Are you an experienced RN Prior Authorization looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company?
Are you an experienced RN Prior Authorization looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company?
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... Imaging and Prior Authorization Team Leader is a critical position within the Referral Department ...
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... Imaging and Prior Authorization Team Leader is a critical position within the Referral Department ...
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... Imaging and Prior Authorization Team Leader is a critical position within the Referral Department ...
Whether you're a nurse or physician providing direct care, a manager leading dedicated teams, or ... Imaging and Prior Authorization Team Leader is a critical position within the Referral Department ...
Clinical Appeals RN
Boston, MA · On-site
$28.94 - $51.83/hr
Defend MassHealth prior authorization decisions by utilizing program specific regulations, medical ... Unrestricted RN license required in the state of Massachusetts * 3+ years of Managed Care and/or ...
Clinical Appeals RN
Boston, MA · On-site
$28.94 - $51.83/hr
Defend MassHealth prior authorization decisions by utilizing program specific regulations, medical ... Unrestricted RN license required in the state of Massachusetts * 3+ years of Managed Care and/or ...
Clinical Appeals RN
Boston, MA · Remote
$28.94 - $51.83/hr
Defend MassHealth prior authorization decisions by utilizing program specific regulations, medical ... Unrestricted RN license required in the state of Massachusetts * 3 years of Managed Care and/or ...
Clinical Appeals RN
Boston, MA · Remote
$28.94 - $51.83/hr
Defend MassHealth prior authorization decisions by utilizing program specific regulations, medical ... Unrestricted RN license required in the state of Massachusetts * 3 years of Managed Care and/or ...
RN Pharmacy & Medication Coordinator
Andover, MA · On-site
$105K - $110K/yr
RN Pharmacy & Medication Coordinator Monday-Friday | Non-Bedside RN Role | No Clinical On-Call | ... Facilitate prior authorizations and medication-related communications * Communicate medication ...
Quick apply
RN Pharmacy & Medication Coordinator
Andover, MA · On-site
$105K - $110K/yr
RN Pharmacy & Medication Coordinator Monday-Friday | Non-Bedside RN Role | No Clinical On-Call | ... Facilitate prior authorizations and medication-related communications * Communicate medication ...
LPN /RN
Holyoke, MA · On-site
$34.33 - $53.81/hr
$5,000 SIGN-ON BONUS FOR FULL-TIME RN & LPN's WITH AT LEAST TWO YEARS OF EXPERIENCE AS AN RN or LPN ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...
LPN /RN
Holyoke, MA · On-site
$34.33 - $53.81/hr
$5,000 SIGN-ON BONUS FOR FULL-TIME RN & LPN's WITH AT LEAST TWO YEARS OF EXPERIENCE AS AN RN or LPN ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...
LPN /RN
Holyoke, MA · On-site
$34.33 - $53.81/hr
$5,000 SIGN-ON BONUS FOR FULL-TIME RN & LPN's WITH AT LEAST TWO YEARS OF EXPERIENCE AS AN RN or LPN ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...
LPN /RN
Holyoke, MA · On-site
$34.33 - $53.81/hr
$5,000 SIGN-ON BONUS FOR FULL-TIME RN & LPN's WITH AT LEAST TWO YEARS OF EXPERIENCE AS AN RN or LPN ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...
LPN /RN
Holyoke, MA · On-site
$34.33 - $53.81/hr
$5,000 SIGN-ON BONUS FOR FULL-TIME RN & LPN's WITH AT LEAST TWO YEARS OF EXPERIENCE AS AN RN or LPN ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...
LPN /RN
Holyoke, MA · On-site
$34.33 - $53.81/hr
$5,000 SIGN-ON BONUS FOR FULL-TIME RN & LPN's WITH AT LEAST TWO YEARS OF EXPERIENCE AS AN RN or LPN ... Manage Prior Authorization, Med Refills, Triage Call and voicemails * Conduct ambulatory nurse ...
Prior Authorization Technician - Pharmacy Technician
$18.50 - $22.50/hr
... prior authorizations, as well as collaborating with patients and various funding sources, such as ... We are seeking experienced, state registered pharmacy technicians. If the candidate lives in a ...
Quick apply
Prior Authorization Technician - Pharmacy Technician
$18.50 - $22.50/hr
... prior authorizations, as well as collaborating with patients and various funding sources, such as ... We are seeking experienced, state registered pharmacy technicians. If the candidate lives in a ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
The following job functions may not be the responsibility of all RN's. Some RN's will be assigned work that has more focused responsibilities (example: prior authorizations or indirect work ...
Busy Primary Care practice - Seabrook, NH RN will be administrative, triaging calls, prior authorizations, some patient care, patient education NH RN License & BLS required. BILH Coversheet Required ...
Quick apply
Busy Primary Care practice - Seabrook, NH RN will be administrative, triaging calls, prior authorizations, some patient care, patient education NH RN License & BLS required. BILH Coversheet Required ...
Registered Nurse - Clinic (Nursing) - BIDHC-CHESTNUT HILL THE STREET (CC_7039_52020)
Needham, MA · On-site
TravelDescription / Comment :RN - Chestnut Hill Internal Medicine-In Chestnut Hill MA- 40 hrs M-F- 8:30a-5p Busy Primary Care practice RN will be administrative, triaging calls, prior authorizations ...
