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Prior Authorization Rn Jobs in Alabama (NOW HIRING)

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 ...

HCAOA

Registered Nurse (RN)

Ozark, AL · On-site

Registered Nurse (RN) A Registered Nurse (RN) is a licensed healthcare professional responsible for ... While many roles welcome new nurses, positions in specialized settings may prefer or require prior ...

All Med Search

RN

Tuscaloosa, AL

$30 - $40/hr

This is a registered nursing position providing direct patient care in A hospital setting ... Required: TN visa authorization (Canadian candidates) * Required: Valid VisaScreen * Eligibility:

American Traveler

Travel RN - Med/Surg

Stevenson, AL · On-site

$1.8K - $2.4K/wk

... and managing authorization and disability forms, • Conduct patient teaching, follow-up phone ... must disclose any prior work history with Providence facilities as permanent staff, travel ...

American Traveler

Travel RN - Med/Surg

Huntsville, AL · On-site

$1.9K - $2.5K/wk

... and prior travel experience at a Level I Trauma Center. Job Details • Work in an outpatient ... authorization forms, chart preparation, and pharmacy refill requests, • Experience with ...

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Prior Authorization Rn information

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$6

$38

$65

How much do prior authorization rn jobs pay per hour?

As of Aug 23, 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, 78% Full Time, 16% Part Time, 1% Temporary, and 4% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $79,642 per year, or $38.3 per hour.

Registered Nurse- St. Vincent's Birmingham Clinic

Alabama Oncology

Birmingham, AL • On-site

Full-time

Re-posted 7 days ago

Job description

Summary

Provides direct assistance to physician in Clinical Oncology setting which demonstrating professional nursing care for patients following established standards and practices. Demonstrates knowledge of differences in the patient population which includes late adolescence, adulthood, middle age, and elderly .

  • Directly assists physician with exams and procedures. Maintains appropriate and efficient patient flow in and out of exam rooms.
  • Records patient data including, but not limited to, vital signs, height, weight, allergies, medication changes, etc.
  • Maintains disinfection protocols
  • Monitors and assesses changes in patient conditions and initiates appropriates actions.
  • Demonstrates knowledge of ambulatory fusion pump use and maintenance.
  • Facilitates dose modification
  • Load treatment plans, add/refill prescriptions, and order specialty testing
  • Room and triage patients
  • Scheduling patients, assisting with prior authorizations
  • Counsels through chemo processes
  • Assesses patients for changes in condition, including but not limited to abnormal labs, x-rays, scans, drug reactions
    and initiates appropriate actions.
  • Maintains knowledge of reimbursement procedures. Completes all chemotherapy charge forms. Assures preauthorization and appropriate consent forms are obtained prior to administration of therapies.
  • Facilitates dose modification by assessing patient, assessing labs, consulting protocol or treatment plan, calculating
    dose, and consulting physician regarding dosage modifications, problems, and symptom management.
  • Administers all medications/blood products using correct medication/blood product, dosage/amount, route, time
    and technique.
  • Displays appropriate technical skills for the administration of chemotherapy, medications and blood products, to
    include, but not limited to: venipuncture, central line access and infusion devices.
  • Programs portable infusion pumps for continuous drug delivery and provides instruction to the patient and/or caregiver in the use of the pump at home.
  • Documents nursing assessments, patient teaching and fluid and medication administration in the patient chart.
  • Communicates all pertinent information and any interventions to the physician.
  • Assures nursing charges are accurate and complete on patient fee slips.
  • Acts as a resource person to the medical assistants.
  • Triages patient phone calls as needed and documents relevant information in the patient's chart.
  • All other duties as assigned.

Requirements
  • Graduate from accredited for professional nursing education, BSN preferred.
  • Minimum of one (1) year nursing experience, preferably in a an oncology environment.
  • RN state license and current registration with the State Board of Nursing.

EOE