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Prior Authorization Rn Jobs in Florida (NOW HIRING)

Premise Health

Registered Nurse, RN

Kissimmee, FL · On-site

As a Full Time Registered Nurse , you'll provide care to client employees in our Health Center ... Great benefits package with generous PTO What You'll Do • Review and process prior authorization ...

USHP

Registered Nurse- Cardiology

Stuart, FL · On-site

The Registered Nurse provides professional nursing care in a cardiovascular or specialty outpatient ... Manage medication refill workflows, prescription routing, and prior authorization support for ...

USHP

Registered Nurse- Cardiology

Jupiter, FL · On-site

The Registered Nurse provides professional nursing care in a cardiovascular or specialty outpatient ... Manage medication refill workflows, prescription routing, and prior authorization support for ...

Pineapple Healthcare

Registered Nurse

Kissimmee, FL · On-site

The registered nurse plays a vital role in coordinating patient care, supporting providers ... Support medication prior authorizations, referrals, specialty medications, and continuity of care ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Florida

Prior Authorization Rn information

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$5

$31

$53

How much do prior authorization rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for prior authorization rn in Florida is $31.57, according to ZipRecruiter salary data. Most workers in this role earn between $23.51 and $37.36 per hour, depending on experience, location, and employer.

What do prior authorization nurses do?

Prior authorization nurses review medical documentation and communicate with healthcare providers and insurance companies to obtain approval for specific treatments, medications, or procedures. They ensure that requests meet insurance criteria, often using electronic health records and authorization systems, to facilitate timely patient care.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

How to make $300,000 as a nurse?

A Prior Authorization RN can increase earnings by gaining specialized certifications, working in high-paying healthcare settings, or taking on overtime and extra shifts. Developing expertise in insurance processes and healthcare regulations can also lead to higher-paying roles or consulting opportunities.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on overtime shifts, working in high-demand specialties, or obtaining certifications to qualify for higher-paying roles. Additionally, freelance consulting or remote review work can provide supplementary income outside regular hours.

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
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Prior Authorization Rn jobs near you
Registered Nurse, RN

Registered Nurse, RN

Premise Health

Kissimmee, FL • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 18 days ago

Premise Health rating

8.0

Company rating: 8.0 out of 10

Based on 43 frontline employees who took The Breakroom Quiz

88th of 884 rated healthcare providers

Job description

Premise's mission is to help people get, stay, and be well. We hope you will join us in our mission and experience why amazing health starts with amazing healthcare. For more information, visit www.jobs.premisehealth.com.
As a Full Time Registered Nurse, you'll provide care to client employees in our Health Center located in Lake Buena Vista, FL.
Job Highlights
  • Collaborative, fun, and supportive team culture focused on exceptional patient care
  • Full-time role with comprehensive benefits and a schedule that supports work-life balance
  • Monday through Friday: 8:00am-4:30pm
  • Great benefits package with generous PTO

What You'll Do
• Review and process prior authorization requests accurately and efficiently
• Ensure all clinical documentation is complete and submitted appropriately
• Follow up on pending authorization determinations and status updates
• Review discharge reports and identify patients needing transition-of-care support
• Conduct post-discharge outreach calls to patients
• Address patient questions, concerns, and care coordination needs
• Coordinate and schedule follow-up appointments with providers as needed
• Collaborate closely with providers and interdisciplinary care teams to ensure continuity of care
• Identify and help resolve gaps in care and communication barriers
• Maintain timely and accurate EMR documentation
• Manage a high volume of tasks and patient coordination activities in a fast-paced environment
• Support efficient communication between patients, providers, and care team members in a non-patient-facing role
What You'll Bring
  • Certificate from an accredited Nursing School or associate degree (A.S.) is required; Bachelor's degree (BSN) from four-year college or university is preferred
  • Currently licensed Registered Nurse in state of practice required
  • Current certification with hands-on training in AHA, ARC or equivalent Basic Life Support for health care providers is required; Advanced Cardiac Life Support may also be required based on contract scope of services
  • At least three years of experience as a Registered Nurse in an emergency room, occupational health clinic or other ambulatory care clinic

Work-life balance is at the foundation of how decisions are made and where Premise is headed. We can only help people get, stay, and be well if we do the same for ourselves. In addition to competitive pay, Premise offers full-time team members benefits including medical, dental, vision, life and disability insurance, a 401(k) program with company match, paid holidays and vacation time, a company-sponsored wellness program, EAP, access to virtual primary care and virtual behavioral health at no cost for team members and their dependents. Additional benefits can be viewed here: https://jobs.premisehealth.com/benefits.
Premise is an equal opportunity employer; we value inclusion and do not discriminate based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including pregnancy and related conditions), gender identity or expression, sexual orientation, age, physical or mental disability, genetic information, past, current or prospective service in the uniformed services, or any other characteristic protected under applicable federal, state, or local law.
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About Premise Health

Sourced by ZipRecruiter

Premise Health is the world's leading direct healthcare provider and one of the largest digital providers in the country, serving over 11 million eligible lives across more than 2,500 of the largest commercial and municipal employers in the U.S. Premise partners with its clients to offer fully connected care - in-person and in the digital environment. It operates more than 800 onsite and nearsite wellness centers in 45 states and Guam, delivering care through the Digital Wellness Center and onsite, nearsite, mobile, and event solutions. Premise delivers value by simplifying complexity and breaking down barriers to give diverse member populations access to convenient, integrated, high-quality care. We offer more than 30 products, delivering the breadth and depth of care required to serve organizations' total populations. The result is healthcare that meets the needs of members and their families, helping them live healthier while lowering costs for organizations.

Industry

Health care and social assistance

Company size

5,001 - 10,000 Employees

Headquarters location

Brentwood, TN, US

Year founded

1975

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