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Prior Authorization Rn Jobs in Mississippi (NOW HIRING)

3B Healthcare, Inc.

Registered Nurse

Gulfport, MS · On-site

Active MS RN, ACLS, BLSFloating Requirements: Floating may be required to equal or lower level of ... Monday prior to startNotes: Needed for submission, resume, active certifications

Forrest General Hospital

RN

Hattiesburg, MS · On-site

The RN Staff Nurse shall implement the nursing process in an organized, systematic manner to ... Participates in all competencies planned for the job role prior to deadlines. * Complies with the ...

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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

The United Methodist Children's Home

Jackson, MS • On-site

Full-time

Re-posted 10 days ago

Job description

Description:

***This position is full-time, 7a-7p***


General Job Summary: The Registered Nurse (RN) provides physical assessments on all Permanency Assessment Center (PAC) admissions. The RN administers medications in accordance with the provider’s order and the medical administration record (MAR). The RN is responsible for serving the health and wellness needs of all youth of Methodist Children’s Homes of MS (MCH). The RN reports to the Charge Nurse.


Essential Functions:

· Enhances current programs by coordinating the overall quality medical care to PAC Youth.

· Coordinates and manages the ordering and organizing of PAC youth’s medications.

· Coordinates PAC youth appointments with the psychiatric nurse practitioner as well as medical providers (clinics) allowed by License.

· Manage the PAC youth’s prescribed medications and monitors patients' responses, and changing care plans accordingly in collaboration with psychiatrist/psychiatric nurse practitioner.

· Assists with admissions and discharges in PAC homes.

· Assists with emergencies and acute care referrals across campus.

· Observes PAC youth and reports any changes in physical, social or emotional condition involving level of functioning, changes in attitude/behavior, loss of appetite, weight change or complaints of pain.

· Documents data related to youth’s care including assessment results, interventions, medications, patient responses, or treatment changes across campus.

· Performs emergency medical procedures such as basic cardiac life support (BLS), and other condition stabilizing interventions across campus.

· Addresses safety hazards that may exist in the youth’s ADLs, habits and living environment across campus.

· Develops to the highest degree possible, a normalized family-style home environment providing counseling, concern, direction, assistance and support for the youth in care.

· Consults and communicates with Psychiatrist(s), Physician(s) and/or Nurse Practitioner any changes in PAC youth requiring medical interventions.

· Assesses acute or chronic conditions that could result in rapid physiological deterioration or life-threatening instability across campus.

· Conducts group and individual learning opportunities about health-related topics to include, but not limited to: medication side effects, physiologic changes experienced by MCH youth and treatment requirements for chronic conditions like diabetes across campus.

· Conducts in-service trainings for staff on medication administration and documentation, side effects and emergency protocols.

· Completes required documentation in accordance with state regulatory standards.

· Responsible for documenting and submitting evaluation and management services via Medicaid billing/Therap

· Nursing will independently cultivate a plan of care within CDC Guidelines to mitigate further transmission/exposure of campus-related infectious outbreaks.

· Performs all other miscellaneous projects and completes various tasks as requested by management not outside of license/ethical parameters.

Requirements:

Qualifications:

Knowledge & Experience

· Must be twenty-one (21) years of age

· Must possess a valid Registered Nurse License in the state of Mississippi that is valid and without restriction; and possess a minimum of two years experience working with children/adolescents or other populations with special emotional/behavioral needs.


Skills/Working Conditions:

· Must maintain valid Driver’s License and an acceptable driving record

· Must be insurable by Methodist Children’s Homes insurance carrier

· Must be able to work flexible schedule and shifts including overnights, weekends, holidays and extended periods of time.

· Must successfully complete all phases of pre-service and on-going training.

· Must possess strong interpersonal skills.

· Proficient knowledge of Microsoft Office Suite Software.

· Must possess excellent written and verbal communication skills.

· Must be able to multi-task in a fast pace work environment.

· Must possess ability to effectively respond to crisis situations.

· Must possess ability to maintain and manage confidential information.


Physical Requirements

· Must provide a negative drug screen result prior to employment.

· Must pass a pre-employment physical and on-going physical assessments as required

· Duties are performed in a variety of environments ranging from highly stressful to casual and leisurely.

· Be able to lift up to 50 pounds.

· Push/pull people and equipment weighing up to 50 pounds.

· Sit at a desk for extended periods of time and perform hours of work sitting at a computer.

· Twist, turn, bend, stoop and reach frequently in the performance of client assistance responsibilities.

· Duties may include some traveling.

· Have the ability to participate in recreational activities with clients, including, but not limited arts, athletics, and outdoor activities.

· Regular attendance at primary worksite and agency related events.