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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 ...

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Fairview Health Services

Care Coordinator RN

Woodbury, MN · On-site

$85K - $121K/yr

Oversees or manages prior authorization process and results verification process to ensure positive ... MN Registered Nurse (RN) License * Basic Life Support (American Heart Assoc or Red Cross) *this ...

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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 Jul 14, 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 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?

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.

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.
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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 67% Full Time, and 33% Part Time. Highlights an 100% In-person job distribution, with an average salary of $86,059 per year, or $41.4 per hour.
Registered Nurse - RN

Registered Nurse - RN

Minnesota Urology P.A.

Saint Paul, MN • On-site

Other

Medical, Dental, Vision, PTO

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

Minnesota Urology rating

7.5

Company rating: 7.5 out of 10

Based on 5 frontline employees who took The Breakroom Quiz

Job description

Registered Nurse - RN

MN Urology is currently seeking a full time Registered Nurse (RN) in Woodbury, MN.

Monday-Friday

Regular daytime hours, no evenings, no weekends, no holidays! With a $1,500 sign on bonus

Minnesota Urology is the largest independent urologic specialty practice in the state of Minnesota and was formed as an integration of Minnesota's two most respected independent urology practices; Minnesota Urology and Urology Associates. Our providers are devoted to a singular vision to deliver optimal and compassionate specialty care. Our success and recognition as a national leader in the practice of urology is a direct result of the collective work of dedicated staff members and physicians.

Primary Objective

To ensure the delivery of quality patient care through effective oversight of triage functions, coordination of prescription prior authorizations, providing education and resources to patients and their families, and assisting with special procedures including UroNav and TRUS biopsies as well as Urodynamics testing.

Duties and Responsibilities

  • Collaborates with all members of the Minnesota Urology Health Care Team to ensure the delivery of quality patient care.
  • Initiates prescription prior authorizations for patient medications.
  • Assists providers with special procedures including UroNav and TRUS biopsies.
  • Administers Urodynamics testing.

Qualifications

  • Registered Nurse (RN) licensed in the state of MN. Bachelor of Science in Nursing preferred.
  • Three plus years of experience in clinical nursing; specialty practice experience preferred.

Comprehensive benefits package for full time employees: Medical, Dental, Vision and much more

Paid vacation, Floating holidays, Paid holidays, free parking, and uniform allowance

Minnesota Urology P.A. is an equal opportunity employer.

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