ZipRecruiter

Log In

1

Prior Authorization Rn Jobs in Georgia (NOW HIRING)

SouthCoast Health

Prior Authorization

Savannah, GA

$16.75 - $22.25/hr

Cardiology Location: 1326 Eisenhower Drive, Savannah, GA SouthCoast Health Is Looking For A Full-time Prior Authorization (Medical Assistant/CNA) Representative For Our Cardiology Department ...

Curant Health

Prior Authorization Specialist

Smyrna, GA

$17.50 - $23.50/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Curant Health

Prior Authorization Specialist

Smyrna, GA

$18 - $24/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

Curant Health

Prior Authorization Specialist

Smyrna, GA · On-site

$18 - $24/hr

The Prior Authorization specialist responsibilities includes: taking in-bound calls from providers ... Registered Pharmacy Technician Why Work for Us? We offer competitive pay, paid holidays, benefits ...

US Tech Solutions

Licensed Vocational Nurse

Atlanta, GA · Remote

$25 - $27/hr

You will provide processing and communication of specialty medication prior authorization (PA ... Provide on-call after hours nurse availability for urgent PA requests. * Provide internal nurse ...

Oak St. Health

Registered Nurse

Atlanta, GA

$60.52K - $129.62K/yr

Registered Nurse We're building a world of health around every individual -- shaping a more ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

New

Oak Street Health

Registered Nurse

Decatur, GA

$60.52K - $129.62K/yr

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

Oak Street Health

Registered Nurse

Decatur, GA

$60.52K - $129.62K/yr

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

CVS Health

Registered Nurse

Decatur, GA

$60.52K - $129.62K/yr

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

SouthCoast Health

RN-Sign on Bonus

Savannah, GA

RN-Sign on Bonus (Full Time) Department: Cardiology Location: 1326 Eisenhower Drive, Savannah, GA ... Manage prior authorizations, medication refills, and post-visit follow-ups * Participate in quality ...

CVS Health

Registered Nurse

Decatur, GA · On-site

$60.52K - $129.62K/yr

Registered Nurse Company: Oak Street Health Role Description: The purpose of a Registered Nurse at ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

SouthCoast Health

RN-Sign on Bonus

Savannah, GA

RN-Sign on Bonus (Full Time) Department: Cardiology Location: 1326 Eisenhower Drive, Savannah, GA ... Manage prior authorizations, medication refills, and post-visit follow-ups * Participate in quality ...

next page

Showing results 1-20

People also search for

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Georgia

Prior Authorization Rn information

See Georgia salary details

$6

$35

$60

How much do prior authorization rn jobs pay per hour?

As of May 31, 2026, the average hourly pay for prior authorization rn in Georgia is $35.67, according to ZipRecruiter salary data. Most workers in this role earn between $26.59 and $42.21 per hour, depending on experience, location, and employer.

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 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 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.

More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in Georgia? The most popular types of Prior Authorization Rn jobs in Georgia are:
What are popular job titles related to Prior Authorization Rn jobs in Georgia? For Prior Authorization Rn jobs in Georgia, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Georgia look for? The top searched job categories for Prior Authorization Rn jobs in Georgia are:
What cities in Georgia are hiring for Prior Authorization Rn jobs? Cities in Georgia with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Georgia as of May 2026, with employment types broken down into 89% Full Time, 9% Part Time, and 2% Contract. Highlights an 96% In-person, and 4% Remote job distribution, with an average salary of $74,194 per year, or $35.7 per hour.
Prior Authorization

Prior Authorization

SouthCoast Health

Savannah, GA

$16.75 - $22.25/hr

Other

Medical, Dental, Vision, Life, Retirement, PTO

Posted 12 days ago

Job description

Prior Authorization (Full Time)
Department: Cardiology
Location: 1326 Eisenhower Drive, Savannah, GA
SouthCoast Health Is Looking For A Full-time Prior Authorization (Medical Assistant/CNA) Representative For Our Cardiology Department
Responsible for all the Prior Authorization for patient care. Prior Authorization representative is to provide timely review of authorization requests and ensure the requests meet national standards and contractual requirements. The prior authorization representative will prepare documentation using the online database to assist with obtaining the approvals.
Responsibilities:
  • Perform clinical reviews of authorization requests using appropriate criteria.
  • Provide accurate and complete documentation with rationale used to approve request.
  • Collaborate with various staff within provider networks and case management team coordinate patient care.
  • Participate in interdepartmental projects when needed.
  • Enter and maintain clinical information in multiple health management systems.
  • Communicates with hospitals and outpatient facilities.
  • Perform non-clinical duties as assigned by Supervisor.
  • Reports to work on a regular and consistent basis.
Qualifications:
  • Ability to exercise professionalism in dealing with all levels of personnel, patients and patients' families.
  • Ability to communicate clearly.
  • Ability to perform independently within departments policies and procedures.
  • Knowledge of medical terminology.
  • Knowledge of procedure (CPT) and diagnosis (ICD 10) coding.

Education/ Experience:
High school diploma. Two years medical office experience, strongly preferred.
Benefits:
Competitive salary, health, HSA, dental, vision, life, long term disability, 401(K) with employer contribution, voluntary insurance policies (i.e. critical illness, short term disability, life, identity theft). PTO, holidays, and bereavement leave.
EEO, DFW, MFVD.

Apply