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Prior Authorization Rn Jobs in Connecticut (NOW HIRING)

Aveanna Healthcare

Registered Nurse (RN)

Stamford, CT · On-site

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (Rn)

Bristol, CT · On-site

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (RN)

Stratford, CT · On-site

Registered Nurse - RN Schedule : 2:30p-11p OR 11p-8:30a Location/Setting: Stratford Age Range : 6-7 ... Six months prior hands-on nursing experience preferred but not required * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (RN)

Norwalk, CT · On-site

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

Affirmed Home Care

Pediatric RN

Enfield, CT · On-site

$55/hr

Pediatric Registered Nurse (RN) - Home Care Hartford County, CT | Per Diem | One-on-One Pediatric ... Authorized to work in the United States * Valid driver's license preferred * Physical examination ...

Affirmed Home Care, Inc.

Pediatric RN

Enfield, CT · On-site

$55/hr

Pediatric Registered Nurse (RN) - Home Care Hartford County, CT | Per Diem | One-on-One Pediatric ... Authorized to work in the United States * Valid driver's license preferred * Physical examination ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Connecticut

Prior Authorization Rn information

See Connecticut salary details

$7

$40

$68

How much do prior authorization rn jobs pay per hour?

As of Sep 13, 2026, the average hourly pay for prior authorization rn in Connecticut is $40.19, according to ZipRecruiter salary data. Most workers in this role earn between $29.95 and $47.55 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 Connecticut as of September 2026, with employment types broken down into 1% As Needed, 81% Full Time, 15% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $83,587 per year, or $40.2 per hour.

Psychiatric APRN: $5,000 Sign-on Bonus!

Middletown, CT • On-site

Root Center for Advanced Recovery
Health Care and Social Assistance • 201 - 500 employees
Learn more about Root Center for Advanced Recoveryexternal

$110K - $150K/yr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 9 days ago

Job description

Job Opportunity at Root Center for Advanced Recovery

At Root Center for Advanced Recovery, we build relationships that empower patients with the courage and ability to change by providing guidance and support throughout every step of recovery. We are caring, knowledgeable professionals who believe in honoring the potential of every individual while continually renewing ourselves, embracing new perspectives, and recognizing that progress is the destination. For more than 150 years, we have remained committed to inspiring hope and strengthening the communities we serve.

Position Summary

Under the administrative and clinical supervision of the Medical Director through a written supervision agreement, performs various patient care, physician support duties and tasks as required.

Salary Range: $110,000 - $150,000

Actual pay will be determined based on several factors. These may include education, work experience and in some instances, certifications. We strive for market alignment and internal equity with our colleagues' pay.

We offer a competitive compensation package designed to support your personal and professional well-being, including comprehensive medical, dental, and vision coverage, employer-paid life insurance and short-term disability, a generous retirement plan with up to a 10% employer contribution, four weeks of PTO, paid holidays (including your birthday), professional development funding and training days, annual bonus eligibility, excellent work-life balance with a 35-hour work week and no current on-call responsibilities, and eligibility for multiple NHSC Loan Repayment Programs.

Essential Functions
  • Provides mental health and addiction treatment services to patients in Middletown, CT clinic.
  • Provides continuity of care by arranging follow-up appointments, coordinating care with a team of social workers and counselors.
  • Provides care services including, but not limited to, initial evaluation, physical examination, and medication management, coordinating care with other providers, ordering labs and EKGs and obtaining information on adverse events.
  • Provides continuity of care by arranging follow-up appointments.
  • Administers medications, including but not limited to Esketamine (Spravato).
  • Obtains prior authorization for services, provides assessments and other testing as needed.
  • Prepares reports and participates in agency quality assurance activities.

Qualification Requirements

Current State of Connecticut certification and/or license as an Advanced Practice Registered Nurse. Active DEA controlled substance registration and an active Connecticut controlled substance registration. DATA 2000 Suboxone waiver, or willing to obtain one.

Special Responsibilities and Expectations

Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management, formally or informally, either verbally or in writing.

EEO Statement:

Root Center is committed to hiring and retaining a diverse workforce. Root considers applicants for employment without regard to, and does not discriminate on the basis of, an individual's sex, race, color, religion, age, disability, status as a veteran, or national or ethnic origin; nor does Root Center discriminate on the basis of sexual orientation or gender identity or expression.

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