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Prior Authorization Rn Jobs in Mississippi (NOW HIRING)

Washington University of St. Louis

... prior authorizations, medication refills, and treatment coordination. This role offers a highly ... Associate Degree In Nursing Or Diploma In Registered Nursing Certifications /Professional Licenses

ProgressiveHealth

Registered Nurse

Canton, MS · On-site

CPR/AED/BLS (basic life support) certification or the ability to obtain it prior to start of ... This position requires candidates to be authorized to work in the United States on a full-time ...

Progressive Health

Registered Nurse

Canton, MS · On-site

CPR/AED/BLS (basic life support) certification or the ability to obtain it prior to start of ... This position requires candidates to be authorized to work in the United States on a full-time ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Mississippi

Prior Authorization Rn information

See Mississippi salary details

$7

$40

$68

How much do prior authorization rn jobs pay per hour?

As of Aug 11, 2026, the average hourly pay for prior authorization rn in Mississippi is $40.01, according to ZipRecruiter salary data. Most workers in this role earn between $29.81 and $47.36 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.
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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Mississippi as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 19% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $83,217 per year, or $40 per hour.

Registered Nurse/RN - Med Clinic Nurse

HEALTH CONNECT AMERICA, INC

Gulfport, MS • On-site

Full-time

Posted 3 days ago

New

Health Connect America rating

3.4

Company rating: 3.4 out of 10

Based on 13 frontline employees who took The Breakroom Quiz

Job description

Overview

Join Our Impactful Team at Health Connect America!

Before you get started on your journey with Health Connect America, take some time to learn more about us. At Health Connect America, all services are guided by a unified, trauma-informed approach. Across every program, we are committed to providing compassionate, client-centered care that fosters healing and growth. Our services are delivered by clinically trained staff, grounded in a therapeutic mindset and informed by research and evidence-based practices at every level of care. Health Connect America and its affiliate brands are leaders in providing mental and behavioral health services to children, families, and adults across the nation. We provide our services directly to those in need whether that be within a person's home, their community, or in one of our office settings. Health Connect America is honored to be a part of the communities we serve and the clients we walk alongside as they embark on a journey to self-improvement and more fulfilling lives. At Health Connect America, we are dedicated to making meaningful connections every day through creating quality, affordable opportunities for individuals and families to achieve their greatest potential in a safe, positive living environment.

Come make a difference and grow with us!

Our Brands


Responsibilities

The Med Clinic Nurse (Registered Nurse/RN) provides clinical and administrative support to our fast-paced multi state Psychiatric Med Clinic Program.

  • Assists with front office duties such as inbound/outbound calls, voicemails, faxes, scheduling, referrals and verifying insurance.
  • Ensures that demographics and insurance is up to date in the Electronic Health Record.
  • Maintains email communication with patients, coworkers, and outside agencies daily.
  • Assists with sending and completing forms such as screening tools, intake paperwork, and consents.
  • Completes documents, Upload documents and Maintains the Electronic Health Record.
  • Submits refill requests to the practitioner, communicates and calls in approved refills to the Pharmacy while documenting efforts within the Electronic Health Record.
  • Monitors Medications and provide ongoing support and education regarding medications and diagnosis.
  • Completes nursing assessments while documenting and billing process notes in the Electronic Health Record
  • Serves as the clinical support liaison between practitioner, other professionals, and agencies as it relates to the patient.
  • Communicates with patients, colleagues, and other individuals (e.g. pharmacists, schools) to answer questions or explain information while addressing the patients’ needs and/or concerns.
  • Assists practitioners in submitting Prior Authorization (PA) requests for medication.
  • Assists in obtaining client lab results.
  • If on site, obtains vitals and completes forms.
  • If on site, the employee must independently transport self in his/her own vehicle to attend clinic days. Employee must agree and accept this job duty requires him/her to maintain a current driver’s license, a safe driving record, current vehicle insurance and always maintain his/her vehicle in safe operating condition.
  • Maintains patient and employee privacy in accordance with HIPAA regulations.

Qualifications

  • A degree in Nursing, either Associate’s or Bachelor’s, is required.
  • Candidates must possess a valid Registered Nurse license in the state where they will provide services, ensuring compliance with healthcare regulations.

Be Well with HCA:

  • We recognize the importance of self-care and work/life balance.
  • We offer flexibility in scheduling and provide all employees access to our Employee Assistance Program (EAP), which includes 8 mental health counseling sessions annually.
  • Full-time HCA employees enjoy paid time off, paid holidays, and a comprehensive benefits package that includes medical, dental, vision, and other voluntary insurance products.
  • Additional benefits include:
  • Access to a Health Navigator
  • Health Savings Account with company contribution
  • Dependent Daycare Flexible Spending Account
  • 401(k) Retirement Plan
  • Benefits Hub
  • Tickets at Work

Join a team where your contributions truly make a difference in the lives of others. Apply now to be part of our dynamic and supportive community at Health Connect America!

Employment at Health Connect America and it's companies is contingent upon meeting the requirements of a comprehensive background investigation prior to joining our team.

Health Connect America and its companies are an Equal Opportunity Employer and consider applicants for employment without regard to race, color, religion, sex, orientation, national origin, age, disability, genetics, or any other basis forbidden under federal, state, or local law. For more information on Equal Opportunity, please click here Equal Employment Opportunity Posters

What Health Connect America employees say

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