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Prior Authorization Rn Jobs in Tennessee (NOW HIRING)

StatCare, LLC

Prior Authorization Coordinator

Knoxville, TN · On-site

$15.25 - $19/hr

StatCare strives to work collaboratively with hospital partners, nurses, and support staff ... Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic ...

CivicMinds, Inc.

Registered Nurse

Murfreesboro, TN · On-site

Registered Nurse Location:- Richmond, VA Job Type:- Full-time Responsibilities will Include ... Intake/Prior Authorization team, our Purchasing Team, Home Infusion/Specialty Pharmacy team, and ...

CivicMinds, Inc

Registered Nurse

Murfreesboro, TN · On-site

Registered Nurse Location:- Richmond, VA Job Type:- Full-time Responsibilities will Include ... Intake/Prior Authorization team, our Purchasing Team, Home Infusion/Specialty Pharmacy team, and ...

Dallas IVF

RN

Memphis, TN · On-site

The RN will coordinate and manage clinical activities related to infertility evaluation and ... Ensure medication ordering and prior authorizations are completed appropriately * Track and verify ...

IVY FERTILITY

RN

Memphis, TN · On-site

$30 - $35.10/hr

The RN will coordinate and manage clinical activities related to infertility evaluation and ... Ensure medication ordering and prior authorizations are completed appropriately * Track and verify ...

Dallas IVF

RN

Memphis, TN · On-site

$30 - $35.10/hr

The RN will coordinate and manage clinical activities related to infertility evaluation and ... Ensure medication ordering and prior authorizations are completed appropriately * Track and verify ...

Mercy Health

RN/LPN - PRN

Smyrna, TN · On-site

$25.50 - $34.50/hr

Submitting prior authorizations for psychiatric medications. * Working in collaboration with ... Must have a current licensed practical nurse (LPN) or Registered Nurse (RN) license in TN. * Basic ...

MERCY HEALTH SERVICES INC

RN/LPN - PRN

Smyrna, TN

$25.50 - $34.50/hr

Submitting prior authorizations for psychiatric medications. * Working in collaboration with ... Must have a current licensed practical nurse (LPN) or Registered Nurse (RN) license in TN. * Basic ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Tennessee

Prior Authorization Rn information

See Tennessee salary details

$6

$38

$65

How much do prior authorization rn jobs pay per hour?

As of Aug 10, 2026, the average hourly pay for prior authorization rn in Tennessee is $38.34, according to ZipRecruiter salary data. Most workers in this role earn between $28.56 and $45.38 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.
More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in Tennessee? The most popular types of Prior Authorization Rn jobs in Tennessee are:
What are popular job titles related to Prior Authorization Rn jobs in Tennessee? For Prior Authorization Rn jobs in Tennessee, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Tennessee look for? The top searched job categories for Prior Authorization Rn jobs in Tennessee are:
What cities in Tennessee are hiring for Prior Authorization Rn jobs? Cities in Tennessee with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Tennessee as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 2% Hybrid, and 5% Remote job distribution, with an average salary of $79,750 per year, or $38.3 per hour.

Prior Authorization Coordinator

StatCare, LLC

Knoxville, TN • On-site

$15.25 - $19/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 5 days ago

Job description

Description
StatCare is a private Pulmonary, Critical Care, Sleep, and Hospitalist medical practice dedicated to providing high-quality inpatient & outpatient care to patients throughout East Tennessee. Our physicians and advanced practice providers are committed to delivering patient-centered care to ensuring continuity, expertise, and compassion at every stage of hospitalization. StatCare strives to work collaboratively with hospital partners, nurses, and support staff, improving health outcomes and elevate the standard of care for the communities we are proud to serve.
Prior Authorization Coordinator is responsible for securing prior authorizations for diagnostic testing, including but not limited to CT scans, MRIs, and other procedures, ensuring patients receive timely access to care while minimizing delays in treatment. The ideal candidate will work closely with providers, patients, insurance companies, and diagnostic facilities to ensure all authorizations are obtained accurately and efficiently.
Examples of Duties: (List does not include all duties assigned)
  • Obtain prior authorizations for diagnostic testing (CT scans, MRIs, etc.) and pulmonary-related procedures.
  • Verify insurance coverage and requirements before submitting authorization requests.
  • Communicate with insurance companies, providers, and diagnostic centers to facilitate approvals.
  • Track and follow up on pending authorizations to ensure timely completion.
  • Document all authorization activities in the patient's medical record and maintain accurate records.
  • Notify providers and patients promptly of authorization status, including denials and next steps.
  • Collaborate with clinical and administrative staff to prevent delays in patient care.
  • Assist with appeals or re-submissions when necessary.
  • Maintain confidentiality and compliance with HIPAA and all applicable regulations.

KNOWLEDGE, SKILLS, AND ABILITIES
  • Minimum of 1-2 years of prior authorization, insurance verification, or medical office experience (pulmonary or specialty office experience preferred).
  • Knowledge of insurance guidelines, medical terminology, and diagnostic testing procedures.
  • Proficiency with electronic health records (EHR) and Microsoft Office Suite.
  • Excellent communication and customer service skills.
  • Ability to work independently and as part of a team in a fast-paced environment and multi-task.
  • Ability to apply policies and principles to solve everyday problems and deal with a variety of situations.
  • Ability to work effectively with physicians, patients, staff and the public.
  • Ability to establish priorities and coordinate work activities.

Educaton: High School Diploma or GED required.
WORK LOCATION: In-Person, Full-Time, Monday - Friday
BENEFITS:
  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

StatCare symbolizes excellence, every patient, every time. Our success is built on a strong foundation of high-quality patient-centered care, physician ownership, collaborative relationships, and entrepreneurial spirit. We foster a culture rooted in professionalism, trust, and communication - values that extend across our internal teams and our external relationships with healthcare partners.

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