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Prior Authorization Rn Jobs in Idaho (NOW HIRING)

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Prior Authorization Rn information

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$7

$39

$67

How much do prior authorization rn jobs pay per hour?

As of Aug 16, 2026, the average hourly pay for prior authorization rn in Idaho is $39.75, according to ZipRecruiter salary data. Most workers in this role earn between $29.62 and $47.07 per hour, depending on experience, location, and employer.

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.

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.
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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Idaho as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $82,674 per year, or $39.7 per hour.

RN/LPN Triage- Meridian Peds

Primary Health Medical Group

Meridian, ID • On-site

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 16 days ago

Primary Health Medical Group rating

5.9

Company rating: 5.9 out of 10

Based on 11 frontline employees who took The Breakroom Quiz

Job description

RN/LPN Triage- Meridian Peds
Summary
Title: RN/LPN Triage- Meridian Peds ID: 5396 Location: Meridian Pediatrics - 3280 E. Lanark Drive Meridian, ID 83642 Status: Casual Schedule: Friday 8 am- 5 pm Posting Date: 07/27/2026
Description
You.
You bring a smile, compassion, and your love for children to your work as an RN/LPN Triage Nurse in Pediatrics.
You enjoy working with kids and their families.  You have great communication skills.  You know how to have fun.
You're great at what you do, but you want to be a part of something even greater.  Because while you believe in the strength of the individual, you know the power of the team is invincible.
Us.
Primary Health Medical Group is Idaho's largest independent medical group, specializing in family practice and urgent care.  With multiple locations throughout the Treasure Valley, we are able to offer patient-centered care where medical decisions respect the unique needs of each patient and their families.

Benefits are one of the ways we support and encourage the health and well-being of you and your family.  But health is more than just physical.  We promote a positive work-life balance and offer flexible scheduling options.  We provide a comprehensive benefits package available to most employees, which includes:
 

  • Medical coverage with a broad range of plans to offer more personalized coverage
  • Dental coverage with two plan options
  • Voluntary vision insurance
  • Life, disability, and long-term care insurances
  • 401(k) with an employer match
  • Employee Assistance Program (EAP) available to all employees and their dependents at no cost
  • Generous paid time off (based on position hours)
  • Bonus opportunities

We.
Together we'll align our mission, service standards, workplace, and careers.
We will flourish with teamwork, celebrate our company culture, and encourage an atmosphere of positivity and fun.
We will strive to be the medical provider of choice, offering continuity of care and expanding to meet the needs of a growing community.  We will do this together as a team with integrity and respect for our patients and each other.
Your day.
As an RN/LPN Triage Nurse in Pediatrics, you need to know how to:
 
  • Assist the Back Office in managing patient flow, paperwork, and customer service
  • Provide clinical triage/communication as defined by protocol or per provider instruction
  • Assist providers in casting, bracing, and injections
  • Provide quality customer service
  • Perform tests and procedures as ordered
  • Accurately document patient encounters and interventions performed
  • Relay provider instructions to patients
  • Assist with all non-direct patient care tasks (autoclaving, stocking rooms, filing, mailing, etc.)
  • Work Pediatric triage "buckets" for all Pediatric providers and Pediatric prior authorizations
  • Administer Pediatric immunizations
  • Update newborn screening cards
  • Assist Front Office staff in managing details of patients, schedules, and referrals
  • Other duties as assigned

Your experience.
We hire people, not resumes.  But we also expect excellence, which is why we require:
 
  • RNs and LPNs to have a current license from the Idaho Board of Nursing
  • Venipuncture skills
  • Previous clinical experience preferred
  • Previous experience with pediatric catheters preferred
  • Previous experience with pediatric immunizations preferred
  • Customer service-oriented attitude/behavior
  • Computer proficiency and ability to use applicable software as required to perform the essential functions of the job
  • Recommended vaccines to include annual Influenza, Hep B, TDaP, MMR, Varicella, and TB

Your next move.
Now that you know more about being an RN/LPN Triage Nurse in Pediatrics, we hope you'll join us.  At Primary Health, you will reaffirm your love for this work and why you were called to it.

Primary Health Medical Group is a Drug-Free and Smoke-Free Workplace. Employment is contingent upon successfully completing a background check and drug screening. While not mandatory, we strongly recommend that new hires stay current on vaccinations, such as the annual Influenza vaccine, and request that proof of immunization be provided or scheduled within two weeks of the start date.

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