LPN
Manhattan, NY · On-site
$35 - $42/hr
... referrals, prior authorizations, and lab work Maintain infection control standards and clinical supplies Requirements: • Active NYS LPN or RN License • Current CPR Certification • ...
LPN
Manhattan, NY · On-site
$35 - $42/hr
... referrals, prior authorizations, and lab work Maintain infection control standards and clinical supplies Requirements: • Active NYS LPN or RN License • Current CPR Certification • ...
PRN Registered Nurse (RN)
$42.50 - $50.41/hr
As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
Quick apply
PRN Registered Nurse (RN)
$42.50 - $50.41/hr
As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
PRN Registered Nurse (RN)
Norwalk, CT · On-site
$42.50 - $50.41/hr
As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
PRN Registered Nurse (RN)
Norwalk, CT · On-site
$42.50 - $50.41/hr
As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...
Day Shift Description: RN Clinical Lead - Troy Health Center - Troy, NY - FT If you are looking for ... Obtains prior authorization for diagnostic testing and medication and enters into EMR. * Responds ...
Day Shift Description: RN Clinical Lead - Troy Health Center - Troy, NY - FT If you are looking for ... Obtains prior authorization for diagnostic testing and medication and enters into EMR. * Responds ...
Registered Nurse
Jamaica, NY · On-site
For scheduled respite, at least one week prior to an initial admission, the person requesting the ... Prescriptions and/or orders may be written by any person authorized to prescribe (e.g.; physicians ...
Registered Nurse
Jamaica, NY · On-site
For scheduled respite, at least one week prior to an initial admission, the person requesting the ... Prescriptions and/or orders may be written by any person authorized to prescribe (e.g.; physicians ...
Registered Nurse
Queens, NY · On-site
$99K - $106K/yr
For scheduled respite, at least one week prior to an initial admission, the person requesting the ... Prescriptions and/or orders may be written by any person authorized to prescribe (e.g.; physicians ...
Registered Nurse
Queens, NY · On-site
$99K - $106K/yr
For scheduled respite, at least one week prior to an initial admission, the person requesting the ... Prescriptions and/or orders may be written by any person authorized to prescribe (e.g.; physicians ...
Registered Nurse - Rheumatology
Clifton, NJ · On-site
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
Clifton, NJ · On-site
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
Clifton, NJ · On-site
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
Clifton, NJ · On-site
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Registered Nurse - Rheumatology
$40.38 - $50.48/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
PROS Registered Nurse
New City, NY · On-site
$40 - $46/hr
Complete prior authorizations as needed with insurance companies and follow-up to obtain ... BSN and RN with two years related experience and/or training; or equivalent combination of ...
PROS Registered Nurse
New City, NY · On-site
$40 - $46/hr
Complete prior authorizations as needed with insurance companies and follow-up to obtain ... BSN and RN with two years related experience and/or training; or equivalent combination of ...
PROS Registered Nurse
New City, NY · On-site
$40 - $46/hr
Complete prior authorizations as needed with insurance companies and follow-up to obtain ... BSN and RN with two years related experience and/or training; or equivalent combination of ...
PROS Registered Nurse
New City, NY · On-site
$40 - $46/hr
Complete prior authorizations as needed with insurance companies and follow-up to obtain ... BSN and RN with two years related experience and/or training; or equivalent combination of ...
Registered Nurse (RN)
New York, NY · On-site
$43.27 - $52.88/hr
... and prior authorizations. * Administer immunizations and medications, and execute nursing ... Current New York State RN license. * 2-4 years of related experience. Experience * Minimum 2-4 ...
Registered Nurse (RN)
New York, NY · On-site
$43.27 - $52.88/hr
... and prior authorizations. * Administer immunizations and medications, and execute nursing ... Current New York State RN license. * 2-4 years of related experience. Experience * Minimum 2-4 ...
... require Prior Authorization Maintain accurate records of all patient/provider/vendor related ... State Registered Nurse (RN) required Minimum three (3) years Medical/Surgical experience plus a ...
