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Prior Authorization Rn Jobs in South Carolina (NOW HIRING)

Registered Nurse (RN) - Breast Oncology (3410) Are you passionate about quality and committed to ... Obtain and track prior authorizations for biopsies, surgeries and imaging and documents in EPIC ...

Registered Nurse (RN) - Breast Oncology (3410) Are you passionate about quality and committed to ... Obtain and track prior authorizations for biopsies, surgeries and imaging and documents in EPIC ...

Registered Nurse (RN) - Breast Oncology (3410) Are you passionate about quality and committed to ... Obtain and track prior authorizations for biopsies, surgeries and imaging and documents in EPIC ...

Registered Nurse (RN) - Breast Oncology (3410) Are you passionate about quality and committed to ... Obtain and track prior authorizations for biopsies, surgeries and imaging and documents in EPIC ...

Registered Nurse

Saluda, SC · On-site

$42 - $45/hr

Registered Nurse - RN PT & FT Hrs. May Be Available No Nights No Weekends No On Call Required $42 ... Coordinating with the General Manager and Authorization Specialists appropriate changes in the Plan ...

Registered Nurse

Columbia, SC · On-site

$42 - $45/hr

Description: Registered Nurse - RN Part Time Hrs. Available No Nights No Weekends No On Call ... Coordinating with the General Manager and Authorization Specialists appropriate changes in the Plan ...

Registered Nurse

Aiken, SC · On-site

$42 - $45/hr

Registered Nurse - RN FT & PT Hrs. Available Mon-Fri 8a-4p No On Call No Nights $42-$45 Per Hr ... Coordinating with the General Manager and Authorization Specialists appropriate changes in the Plan ...

Registered Nurse

Williston, SC · On-site

$42 - $45/hr

Registered Nurse - RN FT & PT Hrs. Day Shift Available $42-$45 Per Hr. Come work for Critical Nurse ... Coordinating with the General Manager and Authorization Specialists appropriate changes in the Plan ...

Registered Nurse

Barnwell, SC · On-site

$42 - $45/hr

Registered Nurse - RN PT & FT Hrs. Available Day Shift Available Mon-Fri 8a-4p $42-$45 Per Hr. Come ... Coordinating with the General Manager and Authorization Specialists appropriate changes in the Plan ...

Registered Nurse

Orangeburg, SC · On-site

$42 - $45/hr

Registered Nurse - RN PT Hrs. Available No Nights No Weekends No On Call Required $42-$45 Per Hr ... Coordinating with the General Manager and Authorization Specialists appropriate changes in the Plan ...

Showing results 21-40

Prior Authorization Rn information

See South Carolina salary details

$6

$39

$66

How much do prior authorization rn jobs pay per hour?

As of Sep 4, 2026, the average hourly pay for prior authorization rn in South Carolina is $39.20, according to ZipRecruiter salary data. Most workers in this role earn between $29.23 and $46.39 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.

What are popular job titles related to Prior Authorization Rn jobs in South Carolina?

For Prior Authorization Rn jobs in South Carolina, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Rn jobs in South Carolina look for?

The top searched job categories for Prior Authorization Rn jobs in South Carolina are:

What cities in South Carolina are hiring for Prior Authorization Rn jobs?

Cities in South Carolina with the most Prior Authorization Rn job openings:

Infographic showing various Prior Authorization Rn job openings in South Carolina 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 $81,537 per year, or $39.2 per hour.

Registered Nurse

Tidelands Health

Murrells Inlet, SC • On-site

Full-time

Re-posted 12 days ago


Tidelands Health rating

5.6

Company rating: 5.6 out of 10

Based on 31 frontline employees who took The Breakroom Quiz

807th of 898 rated healthcare providers


Job description

Employee Type:

Regular

Work Shift:

Day - 8 hour shift (United States of America)

Join Team Tidelands and help people live better lives through better health!


