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Prior Authorization Rn Jobs in Oklahoma (NOW HIRING)

CVS Health

Registered Nurse

Oklahoma City, OK

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Registered Nurse

Oklahoma City, OK · On-site

$54K - $116K/yr

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Registered Nurse

Oklahoma City, OK · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Registered Nurse

Oklahoma City, OK · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

UHS

RN Neurosurgery Clinic - FT-Day

Enid, OK · On-site

Responsibilities Registered Nurse (RN) - Neurosurgery Clinic St. Mary's Physician Associates | Enid ... Obtain prior authorizations for medications, procedures, and diagnostic studies. * Review and ...

UHS

RN Neurosurgery Clinic - FT-Day

Enid, OK · On-site

Responsibilities Registered Nurse (RN) - Neurosurgery Clinic St. Mary's Physician Associates | Enid ... Obtain prior authorizations for medications, procedures, and diagnostic studies. * Review and ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Oklahoma

Prior Authorization Rn information

See Oklahoma salary details

$6

$39

$66

How much do prior authorization rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for prior authorization rn in Oklahoma is $39.01, according to ZipRecruiter salary data. Most workers in this role earn between $29.09 and $46.15 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 Oklahoma as of August 2026, with employment types broken down into 91% Full Time, and 9% Part Time. Highlights an 91% In-person, and 9% Remote job distribution, with an average salary of $81,131 per year, or $39 per hour.

Pharmacy Financial Coordinator / Prior Authorization Specialist

Impactkare

Edmond, OK • On-site

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Pharmacy Financial Coordinator / Prior Authorization Specialist - Edmond, OK
Full-Time | Monday-Friday | Early Fridays

Our healthcare partner in Edmond, Oklahoma is growing and actively hiring a Pharmacy Financial Coordinator / Prior Authorization Specialist to support their expanding pharmacy and clinical team.

This role focuses on prior authorizations, pharmacy benefits verification, insurance coordination, and patient financial assistance to ensure patients receive the medications prescribed by their providers.

If you have experience with pharmacy billing, prior authorizations, insurance verification, or medication access coordination, this is a great opportunity to join a collaborative healthcare organization that values strong processes and patient care.

This is a full-time, permanent position - not a contract role.

Position Details

Location: Edmond, OK (onsite)
Schedule:
Monday - Thursday: 8:00 AM - 5:00 PM
Friday: 8:00 AM - 1:00 PM

Position Type: Full-Time

Why Candidates Love This Role

  • Consistent weekday schedule with early Fridays
  • Stable full-time healthcare position (not contract)
  • Work directly with providers and pharmacy teams
  • Opportunity to develop deeper experience in pharmacy prior authorizations and medication access
  • Collaborative team environment with strong workflow processes

What Youll Be Doing

This role plays a key part in helping patients successfully access their prescribed medications.

Daily responsibilities may include:

  • Verifying pharmacy insurance benefits and eligibility
  • Submitting and tracking prior authorizations for medications
  • Following up with insurance companies and PBMs regarding authorization status
  • Communicating authorization approvals, denials, or next steps with patients
  • Assisting patients with copay assistance programs and financial support options
  • Troubleshooting insurance claim issues or pharmacy rejections
  • Researching payer guidelines, formularies, and medication coverage policies
  • Ensuring medications approved through authorization are successfully processed by pharmacies
  • Resolving assigned tasks and documentation within the Electronic Health Record system
  • Collaborating with providers and clinic staff to ensure a smooth medication access process

What Were Looking ForPreferred Experience

  • 1-2 years of experience in prior authorizations, pharmacy billing, medical billing, or insurance verification
  • Experience working with Medicare, Medicaid, and commercial pharmacy benefit plans
  • Familiarity with pharmacy claim rejections and medication authorization workflows
  • Understanding of formularies, step therapy, and medication coverage requirements

Technical Skills

  • Experience using CoverMyMeds or similar prior authorization platforms preferred
  • Experience working in EHR systems
  • Proficiency in Microsoft Office (Outlook, Excel, Word)
  • Strong attention to detail and problem-solving ability

Additional Qualifications

  • High school diploma or equivalent required
  • Pharmacy technician experience or certification is helpful but not required
  • Strong communication and patient service skills
  • Ability to type approximately 50 WPM

Work Environment

  • Fast-paced healthcare setting
  • Frequent computer and data entry work
  • Ability to sit for extended periods while reviewing documentation and insurance information
  • Occasional standing, walking, or bending throughout the workday

If you have experience with prior authorizations, pharmacy benefits, insurance coordination, or medical billing, this could be a great opportunity to grow your career while helping patients access important medications.

ABOUT OUR PARTNER

This position is with one of ImpactKares long-standing healthcare partners, a highly respected multispecialty organization committed to delivering patient-centered care across Oklahoma. Their pharmacy services continue to expand as patient needs grow, driving the demand for knowledgeable, detail-oriented support in prior authorizations and medication access.

You will be joining a team that values accuracy, compassion, communication, and a seamless patient experience. They pride themselves on supporting their staff, fostering collaboration, and ensuring every patient receives timely and efficient care.

ABOUT IMPACTKARE

ImpactKare is a boutique healthcare recruiting firm specializing in placing top clinical, allied health, mental health, and administrative professionals nationwide. Founded by a former nurse, we are deeply committed to matching strong talent with organizations that prioritize patient care, employee support, and long-term success.

We partner closely with our clients and invest personally in every candidate we represent. Our goal is simple: to make the hiring process smoother, more human, and more impactful-for both the organizations we support and the professionals we place.

Required Skills:

  • Pharmacy
  • Authorization

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