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Prior Authorization Rn Jobs in Tennessee (NOW HIRING)

Northern California Fertility Medical Center

RN

Memphis, TN · On-site

$30 - $35.10/hr

RN FAM - Memphis, TN 38120 Overview Salary Range $30.00 - $35.10 Hourly Position Type Full-Time ... Ensure medication ordering and prior authorizations are completed appropriately * Track and verify ...

Mental Health Cooperative

Registered Nurse

Nashville, TN · On-site

$32 - $35/hr

Registered Nurse (RN) Ranked one of Tennessee's top places to work, MHC is a rare and special place ... Complete Prior Authorizations and Attestations for treatment medications. 16. Perform rescue ...

Mental Health Cooperative

Registered Nurse

Nashville, TN · On-site

$32 - $35/hr

Registered Nurse (RN) SUMMARY: The Medical Operations Registered Nurse (RN) supports licensed ... Complete Prior Authorizations and Attestations for treatment medications. 16. Perform rescue ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Tennessee

Prior Authorization Rn information

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$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
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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.

Chemotherapy Authorization Specialist

The US Oncology Network

Knoxville, TN

$14.75 - $19.75/hr

Full-time

Medical

Re-posted 11 days ago

US Oncology rating

7.1

Company rating: 7.1 out of 10

Based on 109 frontline employees who took The Breakroom Quiz

379th of 887 rated healthcare providers

Job description

Overview

 

We can’t do it without YOU!

Do you want to apply your experience, skills, and education to make a meaningful and lasting difference in the lives of our patients and their families?  At Tennessee Cancer Specialists, it is the privilege of our employees to walk with our patients and their families as they move along the journey of fighting cancer. Whether you are working directly with patients in one of our clinics or a support role, you are an essential part of our mission to deliver the highest quality, compassionate care. Our 300+ employees make up the teams at our 17 different East Tennessee locations!

As a Pre-Certification Specialist, you will assist our providers with obtaining prior authorization from various insurance carriers for ordered medications and treatments.


Responsibilities

Here’s what might happen on a typical day…

In this Monday – Friday role, you use your expertise to obtain authorization for patient treatments and break down barriers that might prevent that authorization.  Your customer service skills will allow you to respectfully communicate with our payors, ensuring there is no delay in the patient’s treatment plan. You will work alongside a team of dedicated individuals who will help you troubleshoot issues. As a point of contact for our clinic teams, you are responsible for fielding questions or assisting with additional needs.   

While it can be challenging to balance the persistence needed to work with various payors and the empathy required for our patients, your professionalism allows you to do just that!


Qualifications

Experiences that matter…

  • Your knowledge of chemotherapy, immunotherapy, or other infusion treatment authorization requirements for all types of payors helps you stay ahead of the game when completing the pre-certification process
  • In conversations with patients, coworkers, and other providers, you provide exceptional customer service through communicating respectfully, thoroughly listening to all shared details, and asking any appropriate questions.
  • You can communicate and provide prompt feedback to physicians, management, and other clinical staff members regarding restrictions, special requirements, and other possible payor issues related to specific insurance plans
  • Maintaining a patient-focused mindset allows you to dig in and research alternative solutions to obtaining authorizations and recognize trends with specific treatments and payors
  • Your go-getter work ethic will have you ready to jump in and help out with any additional

For your safety, keep this in mind:

  • The position will require sitting for long periods with occasional stooping, bending, and stretching for supplies in a business office setting.
  • Any lifting should be limited to 10 pounds or less.
  • You will need sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.). Vision and hearing must be adequate for viewing computer screens for prolonged periods and hearing in-person and phone conversations.

We feel this position requires these basics:

  • A high school diploma or equivalent is required, but an associate’s degree in a business-related field would be even better!
  • Prior experience as a medical assistant or LPN will give you an edge.
  • Your proficiency with electronic health records, payor portals, and Microsoft Office (Outlook, Word, Excel, etc.) is a must.
  • You either live in the Knoxville area or are in the process of relocating. This role is fully onsite.
  • Lastly, we feel that you will be most successful with at least one year of direct experience in a similar position (pre-certification, benefit financial counseling, benefits verification, referral specialist, medical assistant, LPN) to provide you with the background needed for this position.

EOE/M/F/D/V/SO.  We are a Drug-free Workplace.

MINIMUM QUALIFICATIONS: High school degree or equivalent. Associates degree in Healthcare * LPN state license and registration preferred. Minimum two (2) years medical insurance verification and authorization required. Billing and coding experience preferred. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and involves frequent interaction with patients, clinical and business office staff and payers.

Qualifications:

Experiences that matter…

  • Your knowledge of chemotherapy, immunotherapy, or other infusion treatment authorization requirements for all types of payors helps you stay ahead of the game when completing the pre-certification process
  • In conversations with patients, coworkers, and other providers, you provide exceptional customer service through communicating respectfully, thoroughly listening to all shared details, and asking any appropriate questions.
  • You can communicate and provide prompt feedback to physicians, management, and other clinical staff members regarding restrictions, special requirements, and other possible payor issues related to specific insurance plans
  • Maintaining a patient-focused mindset allows you to dig in and research alternative solutions to obtaining authorizations and recognize trends with specific treatments and payors
  • Your go-getter work ethic will have you ready to jump in and help out with any additional

For your safety, keep this in mind:

  • The position will require sitting for long periods with occasional stooping, bending, and stretching for supplies in a business office setting.
  • Any lifting should be limited to 10 pounds or less.
  • You will need sufficient manual dexterity for operating office equipment (keyboard, telephone, copier, etc.). Vision and hearing must be adequate for viewing computer screens for prolonged periods and hearing in-person and phone conversations.

We feel this position requires these basics:

  • A high school diploma or equivalent is required, but an associate’s degree in a business-related field would be even better!
  • Prior experience as a medical assistant or LPN will give you an edge.
  • Your proficiency with electronic health records, payor portals, and Microsoft Office (Outlook, Word, Excel, etc.) is a must.
  • You either live in the Knoxville area or are in the process of relocating. This role is fully onsite.
  • Lastly, we feel that you will be most successful with at least one year of direct experience in a similar position (pre-certification, benefit financial counseling, benefits verification, referral specialist, medical assistant, LPN) to provide you with the background needed for this position.

EOE/M/F/D/V/SO.  We are a Drug-free Workplace.

MINIMUM QUALIFICATIONS: High school degree or equivalent. Associates degree in Healthcare * LPN state license and registration preferred. Minimum two (2) years medical insurance verification and authorization required. Billing and coding experience preferred. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges. WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment and involves frequent interaction with patients, clinical and business office staff and payers.

Education:UNAVAILABLEEmployment Type: FULL_TIME

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