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Prior Authorization Rn Jobs in Rhode Island (NOW HIRING)

DOCS Health

Registered Nurse

Providence, RI · On-site

Registered Nurse Opportunity Attention all Registered Nurses, we are calling you to partner with us ... Interview military personnel to determine current and prior medical concerns. * Identify any ...

Brown University Health

Referral Specialist

Providence, RI · On-site

$19.03 - $31.39/hr

Documents any communication with referring providers, patients and/or Clinic (MD, RN, etc.) in the ... prior authorization (i.e. office, procedural, drug, etc.). Maintains current knowledge of insurer ...

Brownhealth

Referral Specialist

Providence, RI · On-site

Documents any communication with referring providers, patients and/or Clinic (MD, RN, etc.) in the ... prior authorization (i.e. office, procedural, drug, etc.). Maintains current knowledge of insurer ...

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Showing results 21-40

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Rhode Island

Prior Authorization Rn information

See Rhode Island salary details

$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for prior authorization rn in Rhode Island is $41.37, according to ZipRecruiter salary data. Most workers in this role earn between $30.82 and $48.94 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 Rhode Island as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $86,050 per year, or $41.4 per hour.

Registered Nurse (RN) - Behavioral Health

Alan B. Miller Medical Center

Pawtucket, RI • On-site

$5.0K/mo

Other

Medical, Dental, Vision, Retirement, PTO

Re-posted 8 days ago

Job description

Registered Nurse (RN) Opportunity

This opportunity is either full-time (32 hrs/week) or part-time (24 hrs/week), offers full benefits and options to work day (7am - 3:30pm), evening (3pm - 11:30pm), or overnight (11pm - 7:30am) shifts. There is opportunity for overtime and to cover various shifts if interested. New graduates are welcome to apply! Fuller Hospital is a 109-bed licensed, private psychiatric facility located in South Attleboro, Massachusetts providing inpatient and outpatient behavioral health services to residents of Massachusetts and Rhode Island. Inpatient units are designed to treat adults with general psychiatric or intellectual disabilities, as well as adolescents with general psychiatric issues. Patients with co-occurring psychiatric and substance abuse disorders can be treated on most units. Fuller Hospital also provides a less intensive Partial Hospitalization Program (PHP) to patients with psychiatric and co-occurring psychiatric and substance abuse disorders.

Benefits for our Registered Nurse (RN) includes:

  • Student loan repayment - $200/month
  • Tuition Reimbursement - $5,000 / year
  • Tuition savings to continue your nursing education with Chamberlain University
  • In-house Psychiatric Nurse Residency Transition-to-Practice Orientation (20 CEUs)
  • Career development opportunities within UHS and its 300+ locations!
  • Diverse programming to expand your experience and energize your career
  • HealthStream online learning catalogue with plenty of free CEU courses
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plan
  • 401(K) with company match and discounted stock plan
  • Pet Insurance
  • SoFi Student Loan Refinancing Program

If you would like to learn more about the Registered Nurse (RN) position before applying, please contact Asifa Nishat, Group Recruiter, by phone at 508-212-7157 (call or text) or by email at asifa.nishat@uhsinc.com.

What do our current nurses value at Fuller Hospital & UHS? A safe and supportive environment that puts patient care first and values the nursing profession. One of the most rewarding aspects of working as a Registered Nurse (RN) is providing excellent care, comfort, and security to the patients and families you treat, at their most vulnerable times. You are never alone, as you are part of a large, nationwide network of peer nurses and nursing leaders that educate the field, routinely exchange ideas, and review current topics within the industry. Having the opportunity to grow, learn, and advance in your career through our Charge, Supervisor and Nurse Manager-in-training programs and nursing executive tract. We are proud of our robust continuing education options and opportunities for skills diversification and career advancement as a Registered Nurse (RN) with UHS. We want to help you succeed and grow in your profession and enjoy a sense of belonging and trust that comes through your expanding experience. At UHS, you have a voice.

About Universal Health Services One of the nation's largest and most respected providers of hospital and healthcare services, Universal Health Services, Inc. (UHS) has built an impressive record of achievement and performance. Growing steadily since its inception into an esteemed Fortune 500® corporation, annual revenues during 2025 were $17.4 billion. In 2026, UHS was again recognized as one of Fortune World's Most Admired Companies™ and in 2025, was listed in Forbes ranking of America's Largest Public Companies. Headquartered in King of Prussia, PA, UHS has approximately 101,500 employees and continues to grow through its subsidiaries. Operating acute care hospitals, behavioral health facilities, outpatient facilities and ambulatory care access points, an insurance offering, a physician network and various related services located in 40 U.S. states, Washington, D.C., Puerto Rico and the United Kingdom.

Qualifications Requirements

  • Current license to practice nursing in Massachusetts (or eligible to receive or renew)
  • BSN preferred
  • 2 years prior hospital nursing experience preferred.
  • 1 year prior behavioral health nursing experience preferred.

EEO Statement All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.

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