
$72
How much do prior authorization registered nurse jobs pay per hour?
As of Aug 29, 2026, the average hourly pay for prior authorization registered nurse in the United States is $42.24, according to ZipRecruiter salary data. Most workers in this role earn between $31.49 and $50.00 per hour, depending on experience, location, and employer.
What does a Prior Authorization Registered Nurse do?
A Prior Authorization Registered Nurse is responsible for reviewing healthcare service requests to determine if they meet the necessary criteria for insurance coverage before treatment is provided. This nurse works closely with physicians, insurance companies, and patients to ensure that required medical procedures, medications, or treatments are approved in advance. Their role involves interpreting clinical information, applying insurance guidelines, and assisting with documentation to facilitate timely patient care. They help prevent unnecessary delays and reduce denied claims by ensuring all required information is submitted for approval.
What are some common challenges faced by a Prior Authorization Registered Nurse, and how can they be addressed?
Prior Authorization Registered Nurses often encounter challenges such as navigating complex insurance guidelines, managing high volumes of requests, and ensuring timely approvals for patient care. To address these challenges, strong organizational skills, attention to detail, and effective communication with insurance companies and healthcare providers are essential. Many nurses also rely on electronic health record systems and standardized workflows to streamline processes and reduce delays, which helps maintain patient satisfaction and supports efficient team collaboration.
What are the key skills and qualifications needed to thrive as a Prior Authorization Registered Nurse, and why are they important?
To thrive as a Prior Authorization Registered Nurse, you need a solid clinical background, strong knowledge of insurance guidelines, and a current RN license. Familiarity with authorization management systems, electronic health records (EHRs), and payer-specific software is typically required. Attention to detail, effective communication, and critical thinking are important soft skills for reviewing cases and collaborating with providers and insurers. These skills ensure accurate, timely authorization decisions, enhanced patient access to care, and compliance with regulatory standards.
What is the difference between Prior Authorization Registered Nurse vs Utilization Review Nurse?
| Aspect | Prior Authorization Registered Nurse | Utilization Review Nurse |
|---|---|---|
| Credentials | RN license, certifications in case management or healthcare | RN license, certifications in utilization review or case management |
| Work Environment | Insurance companies, healthcare providers, or managed care organizations | Hospitals, insurance companies, or healthcare organizations |
| Job Focus | Reviewing and approving prior authorization requests for procedures and treatments | Assessing medical necessity and reviewing patient records for ongoing care |
| Common Usage | Used in insurance and healthcare settings for authorization processes | Used in utilization management to ensure appropriate care |
The main difference is that Prior Authorization Registered Nurses primarily review and approve requests for specific procedures before treatment, while Utilization Review Nurses evaluate ongoing patient care to determine medical necessity. Both roles require RN licensure and related certifications, but their focus and work settings differ slightly.
More about Prior Authorization Registered Nurse jobs
What cities are hiring for Prior Authorization Registered Nurse jobs?
Cities with the most Prior Authorization Registered Nurse job openings:
What states have the most Prior Authorization Registered Nurse jobs?
States with the most job openings for Prior Authorization Registered Nurse jobs include:
What job categories do people searching Prior Authorization Registered Nurse jobs look for?
The top searched job categories for Prior Authorization Registered Nurse jobs are:
Full-time
Medical, Dental, Vision
Re-posted 21 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
We are aggressively seeking a Provider Network Coordinator to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.
Take advantage of flexible hours, a competitive salary, and be a Prior Authorization Nurse with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization Registered Nurse and you meet the qualifications listed below, please click apply below for consideration!
Daily Responsibilities:
- Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Hours for this Position:
Monday - Friday 9:00 am -6:00 pm or 8-5pm
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Salary:
Negotiated based on relevant job experience
Interested in being Considered?
If you are interested in applying to this position, please click Apply Now.
Qualifications
- Active/Compact State's RN License
- 1 year of case management experience
- Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government sponsored managed care programs is preferred
Additional Information
Interested in being considered?
If you are interested in being considered for this position, please click the apply button below.Â
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