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Prior Authorization Rn Jobs in Arizona (NOW HIRING)

Mission Hospital

RN - Utilization Review

Tuba City, AZ · On-site

$2.5K/wk

The RN in this role works with healthcare providers, insurance companies, and patients to review ... prior authorization for treatments, procedures, or extended hospital stays. * Resolve any issues ...

UHS

Intake RN - PRN Night Shift

Scottsdale, AZ · On-site

The Intake RN also at times be responsible for the verification and prior authorization of insurance benefits as needed. Qualifications Job Requirements: * Current license to practice nursing in ...

UHS

Intake RN - PRN/Per Diem

Scottsdale, AZ · On-site

The Intake RN also at times be responsible for the verification and prior authorization of insurance benefits as needed. Qualifications Job Requirements: * Current license to practice nursing in ...

CVS Health

Registered Nurse- Bilingual

Tucson, AZ · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

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Showing results 21-40

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Arizona

Prior Authorization Rn information

See Arizona salary details

$6

$39

$67

How much do prior authorization rn jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for prior authorization rn in Arizona is $39.37, according to ZipRecruiter salary data. Most workers in this role earn between $29.33 and $46.59 per hour, depending on experience, location, and employer.

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.

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.

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.
More about Prior Authorization Rn jobs
What are popular job titles related to Prior Authorization Rn jobs in Arizona? For Prior Authorization Rn jobs in Arizona, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Arizona look for? The top searched job categories for Prior Authorization Rn jobs in Arizona are:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Arizona as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $81,883 per year, or $39.4 per hour.

Case Manager (Registered Nurse/RN)

Mi Casa Nursing Center

Mesa, AZ • On-site

Other

Medical, Dental, Vision, Life, Retirement

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

Job description

Sign on Bonus- $5,000


Benefits(full-time):  

  • Opportunities for career advancement and upward mobility into leadership roles 
  • 401(k) retirement plan with company match 
  • Vacation, six holidays, one personal day, and sick leave that begins accruing on day one
  • Life insurance, short/long term disability 
  • Medical, Dental, Vision, Health Savings Accounts 


This position is requiring the following- Previous experience in the following areas:

This position is looking for experience with transfer verification, insurance verification, discharge planning and prior authorizations and home discharge.

 

Position Summary

The RN Case Manager is responsible for the coordination of the patient’s care and services. Promotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of patients. Works together with the patient and family, care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting care team, payers, and external entities to promote a safe transition from the facility to the next provider or care setting in accordance with all applicable laws, regulations, and Life Care standards.

Education, Experience, and Licensure Requirements
  • Nursing diploma (associate’s or bachelor’s degree in nursing)
  • Currently licensed/registered in applicable State. Must maintain an active Registered Nurse (RN) license in good standing throughout employment.
  • One (1) year of clinical experience in post acute care setting preferred
  • Prior case management, utilization review, and discharge planning experience preferred
  • Certified Case Manager (CCM) or Board Certification in Nursing Case Management (RN BC) preferred
Specific Job Requirements
  • Generate written communication that is clear, concise, and well organized
  • Excellent organizational skills and be efficient in prioritizing and managing time and assignments
  • Contribute to the organization’s goals and objectives and support the organizational strategic plans
  • Expert knowledge in field of practice
  • Make independent decisions when circumstances warrant such action
  • Knowledgeable of practices and procedures as well as the laws, regulations, and guidelines governing functions in the post acute care facility
  • Implement and interpret the programs, goals, objectives, policies, and procedures of the department
  • Perform proficiently in all competency areas including but not limited to: patient rights, and safety and sanitation
  • Maintains professional working relationships with all associates, vendors, etc.
  • Maintains confidentiality of all proprietary and/or confidential information
  • Understand and follow company policies including harassment and compliance procedures
  • Displays integrity and professionalism by adhering to Life Care’s Code of Conduct and completes mandatory Code of Conduct and other appropriate compliance training
Essential Functions
  • Demonstrate efficient use of relevant computer systems including but not limited to the ability to enter and retrieve data
  • Serve as liaison to external case managers, family, physicians, and community resources
  • Train and education patients, families, associates, and other providers of care
  • Implement the standards of practice for care management, ethical performance, and functions relevant to coordination of care
  • Exhibit excellent customer service and a positive attitude towards patients
  • Assist in the evacuation of patients
  • Demonstrate dependable, regular attendance
  • Concentrate and use reasoning skills and good judgment
  • Communicate and function productively on an interdisciplinary team
  • Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours
  • Read, write, speak, and understand the English language

An Equal Opportunity Employer

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