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Prior Authorization Rn Jobs in Georgia (NOW HIRING)

Benchmark Human Services

RN Nurse Manager

Macon, GA · On-site

$85K - $95K/yr

The RN must be willing to flex schedule and travel according to the crisis needs. Since 1960 ... or reimbursement/prior authorization issues. * Assists in the development of competency-based ...

UHS

Intake RN

Savannah, GA · On-site

The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

Benchmark Human Services

RN Nurse Manager

Macon, GA

$85K - $95K/yr

The RN must be willing to flex schedule and travel according to the crisis needs. Since 1960 ... or reimbursement/prior authorization issues. * Assists in the development of competency-based ...

Benchmark Human Services

RN Nurse Manager

Macon, GA

$85K - $95K/yr

The RN must be willing to flex schedule and travel according to the crisis needs. Since 1960 ... or reimbursement/prior authorization issues. * Assists in the development of competency-based ...

UHS

Intake RN

Savannah, GA

The Intake RN works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

Crisp Regional

Nurse Navigator

Cordele, GA · On-site

Requires a current Georgia Nursing License as a Registered Nurse. * Experience: Requires up to one ... Initiate and monitor prior authorization through approval * Serve as liaison between Pharmacy and ...

Molina Healthcare

Registered Nurse

Savannah, GA · Remote

$29.05 - $67.97/hr

... prior authorizations. Includes standard and expedited cases, inpatient, outpatient, and ... Nurse (RN). License must be active and unrestricted in state of practice. Compact license is ...

Molina Healthcare

Registered Nurse

Atlanta, GA · Remote

$29.05 - $67.97/hr

... prior authorizations. Includes standard and expedited cases, inpatient, outpatient, and ... Nurse (RN). License must be active and unrestricted in state of practice. Compact license is ...

Molina Healthcare

Registered Nurse

Columbus, GA · Remote

$29.05 - $67.97/hr

... prior authorizations. Includes standard and expedited cases, inpatient, outpatient, and ... Nurse (RN). License must be active and unrestricted in state of practice. Compact license is ...

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Prior Authorization Rn information

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$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.
Nurse Navigator

Nurse Navigator

Crisp Regional Hospital, Inc.

Cordele, GA

Full-time

Posted 21 hours ago

Crisp Regional Hospital rating

6.1

Company rating: 6.1 out of 10

Based on 10 frontline employees who took The Breakroom Quiz

792nd of 990 rated hospitals

Job description

Position Summary:

Under the leadership of the Director, Pharmacy, the Nurse Navigator is an active member of the Oncology team that delivers medical staff services and office support consistent with the strategic vision, goals, philosophy and direction of the Oncology and Pharmacy Departments and CRHS. The Nurse Navigator fully administers, coordinates, and manages the Specialty Medications for patients receiving prescribed treatment regimens.

Basic Qualifications:

  • Education:

Requires a current Georgia Nursing License as a Registered Nurse.

  • Experience:

Requires up to one year of work-related on-the-job experience or any equivalent combination of education, training and experience.

  • Licensure, Registrations & Certifications:

Requires that within six months of hire to become Level I Certified Oncology Nurse (ONS) and to become Level II certified within one year (or as by ONS guidelines)

Essential Job Responsibilities:

  • Monitor all prescriptions for oral or specialty medications for Oncology
  • Ensure that prescriptions be sent to Crisp Regional Retail Pharmacy
  • Monitor and maintain patient refills
  • Track prescription process through delivery to patient, including delivery scheduling and ensuring receipt
  • Assume role as patient advocate
  • Complete and submit financial assistance documents for medications
  • Educate patients on all aspects of medications, including direction for use, potential side effects and indications in a manner in which is easy to understand
  • Obtain medical and prescription benefit coverage and upload into EHR
  • Initiate and monitor prior authorization through approval
  • Serve as liaison between Pharmacy and Oncology Department
  • Maintain shared spreadsheet to track all oncology claims between Pharmacy and Oncology

What Crisp Regional Hospital employees say

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