Registered Nurse (RN) - Breast Oncology (3410)
Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.
A Brief Overview
The Breast Surgical Oncology Practice Nurse Specialist is essential for the efficient care delivery in the Breast Surgical Oncology Practice. Responsible and accountable for the coordination and provision of nursing care based upon standards of care and professional nursing practice and is accountable for the outcomes of nursing care deliveries in the ambulatory Breast Health setting. Collaborates with all members of the patients care team and provides necessary reports, documents and care plans.
What you will do
  • Responsible for chart preparation which includes communication with various other providers/services involved in the care of the patient and reviewing all the necessary reports/documentation in preparation for the patient visit
  • Responsible for triaging patients during the nursing assessment intake at each office visit. Reviews all medications, allergies, surgeries, family history, new medical comorbidities and completes MIPS according to protocol
  • Responsible for ensuring effective communication across the multidisciplinary teams (Medical Oncology, Radiation Oncology, Plastic Surgery, Radiology, Surgical services) to provide coordinated & timely care for patients. Serves as a liaison for patients and providers. Acts as a chaperone for physicians to ensure a safe environment for all patients
  • Assist physician during in-office procedures (biopsy, aspirations, incisions and drainage) which includes preparing instruments, operating the breast ultrasound equipment and documenting and label specimens per policy
  • Perform lymphedema measurement procedure and document accordingly in EPIC
  • Provides and reviews all education material with patients and families regarding procedural instructions, maintaining of good breast health, the understanding of a breast cancer diagnosis or benign breast problem. Communicates with patients and families regarding all necessary surgical information- pre-op instructions, arrival times, follow-up care
  • Completes independent nursing assessment patient visits to assess post-op complications, monitoring and removal of surgical drains/staples, incision checks, wound care, dressing changes, blood draw for genetic testing
  • Collaborate with the surgical and radiology departments to schedule surgeries and biopsies and ensure all documentation is complete. Obtain and track prior authorizations for biopsies, surgeries and imaging and documents in EPIC accordingly
  • Monitors and triages messages/voicemails in the EPIC in-basket
  • Maintains an accurate record of AED log
  • Prepares and participates in the annual "In the Pink" Breast Cancer fundraising walk
  • Completes annual CME as required by the NAPBC to remain an accredited oncology breast program
  • Stock exams rooms daily, and is responsible for organizing, monitoring the inventory and ordering all medical supplies for all practice locations

Education Qualifications
  • ADN Required
  • BSN Preferred
  • MSN Preferred

Experience Qualifications
  • Minimum of 2 years of recent experience in an ambulatory or acute care setting Required
  • Oncology, Breast Health and/or Breast Surgical nursing experience Preferred

Skills and Abilities
  • Broad and thorough knowledge of the discipline of nursing and is a role model for professional nursing practice
  • Knowledge of current and emerging best practices, trends and technologies in the Breast Surgical Oncology discipline
  • Proven ability to organize, manage multiple priorities, and delegate work functions efficiently
  • Strong interpersonal and communication skills to create and maintain a climate for effective communication and collaborative decision making
  • Strong ability to collaborate effectively with physicians, management and staff from all disciplines. Ability to create and maintain a goal-oriented climate of teamwork and collaboration
  • Proficient in blood drawing
  • Capable of assisting surgeon with breast ultrasound procedures
  • Strong understanding of safety and regulatory standards as it pertains to role
  • Strong organizational and planning abilities
  • Adaptability and flexibility
  • Proficiency with PC's and Microsoft office software such as Word, Excel, PowerPoint, and Outlook and prior Electronic Medical Record experience preferred
  • The ability to be self-motivated to complete organizational projects and goals is required
  • Commitment to Continual Professional Development
  • Valid and in good standing driver's license and personal transportation to be able to travel to multiple TH clinical sites required

Licenses and Certifications
  • Registered Nurse - South Carolina Department of Labor, Licensing and Regulation Required
  • Oncology Certified Nurse - Oncology Nursing Certification Corporation Preferred
  • Basic Life Support Certified - American Heart Association within 30 Days Required

Physical Demand
Medium Physical Demand
The intent of this job description is to provide a representative and level of the types of duties and responsibilities that will be required of positions given this title and shall not be construed as a contract for employment nor a declaration of the total of the specific duties and responsibilities of any particular position. Employees may be directed to perform tasks other than those specifically presented in this description.Tidelands Health is an Equal Opportunity Employer committed to providing employment opportunity without regard to an individual's age, color, disability, gender, gender expression, gender identity, genetic information, national origin, race, religion, sex, sexual orientation, or veteran status.

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.


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