Quick apply
Registered Nurse - Clinic (Nursing) - BIDHC-CHESTNUT HILL THE STREET (CC_7039_52020)
Needham, MA · On-site
TravelDescription / Comment :RN - Chestnut Hill Internal Medicine-In Chestnut Hill MA- 40 hrs M-F- 8:30a-5p Busy Primary Care practice RN will be administrative, triaging calls, prior authorizations ...
Registered Nurse II
Boston, MA · On-site
This RN II role provides direct care to clients at Center's outpatient clinic including but not ... The role also includes supporting medication refills, assisting with prior authorizations for ...
Registered Nurse II
Boston, MA · On-site
This RN II role provides direct care to clients at Center's outpatient clinic including but not ... The role also includes supporting medication refills, assisting with prior authorizations for ...
This RN II role provides direct care to clients at Center's outpatient clinic including but not ... The role also includes supporting medication refills, assisting with prior authorizations for ...
This RN II role provides direct care to clients at Center's outpatient clinic including but not ... The role also includes supporting medication refills, assisting with prior authorizations for ...
This RN II role provides direct care to clients at Center's outpatient clinic including but not ... The role also includes supporting medication refills, assisting with prior authorizations for ...
This RN II role provides direct care to clients at Center's outpatient clinic including but not ... The role also includes supporting medication refills, assisting with prior authorizations for ...
Registered Nurse
Holyoke, MA · On-site
$34.33 - $53.81/hr
... * Assist in prior authorizations, prescription refills, and adherence to clinical protocols ... Current license as a Registered Nurse within the Commonwealth of Massachusetts; current CPR ...
Registered Nurse
Holyoke, MA · On-site
$34.33 - $53.81/hr
... * Assist in prior authorizations, prescription refills, and adherence to clinical protocols ... Current license as a Registered Nurse within the Commonwealth of Massachusetts; current CPR ...
Registered Nurse
$34.33 - $53.81/hr
... * Assist in prior authorizations, prescription refills, and adherence to clinical protocols ... Current license as a Registered Nurse within the Commonwealth of Massachusetts; current CPR ...
Registered Nurse
$34.33 - $53.81/hr
... * Assist in prior authorizations, prescription refills, and adherence to clinical protocols ... Current license as a Registered Nurse within the Commonwealth of Massachusetts; current CPR ...
Registered Nurse
Holyoke, MA · On-site
$34.33 - $53.81/hr
... * Assist in prior authorizations, prescription refills, and adherence to clinical protocols ... Current license as a Registered Nurse within the Commonwealth of Massachusetts; current CPR ...
Registered Nurse
Holyoke, MA · On-site
$34.33 - $53.81/hr
... * Assist in prior authorizations, prescription refills, and adherence to clinical protocols ... Current license as a Registered Nurse within the Commonwealth of Massachusetts; current CPR ...
Prior Authorization Rn information
See Massachusetts salary details
$8.14 - $14.56
0% of jobs
$14.56 - $20.98
0% of jobs
$20.98 - $27.40
4% of jobs
$27.40 - $33.82
18% of jobs
$34.66 is the 25th percentile. Wages below this are outliers.
$33.82 - $40.24
20% of jobs
The median wage is $42.88 / hr.
$40.24 - $46.66
18% of jobs
$52.44 is the 75th percentile. Wages above this are outliers.
$46.66 - $53.08
16% of jobs
$53.08 - $59.50
10% of jobs
$59.50 - $65.92
6% of jobs
$65.92 - $72.34
4% of jobs
$72.34 - $78.76
3% of jobs
$8
$46
$78
How much do prior authorization rn jobs pay per hour?
As of Jul 31, 2026, the average hourly pay for prior authorization rn in Massachusetts is $46.14, according to ZipRecruiter salary data. Most workers in this role earn between $34.38 and $54.62 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?
| Aspect | Prior Authorization Rn | Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or utilization review | Certification in coding (CPC, CCS), no RN license required |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Medical offices, hospitals, insurance companies |
| Primary Responsibilities | Reviewing and obtaining prior authorizations for treatments and procedures | Translating 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 Massachusetts? The most popular types of Prior Authorization Rn jobs in Massachusetts are:
What are popular job titles related to Prior Authorization Rn jobs in Massachusetts? For Prior Authorization Rn jobs in Massachusetts, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Massachusetts look for? The top searched job categories for Prior Authorization Rn jobs in Massachusetts are:
What cities in Massachusetts are hiring for Prior Authorization Rn jobs? Cities in Massachusetts with the most Prior Authorization Rn job openings:
$30/hr
Full-time
Medical, Dental, Vision
Re-posted 11 days ago
Job description
Company Description
Why You Should Work For Us:
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
Are you an experienced RN Prior Authorization looking for a new opportunity with a prestigious healthcare company? Do you want the chance to advance your career by joining a rapidly growing company? If you answered "yes" to any of these questions - this is the position for you!
Daily Responsibilities: Â
Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
Educate providers on utilization and medical management processes
Hours for this Position:
Monday- Friday; 8AM-5PM
Pay rate starts at $30 per hour
Advantages of this Opportunity:Â
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Qualifications
RN licensure
Candidates must have a car- mass transportation in Boston doesn't go to Waltham
2+ years of clinical nursing experience
Some sort of Prior Authorization experience from either another managed care company or clinical setting
Additional Information
Interested in being considered?Â
If you are interested in applying to this position, please contact (Katleen Angala, 321-445-8243) and click the Green I'm Interested Button to email your resume.Â
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003