... require Prior Authorization Maintain accurate records of all patient/provider/vendor related ... State Registered Nurse (RN) required Minimum three (3) years Medical/Surgical experience plus a ...
... require Prior Authorization Maintain accurate records of all patient/provider/vendor related ... State Registered Nurse (RN) required Minimum three (3) years Medical/Surgical experience plus a ...
... require Prior Authorization Maintain accurate records of all patient/provider/vendor related ... State Registered Nurse (RN) required Minimum three (3) years Medical/Surgical experience plus a ...
The position requires the registered nurse to perform case reviews and process all requests for ... Prior managed care experience is required. * Working knowledge of Medicare and Medicaid regulations ...
Quick apply
The position requires the registered nurse to perform case reviews and process all requests for ... Prior managed care experience is required. * Working knowledge of Medicare and Medicaid regulations ...
Specialty Registered Nurse - Endocrinology
Livingston, NJ · On-site
$43.61 - $54.52/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Specialty Registered Nurse - Endocrinology
Livingston, NJ · On-site
$43.61 - $54.52/hr
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals
Prior Authorization Rn information
See New York salary details
$8.15 - $14.58
0% of jobs
$14.58 - $21.02
0% of jobs
$21.02 - $27.45
4% of jobs
$27.45 - $33.88
18% of jobs
$34.72 is the 25th percentile. Wages below this are outliers.
$33.88 - $40.31
20% of jobs
The median wage is $42.96 / hr.
$40.31 - $46.74
18% of jobs
$52.53 is the 75th percentile. Wages above this are outliers.
$46.74 - $53.17
16% of jobs
$53.17 - $59.60
10% of jobs
$59.60 - $66.03
6% of jobs
$66.03 - $72.47
4% of jobs
$72.47 - $78.90
3% of jobs
$8
$46
$78
How much do prior authorization rn jobs pay per hour?
As of Jul 15, 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 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?
| Aspect | Prior Authorization Rn | Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or utilization review | Certification in coding (CPC, CCS), no RN license required |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Medical offices, hospitals, insurance companies |
| Primary Responsibilities | Reviewing and obtaining prior authorizations for treatments and procedures | Translating 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.
More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in New York? The most popular types of Prior Authorization Rn jobs in New York are:
What are popular job titles related to Prior Authorization Rn jobs in New York? For Prior Authorization Rn jobs in New York, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in New York look for? The top searched job categories for Prior Authorization Rn jobs in New York are:
What cities in New York are hiring for Prior Authorization Rn jobs? Cities in New York with the most Prior Authorization Rn job openings:
Job description
NOW HIRING: LPN / RN -Multidisciplinary Diagnostic & Treatment Clinic
Outpatient Clinic Setting
Monday -Friday | 9: 00 AM -5: 00 PM
Pay Rate: $35 -$40/hour (LPN)
Temporary Opportunity with Potential Extension
We are seeking an experienced LPN or RN with eClinicalWorks (eCW) experience to join a busy multidisciplinary outpatient clinic team.
Responsibilities:
Administer vaccinations, injections, and PPD tests
Perform EKGs and venipuncture
Assist providers with patient flow and medical visits
Document patient care in the eClinicalWorks (eCW) EMR system
Process referrals, prior authorizations, and lab work
Maintain infection control standards and clinical supplies
Requirements:
• Active NYS LPN or RN License
• Current CPR Certification
• eClinicalWorks (eCW) experience REQUIRED
• Previous outpatient/clinic experience preferred
Interested candidates, please send your resume to: gzivali@phaxis.Com
Meet Your Recruiter
Naife Salomon
About Phaxis
Sourced by ZipRecruiter
Phaxis has been working on behalf of amazing clients and candidates for over 20 years, with much success. We have filled over 94,000 roles across our actively serviced clients. Our team understands how to deliver for our clients while guiding our candidates through their career journey and we all want to get you where you want to be. Your goals are our goals, and we treat them as such. Once you work with us, you’re a part of the team! How can we help you? We’re dedicated to helping you find yours.
Industry
Recruiting and staffing services
Company size
51 - 200 Employees
Headquarters location
Melville , NY, US
Year founded
2002