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Prior Authorization Rn Jobs in Idaho (NOW HIRING)

HealthTrust Workforce Solutions - Full Time

ID · On-site

$35 - $45/hr

... prior to dialysis treatment. · Nurses are responsible for assessing frequent blood pressure, heart rate, and other symptoms to ensure that proper hemodynamics are maintained throughout the treatment ...

Ardent Health

Registered Nurse / RN Dialysis

Pocatello, ID · On-site

  • Medical

  • PTO

Dialysis Hemo Unit Registered Nurse (RN) Join our team as an evening shift, full-time Dialysis Hemo ... BLS certification must be obtained within 14 days of hire or transfer into the role and prior to ...

Brad Hall Companies

Registered Nurse

Idaho Falls, ID · On-site

$26.50 - $36/hr

Registered Nurse J4K UC Idaho Falls - Idaho Falls, Idaho 83404 Overview Salary Range $26.50 - $36 ... Takes patient history and obtains vital signs prior to provider seeing the patient. * Performs ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Idaho

Prior Authorization Rn information

See Idaho salary details

$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.

Registered Nurse / RN Pediatrics

Portneuf Health

Pocatello, ID • On-site

Full-time

Medical, PTO

Re-posted 12 hours ago

Job description

Overview
Join our team as a night shift, full-time, Pediatric Registered Nurse in Pocatello, ID.
Why Join Us?
Thrive in a People-First Environment and Make Healthcare Better
  • Thrive: We empower our team with career growth opportunities, tuition assistance, and resources that support your wellness, education, and financial well-being.
  • People-First: We prioritize your well-being with paid time off, a comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
  • Make Healthcare Better: We use advanced technology to support our team and enhance patient care.

Get to Know Your Team:
  • Portneuf Medical Center is a nationally recognized healthcare leader with 205 beds, serving as the region's tertiary care and Level II Trauma Center, housing the Portneuf Heart and Vascular Institute, Portneuf Cancer Center, Portneuf Medical Group, and Portneuf Air Rescue.

Responsibilities
  • Pediatrics nurses are Registered Nurses (RN) who provide direct care to patients who range in age from newborn to geriatric.
  • Patients include medical-surgical, oncology, as well as pediatric patients requiring moderate sedation for special procedures and testing.
  • Staff ratio is 1-3 patients according to the acuity of the patient.
  • The nurse reports to the Pediatric charge nurse.
  • Pediatric RN organizes care delivery by prioritizing, delegating, delivering, evaluating, and communicating with all necessary providers and ancillary departments on an ongoing basis.

Qualifications
Job Requirements:
  • Associate or bachelor's degree from an accredited school of nursing
  • Current RN licensure in the state of Idaho
  • BLS certification must be obtained within 14 days of hire or transfer into the role and prior to providing direct patient care.
  • Obtain PALS certification within 1 year of hire
  • Obtain ONS certification within 1 year of hire.

Preferred Job Requirements:
  • At least one year of acute care experience

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