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Prior Authorization Rn Jobs in Georgia (NOW HIRING)

SouthCoast Health

RN-Sign on Bonus

Savannah, GA

SouthCoast is Looking for a Full-Time RN For Our Outpatient Cardiology Department Sign-on Bonus $1 ... Manage prior authorizations, medication refills, and post-visit follow-ups * Participate in quality ...

SouthCoast Health

RN-Sign on Bonus

Savannah, GA · On-site

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

$60K - $129K/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

Atlanta, GA · On-site

$60K - $129K/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 · On-site

$60K - $129K/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

$60K - $129K/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 · On-site

$60K - $129K/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

Atlanta, GA · On-site

$60K - $129K/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

Atlanta, GA

$60K - $129K/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

$60K - $129K/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

Atlanta, GA

$60K - $129K/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

$60K - $129K/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

Atlanta, GA · On-site

$60K - $129K/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 ...

Healthcare Support Staffing

RN Case Manager

Atlanta, GA · On-site

Are you an experienced Registered Nurse looking for a new opportunity with a prestigious healthcare ... Prior Authorization experience from another managed care company or hospital Experience with ...

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 ...

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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 Jul 14, 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 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
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:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Georgia as of July 2026, with employment types broken down into 87% Full Time, and 13% Part Time. Highlights an 94% In-person, and 6% Remote job distribution, with an average salary of $74,194 per year, or $35.7 per hour.
RN-Sign on Bonus

RN-Sign on Bonus

SouthCoast Health

Savannah, GA

Full-time

Re-posted 16 days ago

Job description

SouthCoast is Looking for a Full-Time RN For Our Outpatient Cardiology Department

Sign-on Bonus $1,000

Mon-Fri; no weekends, evenings & holidays

SouthCoast Health is a nationally recognized, physician-owned medical group serving the Coastal Georgia region. With a team-focused environment and a mission to deliver high-quality, compassionate healthcare, we are looking for a Registered Nurse (RN) to support our busy outpatient Cardiology department in Savannah, GA.

Overview:

As a Cardiology RN, you will play a key role in providing specialized nursing care to patients with cardiovascular conditions in an outpatient clinic setting. The RN will collaborate closely with cardiologists and clinical staff to manage patient care from intake through follow-up, supporting diagnostic and treatment plans with both technical skill and compassionate communication.

Requirements: Active Georgia RN or Compact Nursing licensure. Current BLS/CPR Certification.

Key Responsibilities:

  • Coordinate and deliver nursing care to patients with cardiac conditions including heart failure, arrhythmias, and hypertension
  • Prepare patients for cardiac diagnostics and procedures (e.g., stress tests, EKGs, Holter monitoring)

  • Triage patient phone calls and symptom reports, escalating urgent issues as needed

  • Assist providers with examinations and monitor for adverse reactions to medications or treatments

  • Educate patients and families about medications, procedures, and cardiac lifestyle management

  • Ensure accurate documentation in the electronic health record (EHR)

  • Monitor lab and diagnostic results and communicate findings with the clinical team

  • Manage prior authorizations, medication refills, and post-visit follow-ups

  • Participate in quality improvement initiatives and team meetings

Education/ Experience: Graduate of an accredited school of Registered Nursing. BSN preferred.

Minimum of one-year clinical experience, preferably in a hospital or office practice setting.

What We Offer: Competitive compensation, health, FSA/HSA, dental, vision, life, long term disability, 401(k) along with employer contribution, supplemental insurance policies. PTO, holidays and supportive team environment.

EEO, DFW, MFVD