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Prior Authorization Rn Jobs in New York (NOW HIRING)

Adecco

Registered Nurse

Thornwood, NY · On-site

$45 - $47/hr

... prior authorization · Provide patient education · Documenting care in the EMR while ensuring high quality patient care. Requirements Include: · New York RN licensure · Minimum of one year of ...

Adecco US, Inc.

Registered Nurse

Thornwood, NY · On-site

$45 - $47/hr

... prior authorization · Provide patient education · Documenting care in the EMR while ensuring high quality patient care. Requirements Include: · New York RN licensure · Minimum of one year of ...

IPRO

Clinical Reviewer (RN)

Jericho, NY · On-site

$38.46 - $43.27/hr

Clinical Reviewer (RN) As a Clinical Reviewer (RN), you will complete the full spectrum of ... prior authorization process. The salary range and/or hourly rate listed is a good faith ...

Project Renewal

Registered Nurse

New York, NY · On-site

$98K - $100K/yr

Registered Nurse Location: 59th Street Shelter Salary: 98k-100k Shift: Monday- Friday, 8:00am-4 ... prior authorization for medications or medical supplies * Assisting with medication refills and ...

Project Renewal

Registered Nurse

Manhattan, NY · On-site

Registered Nurse Location: 59 th Street Shelter Salary: 98k-100k Shift: Monday- Friday, 8:00am-4 ... prior authorization for medications or medical supplies * Assisting with medication refills and ...

projectrenewal

Registered Nurse

New York, NY · On-site

$36.40/hr

Registered Nurse Location: Clinton Residence Schedule: 28 hours per week Hourly Rate: $36.40 ... prior authorization for medications or medical supplies * Assisting with medication refills and ...

Project Renewal

Registered Nurse

New York, NY · On-site

$36.40/hr

Registered Nurse Location: Clinton Residence Schedule: 28 hours per week Hourly Rate: $36.40 ... prior authorization for medications or medical supplies * Assisting with medication refills and ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in New York

Prior Authorization Rn information

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$8

$46

$78

How much do prior authorization rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for prior authorization rn in New York is $46.22, according to ZipRecruiter salary data. Most workers in this role earn between $34.47 and $54.71 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 New York as of September 2026, with employment types broken down into 74% Full Time, 21% Part Time, and 5% Contract. Highlights an 92% In-person, and 8% Remote job distribution, with an average salary of $96,130 per year, or $46.2 per hour.

Registered Nurse

Manhattan, NY • On-site

Upper Manhattan Mental Health Center, Inc.
Health Care and Social Assistance • 201 - 500 employees
Learn more about Upper Manhattan Mental Health Center, Inc.external

Other

Re-posted 5 days ago

Job description

EMMA L. BOWEN COMMUNITY SERVICE CENTER Also known as UPPER MANHATTAN MENTAL HEALTH CENTER, INC.
The Emma L. Bowen Community Service Center is seeking a Registered Nurse to join our team. This position is a terrific opportunity for someone to gain additional experience and make a difference in the lives of our clients. For over 45 forty-five years, our organization has provided mental health and holistic services in northern Manhattan for families, children, adolescents, and other adults including the elderly in a supportive and caring environment. We also have an out-patient and residential substance abuse program as well as a Therapeutic Preschool for 3-5 year olds.
Upper Manhattan Mental Health Center is a Certified National Health Service Corps (NHSC) site.
For additional information about our organization and programs, please visit us on our website at www.bowencsc.org.

  • Perform the registration and processing of all patients entering the facility for care
  • Responsible for taking and recording patients' vital signs during the triage function
  • Perform laboratory specimen collection as ordered by the medical provider
  • Schedules patients for annual physicals, semi annuals and lab recalls
  • Sets appointments for referrals and follow-up calls when necessary
  • Obtain results for the Laboratory Information System and submit the results with the patient's chart to the appropriate parties
  • Ensure that proper billing is conducted or applied to abnormal laboratory, referrals, or diagnostic results
  • Direct all incoming telephone calls to appropriate parties and take messages when necessary
  • Oversees psychiatrist and NP scheduling
  • Make reminder phone calls to all clients on provider's schedule
  • Ensures all prescribers notes are in
  • Escorts patients to the Doctor, Nurse Practitioner and Primary Care
  • Ensures the collection of urine specimens for drug screenings
  • Perform the registration and processing of all patients entering the facility for care
  • Enters patient information into the computer. Updates as necessary
  • Assist with all clerical functions when necessary
  • Maintaining and securing patient's medical records
  • Retrieves medical records for medical department
  • Files completed lab work in medical records
  • Maintains a safe environment for patients
  • Monitor waiting area and patient flow
  • Ensure that all necessary forms are completed and signed by a medical provider and patient prior to patient release
  • Following the doctor's orders and treatment plans
  • Collaborating with other medical professionals
  • Administering medications and monitoring responses to medication, inclusive of Administering Injectables: Psychotropic Long Acting Injectables and Medication Assisted Treatment.
  • Completing Health Assessments and documenting the same
  • Documentation of Nursing Notes.
  • Conducting screenings and evaluations and monitoring patients
  • Educating patients and family members
  • Completing Prior Authorization.
  • Communicating with other care team members
  • Documenting all treatments, medications, and other patient care aspects in medical records
  • Responding to emergency psychiatric situations
  • Provides in-service Nursing Training as supertrainer as may be deemed appropriate for facility certification.
  • Performs other related duties to meet clinic needs and requirements
Requirements
  • Must have a New York State RN Licensure
  • Must be a graduate from an approved accredited school
  • One (1) year experience Psychiatric RN experience
  • CPR certification
  • Naloxone New York TOD Certification of Completion (Preferred)

Salary Description
60/per hour

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