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 ...
Prior Authorization RN
New York, NY · On-site +1
$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
New York, NY · On-site +1
$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 ...
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 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 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 Nurse Temp
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse Temp
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Quick apply
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Quick apply
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Prior Auth Nurse
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Prior Auth Nurse
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse Temp
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse Temp
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
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 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 ...
Are you an experienced RN Prior Authorization looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company?
Are you an experienced RN Prior Authorization looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company?
Prior Authorization Rn 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 rn jobs pay per hour?
As of Jun 18, 2026, the average hourly pay for prior authorization rn 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.
How to make $300,000 a year as a nurse?
A Prior Authorization RN can earn $300,000 annually by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as specialty clinics or insurance companies. Increasing workload, taking on leadership roles, or working overtime can also boost income, but reaching this level typically requires a combination of expertise, efficiency, and strategic employment choices.
How to make 150,000 as a nurse?
A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.
What is the difference between Prior Authorization Rn vs Medical Coder?
| Aspect | Prior Authorization Rn | Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or utilization review | Certification in coding (CPC, CCS), no RN license required |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Medical offices, hospitals, insurance companies |
| Primary Responsibilities | Reviewing and obtaining prior authorizations for treatments and procedures | Translating medical records into coded data for billing and documentation |
While both roles are integral to healthcare administration, the Prior Authorization RN focuses on obtaining approvals for patient care, requiring nursing credentials and clinical knowledge. In contrast, Medical Coders specialize in coding medical records for billing, emphasizing coding certifications. Understanding these differences helps healthcare professionals and job seekers identify the right career path or job opportunity.
What are the key skills and qualifications needed to thrive as a Prior Authorization RN, and why are they important?
To thrive as a Prior Authorization RN, you need a current RN license, strong clinical assessment skills, and a solid understanding of insurance guidelines and medical necessity criteria. Familiarity with utilization management software, electronic health records (EHRs), and payer-specific authorization systems is essential. Exceptional attention to detail, critical thinking, and effective communication help you advocate for patients and collaborate with healthcare providers and insurers. These skills ensure the efficient processing of authorizations, reduce delays in care, and support patients in receiving appropriate treatments.
What Does a Prior Authorization RN Do?
A prior authorization RN is a registered nurse who assesses applications for specific treatments, medical procedures, and medications. In this job, you review each request for medical coverage and determine the necessity or potential benefits of the treatment or medicine. You assess patient information and other factors to decide whether or not to authorize coverage. Your duties as a prior authorization RN also include reviewing denials of benefits and seeking additional information that could alter the initial decision. You document your findings for each case and present the evidence along with your decision. It is your job to review the case for each patient thoroughly while following all government regulations and healthcare provider policies.
What are some common challenges faced by Prior Authorization RNs, and how can they be addressed?
Prior Authorization RNs often navigate complex insurance guidelines and manage high volumes of requests, which can be challenging due to frequent policy updates and tight timelines. Staying organized, maintaining up-to-date knowledge of payer requirements, and leveraging electronic health record (EHR) systems can help streamline the process. Collaboration with providers and insurance representatives, as well as ongoing training, are essential for efficiently resolving issues and ensuring timely patient care.
Can nurses do prior authorizations?
Prior authorization nurses, often called utilization review nurses or case managers, are qualified to handle prior authorization requests. They review medical documentation, communicate with providers and insurance companies, and ensure compliance with payer requirements, often using electronic health record systems. Certification in case management or utilization review can enhance their ability to perform these tasks effectively.
How to make an extra 2000 a month as a nurse?
A Prior Authorization RN can increase income by taking on additional shifts, working overtime, or offering consulting services to healthcare providers. Developing specialized knowledge in insurance authorization processes and obtaining relevant certifications can also lead to higher-paying opportunities or freelance work outside regular hours.
What is a Prior Authorization RN?
A Prior Authorization RN is a registered nurse who specializes in reviewing and processing prior authorization requests for medical procedures, medications, or treatments. They evaluate clinical documentation to determine if requests meet insurance or regulatory criteria and often serve as a liaison between healthcare providers, patients, and insurance companies. Their role helps ensure that care is medically necessary and covered by the patient's health plan, streamlining access to important healthcare services while controlling costs.
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What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What states have the most Prior Authorization Rn jobs? States with the most job openings for Prior Authorization Rn jobs include:
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Full-time
Medical, Dental, Vision
Posted 9 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