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Prior Authorization Rn Jobs in Minnesota (NOW HIRING)

Minnesota Jobs

RN Pre-Service Authorization

Duluth, MN · On-site

$70K - $105K/yr

... referral, prior authorization/precertification processes, using and revising Essentia Health ... Current nursing licensure in state(s) of employment FTE: 1 Possible Remote/Hybrid Option: Remote ...

Children's Wisconsin

Clinic Nurse RN

Duluth, MN · On-site

The Clinic RN will be responsible for telephone triage, responding to patient messages through MyChart, processing clinical paperwork, completing prior authorizations, and providing both in-person ...

Newport Healthcare

RN, Clinic

Edina, MN · On-site

$35 - $46/hr

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

PrairieCare

RN, Clinic

Edina, MN · On-site

$35 - $46/hr

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

Newport Healthcare

RN, Clinic

Minneapolis, MN · On-site

$35 - $46/hr

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

Mayo Clinic

Registered Nurse - BirthPlace - RN

Red Wing, MN · On-site

$40.73 - $65.62/hr

All entry-level associate degree registered nurses with a RN start date prior to April 1, 2020 must ... work authorization. Recruiter Elizabeth BrownewellQualifications: One year of RN experience ...

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Prior Authorization Rn information

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$7

$41

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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, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 89% Physical, 1% Hybrid, and 10% Remote job distribution, with an average salary of $86,059 per year, or $41.4 per hour.

Licensed Practical Nurse - Consultative Medicine General Internal Medicine - LPN

Rochester, MN • On-site

Mayo Clinic
Hospitals • 10K+ employees
Learn more about Mayo Clinicexternal

$26.25 - $35.50/hr

Full-time

Medical, Dental, Vision, Retirement

Re-posted 15 days ago

Mayo Clinic rating

7.8

Company rating: 7.8 out of 10

Based on 707 frontline employees who took The Breakroom Quiz

Job description

Mayo Clinic's Division of General Internal Medicine in Rochester is one of the largest academic general internal medicine divisions in the world - serving as the gateway in evaluating and caring for adult patients that may have unexplained symptoms and/or complex medical conditions.  Consultative Medicine Clinic (a section of GIM) provides consultative medical care to patients that reside outside of Olmsted county in Minnesota.  Consultative Medicine sees new patients to Mayo Clinic for an initial comprehensive evaluation.   The LPN role in Consultative Medicine includes, but is not limited to, patient visits (face to face and via telephone) review of patient health history, medication review, immunization administration, focused nutrition assessments, and blood pressure visits. Telehealth interactions may include collecting pertinent information prior to their arrival to the clinic, researching prescription discrepancies, and/or facilitating prior authorization denials.  The LPN collaborates daily with physicians, nursing colleagues, and support staff. 

The licensed practical nurse (LPN) provides nursing care to assigned patients under the direct supervision of the registered nurse (RN) or other assigned supervisor and accepts delegation from the RN/assigned supervisor in meeting the needs of the patient/family. The LPN collects data through observation and communicates information to assist the RN and/or provider in patient assessment and care planning. The LPN participates as a member of the health care team and accepts delegation from the RN/assigned supervisor and provider in meeting needs of the patient/family. The LPN delivers care in accordance with the patient care plan, policies and procedures of the organization and principles of relationship-based care. The LPN possesses excellent communication skills; is skillful in mentoring and instructing; and may participate on committees or projects, including quality improvement projects.

Why Mayo Clinic

Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As we work together to put the needs of the patient first, we are also dedicated to our employees, investing in competitive compensation and comprehensive benefit plans - to take care of you and your family, now and in the future. And with continuing education and advancement opportunities at every turn, you can build a long, successful career with Mayo Clinic.

Benefits Highlights
  • Medical: Multiple plan options.
  • Dental: Delta Dental or reimbursement account for flexible coverage.
  • Vision: Affordable plan with national network.
  • Pre-Tax Savings: HSA and FSAs for eligible expenses.
  • Retirement: Competitive retirement package to secure your future.
Just as our reputation has spread beyond our Minnesota roots, so have our locations. Today, our employees are located at our three major campuses in Phoenix/Scottsdale, Arizona, Jacksonville, Florida, Rochester, Minnesota, and at Mayo Clinic Health System campuses throughout Midwestern communities, and at our international locations. Each Mayo Clinic location is a special place where our employees thrive in both their work and personal lives. Learn more about what each unique Mayo Clinic campus has to offer, and where your best fit is. 

Equal Opportunity

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, gender identity, sexual orientation, national origin, protected veteran status or disability status. Learn more about the "EOE is the Law".  Mayo Clinic participates in E-Verify and may provide the Social Security Administration and, if necessary, the Department of Homeland Security with information from each new employee's Form I-9 to confirm work authorization.

Graduate of a school of practical nursing or passed LPN Boards after a defined period in a professional nursing program (e.g., some states allow RN students to take the LPN board exam after completing one to two years in the RN program). If graduation did not occur within the last two years, one year of LPN experience working in an applicable setting is required.


One year LPN experience within the last five years preferred. Excellent communication skills (verbal and written).
 

Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to work daytime hours, flexibility may be required to meet staffing needs. Ability to adapt to unpredictable situations within the work setting. Graduate of an accredited school of practical nursing preferred. Ability to adapt to unpredictable situations within the clinical and/or research settings. Able to work effectively with multiple members of the interdisciplinary care team. Demonstrates strong, effective and open communication skills to achieve mutual understanding and build trust and rapport with team members. Able to work in a rapidly changing environment while participating in developing innovative and creative solutions to patient care. Excels in creative experimentation and is able to explore new paths, procedures, and /or approaches to models of care teams. Displays flexibility in adapting and coping with accelerated changes within the environment.

License and Certification (Must obtain prior to start date):
Current LPN license by applicable state requirements.

BLS (Basic Life Support) must be valid for 90 days post start date; acceptable certifications include: American Heart Association (AHA)/ Heartcode BLS, Military Training Network, Red Cross (CPR/AED for Professional Rescuers and Health Care Providers).

Additional state licensure(s) and/or specialty certification/training as required by the work area.

What Mayo Clinic employees say

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About Mayo Clinic

Sourced by ZipRecruiter

Mayo Clinic is the largest integrated, not-for-profit medical group practice in the world. We're building the future, one where the best possible care is available to everyone — and more people can heal at home. Our relentless research turns into earlier diagnoses and new cures. That's how we inspire hope in those who need it most. At Mayo Clinic, experts work together to solve the most challenging unmet needs of patients. Our history of innovation dates back almost 150 years, when brothers Will and Charlie Mayo pioneered an integrated, team-based approach to medicine. Today, that trailblazing spirit drives innovations like Mayo Clinic Platform — which powers new technologies to change how care is delivered to all.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Rochester, MN, US

Year founded

1919

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