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Prior Authorization Rn Jobs in Alabama (NOW HIRING)

HiredFirst

Registered Nurse (RN)

Tuscaloosa, AL · On-site

$30 - $40/hr

Registered Nurse (RN) - Permanent Location: DCH Regional Medical Center, Tuscaloosa, AL 35401 ... Work Authorization: * Canadian citizens: Eligible for TN visa with VisaScreen approval * Non ...

HiredFirst

Registered Nurse (RN)

Tuscaloosa, AL · On-site

$30 - $40/hr

Registered Nurse (RN) - Permanent Location: DCH Regional Medical Center, Tuscaloosa, AL 35401 ... Work Authorization: * Canadian citizens: Eligible for TN visa with VisaScreen approval * Non ...

HiredFirst

Registered Nurse (RN)

Tuscaloosa, AL · On-site

$30 - $40/hr

TN visa authorization (Canadian candidates) * Required: Valid VisaScreen * Eligibility: Chinese and Indian nationals not eligible (visa wait time) * Minimum 1 year of nursing experience; acute care ...

HiredFirst

Registered Nurse (RN)

Tuscaloosa, AL · On-site

$30 - $40/hr

TN visa authorization (Canadian candidates) * Required: Valid VisaScreen * Eligibility: Chinese and Indian nationals not eligible (visa wait time) * Minimum 1 year of nursing experience; acute care ...

US Heart & Vascular

Registered Nurse

Birmingham, AL · On-site

Make sure clinic notes are prepped properly by MA prior to clinic * Convey patient problems ... Obtain pre-authorizations for medication, diagnostic testing, and hospital procedures. * Performs ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Alabama

Prior Authorization Rn information

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$6

$38

$65

How much do prior authorization rn jobs pay per hour?

As of Sep 15, 2026, the average hourly pay for prior authorization rn in Alabama is $38.29, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $45.34 per hour, depending on experience, location, and employer.

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.

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 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 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.

What is the difference between Prior Authorization Rn vs Medical Coder?

AspectPrior Authorization RnMedical Coder
CredentialsRN license, possibly certifications in case management or utilization reviewCertification in coding (CPC, CCS), no RN license required
Work EnvironmentHospitals, insurance companies, healthcare facilitiesMedical offices, hospitals, insurance companies
Primary ResponsibilitiesReviewing and obtaining prior authorizations for treatments and proceduresTranslating 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.

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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Alabama as of August 2026, with employment types broken down into 1% As Needed, 82% Full Time, 13% Part Time, 2% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $79,642 per year, or $38.3 per hour.

Registered Nurse

Dothan, AL • On-site

DNA Comprehensive Therapy Services LLC
Health Care and Social Assistance • 1 - 10 employees
Learn more about DNA Comprehensive Therapy Services LLCexternal

Other

Medical, Dental, Vision, Life, Retirement, PTO

This job post has expired today. Applications are no longer accepted.

Job description


Dothan Behavioral Medicine Clinic is dedicated to providing comprehensive behavioral and mental health care services tailored to meet the diverse needs of our community. Our team of compassionate professionals is committed to delivering accessible, high-quality treatment in a supportive environment.
We are seeking a dedicated and energetic Registered Nurse to join our dynamic team. In this vital role, you will deliver exceptional patient care across various settings, including outpatient clinics, inpatient units, and community-based programs. Your expertise will help ensure our patients receive personalized, effective treatment while supporting their journey toward mental wellness and recovery.
Duties
  • Conduct comprehensive nursing assessments, including vital signs, medical history updates, and symptom review
  • Monitor patients for psychiatric symptoms, behavioral changes, and medication side effects
  • Assess for safety concerns, including suicide risk, homicidal ideation, or decompensation, and initiate appropriate interventions
  • Provide crisis intervention and assist with de-escalation when necessary
  • Assist psychiatric providers during evaluations and follow-up appointments
  • Administer medications as ordered, including oral medications and long-acting injectables (if applicable)
  • Perform medication reconciliation at each patient encounter
  • Educate patients and families on psychiatric diagnoses, medications, side effects, and treatment adherence
  • Monitor laboratory results and coordinate lab orders as directed by providers
  • Communicate abnormal findings or concerns promptly to prescribing providers
  • Coordinate prior authorizations and collaborate with pharmacies as needed
  • Facilitate referrals to primary care providers, specialists, inpatient facilities, or community resources
  • Coordinate continuity of care following hospitalizations or higher levels of care
  • Maintain accurate, timely, and compliant documentation in the electronic medical record
  • Ensure documentation meets regulatory, payer, and organizational standards
  • Participate in quality improvement initiatives and clinical audits
  • Comply with all federal, state, and local regulations, including HIPAA and applicable mental health laws
  • Maintain infection control and safety standards within the clinic
  • Participate in interdisciplinary team meetings and case consultations
  • Support onboarding and training of new clinical staff when applicable
  • Maintain active RN licensure and complete required continuing education
Skills
  • Proven experience with EMR/EHR systems such as Epic or Cerner for accurate documentation.
  • Strong knowledge of medical terminology, anatomy, physiology, and diagnostic evaluation techniques.
  • Behavior Health Knowledge and Experience
  • Familiarity with ICD coding (ICD-9/ICD-10), CPT coding for procedures and treatments.
  • Ability to perform physical examinations and assessments in fast-paced environments like hospitals or urgent care centers.
  • Experience working with diverse patient populations including children (neonatal ventilator care), seniors (geriatrics), or individuals with disabilities or dementia.
  • Knowledge of infection control practices and HIPAA regulations to ensure patient confidentiality and safety. Join us as a Registered Nurse and be part of a passionate team committed to transforming lives through compassionate healthcare delivery!
Benefits:
  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Parental leave
  • Retirement plan
  • Tuition reimbursement
  • Vision insurance

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