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Prior Authorization Rn Jobs in Alabama (NOW HIRING)

American Traveler

Travel RN - Med/Surg

Huntsville, AL · On-site

... RN license, prior travel experience, and Level I trauma center background. Job Details • ... authorization forms, chart preparation, and phone triage, • Experienced in medication refills ...

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:

HeartPlace

Registered Nurse (3300)

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 ...

PRISM Vision Group

RN - Chemo

Foley, AL · On-site

Registered Nurse (RN) Southern Cancer Center is seeking a compassionate and skilled Registered ... Ensure pre-authorizations and consent forms are completed. * Modify doses based on assessments and ...

Avanta Care

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 ...

Graham Healthcare Group

NOTICE: Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Alabama

Prior Authorization Rn information

See Alabama salary details

$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 (3300)

Oneonta, AL • On-site

US Heart and Vascular
Health Care and Social Assistance • 11 - 50 employees
Learn more about US Heart and Vascularexternal

Other

Posted 10 days ago

Job description

Registered Nurse (3300)

BHC - Medical Drive Main - Birmingham, AL 35235

Overview

Position Type Full Time Job Shift Day Education Level Associates Degree Category Other Positions

Description

US Heart and Vascular is in need of a Registered Nurse to join our team at Brimingham Heart Clinic located in Birmingham, AL

Responsibilities:

  • Plan, implement, and coordinate patients' plans of care.
  • Make sure clinic notes are prepped properly by MA prior to clinic
  • Convey patient problems, abnormal results to MD
  • Relay test results and MD treatment plan to the patient
  • Document in EMR all required information for each visit to patient
  • Obtain pre-authorizations for medication, diagnostic testing, and hospital procedures.
  • Performs all other related duties as assigned and serves in whatever other capacity deemed necessary
  • May require travel to clinics in Gardendale, Pell City and Oneonta

Requirements:

  • Current Alabama State Nursing License

Why Choose Us?

  • Comprehensive benefits package
  • Monday-Friday schedule
  • CME allowance

About the Area:

Birmingham blends history, culture, and a growing job market. The city offers a mix of urban energy and Southern charm. Residents enjoy outdoor spaces, great food, and an affordable cost of living. It's a welcoming place with something for everyone.

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