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Prior Authorization Rn Jobs in Minnesota (NOW HIRING)

Medica

Utilization Management RN III

Minnetonka, MN · On-site

$70K - $120K/yr

LPN or RN Required. Perform other duties assigned. Key Responsibilities: * Medica's Utilization ... prior authorization requests and member case history in compliance with policies and procedures for ...

Nura Clinics

Intrathecal Pain Pump (Infusion) RN

Edina, MN · On-site

$1.8K - $2.5K/wk

The Intrathecal Pain Pump (Infusion) RN is involved in strategic planning and continuous quality ... Assists implant physicians in completing patient forms, and or insurance/prior authorization for ...

Newport Healthcare

RN -PHP

Maplewood, MN

$38 - $51/hr

The PHP RN is responsible to assess, plan, implement, evaluate, and supervise nursing care of ... Obtains insurance pre-authorizations for medications and tracks prior authorizations in clinics.

Newport Healthcare

RN -PHP

Maplewood, MN · On-site

$38 - $51/hr

The PHP RN is responsible to assess, plan, implement, evaluate, and supervise nursing care of ... Obtains insurance pre-authorizations for medications and tracks prior authorizations in clinics.

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Minnesota

Prior Authorization Rn information

See Minnesota salary details

$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Aug 4, 2026, the average hourly pay for prior authorization rn in Minnesota is $41.37, according to ZipRecruiter salary data. Most workers in this role earn between $30.87 and $48.99 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 Minnesota? For Prior Authorization Rn jobs in Minnesota, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Minnesota look for? The top searched job categories for Prior Authorization Rn jobs in Minnesota are:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Minnesota as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $86,059 per year, or $41.4 per hour.

Prior Authorization Specialist (MA or LPN)

Northfield Hospital & Clinics

Northfield, MN • On-site

$22.80 - $32.18/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 7 days ago

Northfield Hospital + Clinics rating

8.0

Company rating: 8.0 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

 
Job Title
Prior Authorization Specialist (MA/LPN)
 
Summary
The Prior Authorization Specialist (MA/LPN) is responsible for managing the end-to-end prior authorization (PA) process for medications. This role ensures timely submission, tracking, and resolution of PA requests while maintaining accurate documentation and communication with providers, nursing staff, pharmacies, and patients. The Specialist assumes primary responsibility for PA workflow management, escalating clinical decisions or licensing-dependent tasks to the appropriate RN or provider when required.
 
Compensation
We are committed to providing wage ranges for all open positions. Compensation for this role will be determined based on experience, education, and internal equity considerations. The hourly wage range for this position is: Medical Assistant: $21.08–$29.76 per hour; Licensed Practical Nurse (LPN): $22.80–$32.18 per hour. These ranges reflect the base pay for each position.
 
Key Accountabilities
  • Manage and track medication prior authorization requests from start to finish to ensure timely completion
  • Monitor and maintain work queues to ensure timely follow-up and completion of all requests.
  • Coordinate communication between providers, pharmacies, payers, and patients to facilitate the authorization process.
  • Gather and submit required documentation and respond to payer inquiries or additional information requests.
  • Process and document authorization outcomes, including approvals, denials, and appeals.
  • Collaborate with providers on next steps related to denials and alternative treatment options.
  • Maintain accurate, compliant documentation across all systems and workflows.
  • Identify and escalate issues requiring clinical judgment or licensure as appropriate.              
  • May provide backup support for direct patient care activities as needed to support clinic operations. Responsibilities may include preparing exam and treatment rooms, assisting with patient intake and rooming, obtaining and documenting vital signs, administering medications per policy, assisting providers during exams and procedures, performing ordered clinical tasks, collecting lab specimens, and ensuring completion of provider orders. May also support communication of patient information and test results, escalate urgent patient needs to appropriate staff, and assist in maintaining equipment readiness, supply levels, and proper cleaning and sterilization of instruments.
Required Qualifications
  • Must be over 18 years of age
  • High School Diploma or equivalent
  • LPN or MA (Non-Certified/Non-Registered applicants must have graduated from an accredited school with a clinical externship and provide proof of school completion.)
  • Current American Heart Association BLS for Healthcare Providers Certification (or obtain within six months of hire)
Preferred Qualifications
  • CMA or RMA preferred
  • One year of clinical practice experience
  • Ability to communicate effectively in both written and verbal English
  • Electronic medical record experience
Schedule
  • 64 hours per two-week pay period (0.8 FTE)
  • Monday-Friday, 8:00am-4:30pm
Benefits
  • Eligible for Shift Differential Pay in addition to base wage
  • Paid Time Off accrued starting on first paycheck
  • Medical, Dental, and Vision (discount plan) coverage
  • Flexible Spending Accounts
  • Life, AD&D, and Disability Insurance
  • Pension Plan (PERA) with 7.5% employer match
  • Optional 457(b) Retirement Plans
  • Tuition Reimbursement
  • Loan Forgiveness Eligibility – PSLF + MN state programs for qualifying roles
  • Employer-Provided Certifications + Continuing Education
  • Additional perks: Free On-Site Parking, Qualified Bilingual Staff Program, Employee Assistance Program, and discounts on cafeteria, scrubs, and OTC pharmacy items
 
About Us
Northfield Hospital + Clinics is a trusted, independent healthcare system with more than 800 employees. We’re recognized for our collaborative work environment and strong commitment to high-quality patient care and community impact. We’re proud to be named to Becker’s 2025 list of "100 Great Community Hospitals." Our services span the full spectrum of hospital and clinical care, with our main hospital located in Northfield, MN, and primary and specialty clinics in Northfield, Lakeville, Farmington, Faribault, and Kenyon—along with Urgent Care locations in Northfield, Lakeville, and Farmington. We offer care across 48 specialties and serve patients at 22 locations throughout the south metro and southern Minnesota.
 
Whether you're just starting your career or bringing years of experience, you'll find meaningful opportunities, supportive teams, and a chance to make a real difference here.
 
 
*This posting is not a complete list of duties or responsibilities. Job functions, schedules, and terms of employment may change in accordance with applicable laws, policies, and agreements.

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