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Prior Authorization Rn Jobs in Kentucky (NOW HIRING)

Baptist Health

Medical Assistant Float

Louisville, KY

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Bardstown, KY · On-site

$15.50 - $20.75/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Elizabethtown, KY · On-site

$16.25 - $21.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Radcliff, KY · On-site

$16 - $21/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Hodgenville, KY · On-site

$14.50 - $19.25/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Bardstown, KY · On-site

$15.50 - $20.75/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Baptist Health

Medical Assistant Float

Louisville, KY · On-site

$17 - $22.50/hr

Certified Medical Assistants and licensed LPNs/RNs seeking a clinical support role in an outpatient ... Prior Authorization & Care Coordination * Gather and submit required documentation for prior ...

Phenom People

Registered Nurse

Wilmore, KY · On-site

The vaccine received must be one of the FDA-approved or FDA-authorized vaccines. Proof of ... prior to appointment for review and approval. This position, in Jessamine County, has an approved ...

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Showing results 21-40

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Kentucky

Prior Authorization Rn information

See Kentucky salary details

$6

$36

$62

How much do prior authorization rn jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for prior authorization rn in Kentucky is $36.69, according to ZipRecruiter salary data. Most workers in this role earn between $27.36 and $43.41 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.
More about Prior Authorization Rn jobs
What are popular job titles related to Prior Authorization Rn jobs in Kentucky? For Prior Authorization Rn jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Kentucky look for? The top searched job categories for Prior Authorization Rn jobs in Kentucky are:
What cities in Kentucky are hiring for Prior Authorization Rn jobs? Cities in Kentucky with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Kentucky as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 18% Part Time, 1% Temporary, and 4% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $76,315 per year, or $36.7 per hour.

Tele-Triage Registered Nurse - RN

BrightSpring Health Services

Louisville, KY • On-site

$35/hr

Other

This job post has expired today. Applications are no longer accepted.

BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

220th of 239 rated social care providers

Job description

Tele-Triage Registered Nurse - RN
Job Locations US-KY-LOUISVILLE | US-TX-SAN ANTONIO | US-GA-ATLANTA | US-NC-CHARLOTTE | US-IL-CHICAGO
ID 2026-193317 Line of Business Starting Point Nursing Services Position Type Part-Time Pay Min USD $33.00/Hr. Pay Max USD $35.00/Hr.
Our Company

Starting Point Nursing Services

Overview

Part Time Tele-Triage (Fully Remote) Registered Nurse Position:

*Must have compact state RN licensure from the state in which you currently reside

*Remote Triage & Home Health RN experience highly preferred

*Potential Start Date: 9/14/26

New Available PART TIME Schedules:

*Wednesday, 6p-10p CST (7p-11p EST) and Thursday, Friday & Saturday from 2p-10p CST (3p-11p EST)

This Registered Nurse provides On-Call and Triage for the assigned population in accordance with triage protocols. This position remotely develops/implements care plans for persons served in the area of responsibility. The Tele-Triage RN assesses health status, identifies problems and needs of person(s) served in their assigned caseload, develops nursing care plans in collaboration with operations RN's. You will complete chart reviews and monthly host home reviews and perform On-Bound calling to assigned populations/locations. This RN performs data analysis in multiple systems.

Responsibilities
    Monitor assigned phone lines during service hours to ensure timely response for caller needs
  • Triage all symptom-based calls and give recommendations according to the approved triage protocol
  • Triage patients by assessing severity of symptoms and referral to appropriate setting or level of care
  • Document in real time all care related recommendations and ensure local operations are notified of triage supports and outcomes
  • Initiate contact with acute care setting to coordinate services for clients receiving care in the ED/Hospital and coordinate the discharge planning; Notify operations of triage recommendations
  • Coordinate any medication orders with the assigned pharmacy and update MAR/QuickMar for appropriate administration
  • Work assigned prior authorizations to ensure timely documentation and submit to assigned pharmacy for billing
  • Complete/conduct assessment and reassessment of persons served as assigned
  • Develop/update care plans and determine persons served needs and secure physicians orders as needed
  • Communicate with beneficiaries primarily phone, text, online (web) chat, or email
  • Ensure compliance with state/local/payer requirements through review of documentation
  • Provide coaching and education related to the health and well-being of persons served
  • Participate in performance improvement activities and maintain ongoing clinical knowledge through internal/external training programs
  • Document above actions in Nurse's Notes or Service Delivery Log
  • Maintain time sheet log for weekly submission for productivity management to assigned supervisor
  • Notify each practice, physician, and/or managed care client of all encounters with patients, parents, or managed care clients regardless of follow-up needs before office opening
  • Notify designated leadership of operational concerns
  • Actively participate in applicable meetings and committees as requested (e.g., IDT, HRC, Safety/Quality committee, and annual person served directed/active treatment plan meetings)
Qualifications
  • Degree/certification from an accredited school of nursing
  • Current licensure as a Registered Nurse (RN) in the state of practice, which is current and remains in good standing. Must have a compact state RN license.
  • Clinical experience in providing services and supports to individuals with intellectual and developmental disabilities, home health and Hospice patients or related disorders
  • Two year Home Health nursing experience
About our Line of Business
Starting Point Nursing Services, an affiliate of BrightSpring Health Services, is staffed 100% by a team of remote registered nurses trained to support the post-acute continuum with clinical advice and interventions. Our 24/7 On-Call and Triage team responds to physician practices, home health agencies, intellectual disability providers, and assisted living providers. Our services are tailored to our partners, including remote physical/chart assessments, predictive care modeling, clinical programming interventions for high-risk populations, emergent care coordination, and case management. For more information, please visit www.startingpointnursing.com. Follow us on LinkedIn.
Salary Range
USD $33.00 - $35.00 / Hour

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