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Prior Authorization Rn Jobs in Louisiana (NOW HIRING)

US Tech Solutions

Registered Nurse

Baton Rouge, LA · On-site

As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty ... Registered Nurse with current license in LA state of employment. Additional licensure may be ...

Oak Street Health

Registered Nurse

New Orleans, LA

$54K - $116K/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

New Orleans, LA · On-site

$54K - $116K/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 St. Health

Registered Nurse

New Orleans, LA · On-site

$54K - $116K/yr

Registered Nurse We're building a world of health around every individual -- shaping a more ... prior authorizations. * Conduct thorough and accurate reviews of patient medications and update as ...

CVS Health

Registered Nurse

New Orleans, LA · On-site

$54K - $116K/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

Chef Menteur, LA

$54K - $116K/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

New Orleans, LA · On-site

$54K - $116K/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 ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Louisiana

Prior Authorization Rn information

See Louisiana salary details

$6

$36

$61

How much do prior authorization rn jobs pay per hour?

As of Aug 13, 2026, the average hourly pay for prior authorization rn in Louisiana is $36.12, according to ZipRecruiter salary data. Most workers in this role earn between $26.92 and $42.74 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 Louisiana as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $75,138 per year, or $36.1 per hour.

Prior Authorization Specialist

Bayou Bend Health System

Franklin, LA • On-site

$14.50 - $19.50/hr

Other

Posted 14 days ago

Job description

Prior Authorization Specialist

The primary function of the Prior Authorization Specialist is to support the physician and interdisciplinary team in facilitating patient care with the underlying objective of enhancing the quality of clinical outcomes and patient satisfaction while managing the cost of care and providing timely and accurate information to payors.

Responsibilities and Accountabilities
  • Efficiently obtain authorizations for procedures to be performed prior to patients being scheduled.
  • Verify insurance for in-network or out-of-network eligibility and benefits.
  • Pre-certify services include surgery, office visits, diagnostic testing, and any procedure that requires authorization.
  • Maintain referral and authorization record documentation.
  • Consult with physicians, nurses, staff and providers regarding the referral and pre-certification process.
  • Monitor outstanding authorization requests and initiate follow up of outstanding authorizations in a timely manner.
  • Prepare and submit appeals on behalf of patients. Accept, handle, and process incoming patient telephone inquiries using appropriate customer services skills.
  • Assists in routine clerical functions such as faxing, scanning, and updating patient records.
  • Communicate with patients to obtain information required to process prescriptions, refills, access benefits and authorizations.
  • Obtain prior authorizations; initiate request, follow up to provide additionally required information, track progress, and expedite responses from insurance carriers and other payers, and maintain contact with customers to keep them continuously informed.
  • Review for accuracy of prescribed treatment regimen prior to submission of authorization.
  • Facilitate appeals process between the patient, physician and insurance company if needed.
  • Composes clinical appeals letters based on specific denial reason and patients' clinical presentation.
  • Ensures all clinical information and documentation are obtained prior to appeal submission.
  • Completes status check with insurance company regarding receipt of prior authorization and appeal and approval or denial.
  • Track, report, and escalate service issues arising from requests for authorizations, financial assistance or other issues that delay services.
  • Works closely with Clinic staff, Admitting, Case Management, and Surgery Department.
  • Performs other related duties as requested or assigned.

Education/Qualifications/Experience

  • Requires an LPN License in the State of Louisiana.
  • BLS Certification required upon hire.
  • MOAB Certification preferred

Equal Employment Opportunity Statement It is the policy of Bayou Bend Health System to provide equal opportunity to all employees and applicants without regard to race, color, religion, national origin, sex, age, disability, or any other regard as required by law. This policy relates to recruitment, employment, placement, layoffs and recall, promotion/demotion, discipline, transfer, termination, rates of pay and/or all other forms of compensation, training and development, use of facilities, and participation in hospital sponsored activities. Drug Testing Bayou Bend Health System is an alcohol and drug free workplace. As a condition of employment all candidates must undergo and pass a post-offer drug screen. Failure to participate in the mandatory drug screen will void all offers of employment.

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