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Prior Authorization Rn Jobs in Minnesota (NOW HIRING)

Minnesota Jobs

Registered Nurse - RN

Saint Paul, MN · On-site

... prior authorizations, providing education and resources to patients and their families, and ... Registered Nurse (RN) licensed in the state of MN. Bachelor of Science in Nursing preferred.

Minnesota Urology P.A.

Registered Nurse

Woodbury, MN · On-site

$39.20 - $49/hr

Initiates prescription prior authorizations for patient medications.* Assists providers with ... QualificationsRegistered Nurse (RN) licensed in the state of MN. Bachelor of Science in Nursing ...

Minnesota Urology

Registered Nurse

Saint Paul, MN · On-site

$39.20 - $49/hr

... prior authorizations, providing education and resources to patients and their families, and ... Minimum Education Required Registered Nurse (RN) licensed in the state of MN. Bachelor of Science ...

Mercy

RN - Pediatrics

Anoka, MN · On-site

Clinic RN - Pediatrics (Part-Time) Location: Mercy Clinic Pediatrics Wildwood 16555 Manchester Road ... Support managed care, referral, prior authorization, and other clinical administrative processes.

Newport Academy

RN, Clinic

Minneapolis, MN · On-site

$35 - $46/hr

RN - Clinic The RN - Clinic collaborates with providers to coordinate psychiatric services ... Obtains insurance pre-authorizations for medications and tracks prior authorizations. * Leads and ...

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Prior Authorization Rn information

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$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Sep 13, 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 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.

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 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 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 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.

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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Minnesota as of September 2026, with employment types broken down into 1% As Needed, 71% Full Time, 25% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $86,059 per year, or $41.4 per hour.

MA / LPN - Remote Prior Authorizations

Bloomington, MN • On-site, Remote

Medix
Recruiting and Staffing Services • 1 - 5K employees
Learn more about Medixexternal

$25 - $28/hr

Full-time

Medical, Dental, Vision, Retirement

Posted 17 days ago

Job description

You are applying for a position through Medix, a staffing agency. The actual posting represents a position at one of our clients.
Job Summary
Our client is seeking a skilled Prior Authorization Nurse to assist with medication prior authorizations. The primary responsibilities include gathering and submitting clinical documentation, investigating coverage, tracking requests, handling denials/appeals, and coordinating with healthcare professionals to expedite approvals.
Key Responsibilities
  • Submitting Documentation: Gather clinical notes, lab results, and patient info, then fill out and submit PA forms to insurance companies, using electronic portals.
  • Investigating Coverage: Determine which treatments require authorization, check the insurer's specific requirements, and verify patient eligibility.
  • Tracking and Follow-Up: Actively monitor the status of submitted requests, responding to requests for additional information within designated timeframes.
  • Handling Denials/Appeals: Initiate the appeal process for denied medications, which may involve gathering additional supporting documentation from the physician.
  • Coordination: Communicate with pharmacists, prescribing physicians, and patients to resolve issues and expedite approval.

Qualifications
  • Must have one of the following: CMA from the AAMA, Active LPN license, or MA Diploma from an accredited program verified by the CAAHEP or ABHES.
  • 1 year of EPIC experience.
  • 1 or more years working on prior authorizations.

Preferred Skills
  • 2+ years of prior authorization experience.
  • Experience working in a fast-paced setting.
  • Experience with GLP1 prior authorization.

Schedule/Shift
Monday to Friday, 8 AM to 5 PM CST. Must be located in CST time zone.
Benefits
  • Paid Sick Leave (Medix provides paid sick leave according to state and local sick leave ordinances).
  • Health Benefits / Dental / Vision (Medix offers 6 different health plans: 3 Major Medical Plans, 2 Fixed Indemnity Plans (Standard and Preferred), and 1 Minimum Essential Coverage (MEC) Plan. Eligibility for health benefits is based on verifying that an average of 30 hours per week during the first 4 weeks of the work assignment has been met. If you meet eligibility requirements and take action to enroll, you will be covered no earlier than 60 days into your assignment, depending on plan selection(s)).
  • 401k (Eligible on the first 401k open enrollment date following 6 consecutive months on assignment. 401k Open Enrollment dates are 1/1, 4/1, 7/1, and 10/1).
  • Short Term Disability Insurance.
  • Term Life Insurance Plan.

The role is remote and offers the convenience of working from home.
Required Employment / Compliance Language
In accordance with federal and state disability laws, Medix will be available to discuss any necessary reasonable adjustments required to enable participation in this process.
* We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state, and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO), and the California Fair Chance Act (CFCA).
Medix Overview:
With over 20 years of experience connecting organizations with highly qualified professionals, Medix is a leading provider of workforce solutions for clients and candidates across the healthcare, scientific, technology, and government industries. Through our core purpose of positively impacting lives, we're dedicated to creating opportunities for job seekers at some of the nation's top companies. As an award-winning career partner, Medix is committed to helping talent find fulfilling and meaningful work because our mission is to help you achieve yours.
Any required state or Joint Commission training is compensated at the state or local minimum wage rate.
* As a job position within our Allied division, a successful completion of a background check may be required as a condition of employment. This requirement is directly related to essential job functions including but not limited to: providing direct patient care, accessing medical and confidential records, accessing and administering prescription medication or other drugs, working within a clinical setting, handling sharp instruments, conducting medical procedures, and working within departments that care for vulnerable populations, such as, minors, elderly and those with physical or mental disabilities. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.
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About Medix Staffing Solutions

Sourced by ZipRecruiter

Since 2001, we’ve been dedicated to helping you achieve your goals. Medix was created to become a leading provider of workforce solutions for clients and candidates across the healthcare and life sciences industries. Today, we are that leader. Headquartered in Chicago, we have 23 offices across the United States, and staff talent around the world. Medix is committed to fulfilling our core purpose as an organization: to positively impact the lives of our talent, clients, and teammates through employment, philanthropy, and opportunity. The combination of purpose and values has nurtured our thriving culture that encourages our internal team to excel at work and in everyday life.

Industry

Recruiting and staffing services

Company size

1,001 - 5,000 Employees

Headquarters location

Chicago, IL, US

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