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Prior Authorization Rn Jobs in Colorado (NOW HIRING)

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$7

$44

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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.

PRN Registered Nurse, Implant/Pump - No Evenings or Weekends!!!

CPIhealth

Englewood, CO • On-site

$40 - $50/hr

Per diem

Re-posted 6 days ago

Job description

Description:

CPIhealth is a multidisciplinary team dedicated to providing compassionate and comprehensive care to individuals experiencing chronic pain. With state-of-the-art facilities, advanced technology, and a collaborative environment, we offer a platform for healthcare providers to excel in their specialties while making a profound difference in the lives of those we serve.


As you consider your next career move, we invite you to join us in redefining pain management through innovation, expertise, and a commitment to improving patient outcomes. Together, we can shape the future of healthcare and positively impact countless lives.


We have an immediate need for a qualified Implant/Pump Registered Nurse at a growing clinic in Greenwood Village, CO. The role involves complementing and enhancing the quality of service to our patients by providing information and direction in a professional, courteous, and timely manner.


The Implant/Pump RN is involved in strategic planning and continuous quality improvement by providing planning and development of patient care with implantable devices, intrathecal pain pumps and neurostimulation. Ensures and maintains patient care delivery in compliance with all local, state and federal regulations and department objectives. Assure adequate exchange of information and communication among teams. While this role is intended to serve at a particular CPIhealth location, it is within the company’s right to assign staff to other CPIhealth locations when there are staffing shortages.


Website: https://capitolpain.com


Essential Functions

  • Medical treatment coordination for prospective and/or current pump patients.
  • Performs pump refills under supervision of APP or Physician.
  • Able to treat post op pump/implant patients under the supervision of APP or Physician.
  • Performs staple/suture removal for post op patients under supervision of APP or Physician.
  • Manage intrathecal pump trials under the supervision of Physician.
  • Triage pump/implant calls.
  • Communicate with specific departments via tasking in EHR.
  • Works with APP and Physicians regarding pump medication prescriptions.
  • Education and collaboration of pump patients and family members from consult to post procedure.
  • Education of outside agencies and physician offices.
  • Work in a collaborative manner with device representatives to ensure quality care to all implant patients.
  • Assists implant physicians in completing patient forms, and or insurance/prior authorization for procedures or medications when applicable and document.
  • Helps develop and update implant templates and databases.
  • Accurate and complete EHR documentation.
  • Provides customers with courteous, friendly and efficient service.
  • Maintains patient confidentiality (HIPAA).
  • Assists with training of other implant staff related to the specific job duties.
  • Attends required staff, educational and training meetings.
  • Reads, follows and applies all appropriate procedures and protocols.
  • May be asked to work nights/weekends for after hour patient calls.
  • Performs other duties as assigned to support the mission, values, and strategies of CPIhealth.

This job description should not be interpreted as an exhaustive list of responsibilities or as an employment agreement between the employer and the employee. The above statements are intended to describe the general nature and level of work performed by employees assigned to this classification and are subject to change as the employer's needs and the job change.

Requirements:
  • Successful completion of an accredited Registered Nursing program.
  • ICU experience, home health and/or experience with infusion preferred.
  • Strong organizational, judgment, communication and analytical skills; sometimes under pressure.
  • Ability to multi-task and perform multiple priorities.
  • Cooperative and professional behavior toward patients, peers, providers, management and visitors.
  • Ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events).
  • Ability to promote favorable facility image with patients, providers, insurance companies and general public.
  • Ability to independently make decisions and solve problems within scope of licensure; ability to apply general rules to specific problems to produce answers that make sense.
  • Evidence of leadership qualities. Consistently contributing to the improvement of the department and participate in committee participation, task force, etc.
  • The ability to contribute in a team environment and to provide excellent customer service.
  • Working knowledge of Microsoft Office.

Licenses & Certifications

  • Current state registration as a Registered Nurse.
  • BLS certified or obtain certification within three months of hire.
  • ACLS certificated or obtain certification within the first year of hire.

Dress Code: Scrubs

Pay rate: $40/hour to $50/hour (depending on experience)

Schedule: PRN working approximately 3 days/week.

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