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Prior Authorization Rn Jobs in Colorado (NOW HIRING)

CVS Health

Registered Nurse

Denver, CO · 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 ...

Oak Street Health

Registered Nurse

Denver, CO · 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 ...

CVS Health

Registered Nurse

Denver, CO · 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 ...

Oak Street Health

Registered Nurse

Denver, CO · 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 ...

Oak St. Health

Registered Nurse

Denver, CO · On-site

Registered Nurse We're building a world of health around every individual -- shaping a more ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Griffith Centers

Registered Nurse

Colorado Springs, CO · On-site

$45 - $55/hr

... Registered Nurse (RN) to join our adult services team at our Colorado Springs location.Griffith ... Complete nursing assessments, prior authorizations, individualized healthcare plans, and required ...

TNAA TotalMed RN

Travel Nurse RN - Telemetry

Aurora, CO · On-site

$2.0K - $2.8K/wk

TNAA TotalMed RN is seeking a travel nurse RN Telemetry for a travel nursing job in Aurora ... While additional support is provided, candidates must be comfortable with and have prior experience ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Colorado

Prior Authorization Rn information

See Colorado salary details

$7

$44

$75

How much do prior authorization rn jobs pay per hour?

As of Aug 22, 2026, the average hourly pay for prior authorization rn in Colorado is $44.42, according to ZipRecruiter salary data. Most workers in this role earn between $33.12 and $52.60 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 Colorado as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 16% Part Time, 2% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $92,394 per year, or $44.4 per hour.

TEMP Outpatient RN Case Manager - Remote

Valley View Regional Hospital

Glenwood Springs, CO • Remote

$39.96 - $59.95/hr

Full-time

Retirement

Posted 2 days ago

New

Job description

Valley View is seeking a TEMPORARY Remote Outpatient RN Case Manager to assist Valley View outpatients and their families in the overall Management of their plan of care across the continuum, to include prior authorizations. 

Temporary position is from Mid-September to Mid-December.  

SCHEDULE: 40-hours per week.

QUALIFICATIONS:

  • Graduate of an accredited or state board of nursing approved Registered/Professional Nursing program
  • State licensure as a Registered Nurse (RN).
  • Minimum of 2 year's RN Case Management Experience is required.  
  • For this remote position - prefer applicants who will be working from residence in Colorado.

Benefits:

  • Non-benefitted temporary position.
  • 401(a) and 403(b) plans

Application Submission End Date

  • Application window will close upon successful hire of qualified candidate. 

Apply