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Prior Authorization Rn Jobs in Virginia (NOW HIRING)

Milestone LLC

Psychiatric Nurse

Chesapeake, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone LLC

Psychiatric Nurse

Suffolk, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone LLC

Psychiatric Nurse

Portsmouth, VA

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone Inc

Psychiatric Nurse

Norfolk, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone LLC

Psychiatric Nurse

Hampton, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone LLC

Psychiatric Nurse

Virginia Beach, VA

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone Inc

Psychiatric Nurse

Portsmouth, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone LLC

Psychiatric Nurse

Norfolk, VA

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone LLC

Psychiatric Nurse

Norfolk, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

Milestone Inc

Psychiatric Nurse

Virginia Beach, VA · On-site

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to ... Complete and submit initial prior authorizations and continued stay reports. 12. Submit prior ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Virginia

Prior Authorization Rn information

See Virginia salary details

$7

$41

$71

How much do prior authorization rn jobs pay per hour?

As of Jul 14, 2026, the average hourly pay for prior authorization rn in Virginia is $41.88, according to ZipRecruiter salary data. Most workers in this role earn between $31.20 and $49.57 per hour, depending on experience, location, and employer.

What do prior authorization nurses do?

Prior authorization nurses review medical documentation and communicate with healthcare providers and insurance companies to obtain approval for specific treatments, medications, or procedures. They ensure that requests meet insurance criteria, often using electronic health records and authorization systems, to facilitate timely patient care.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

How to make $300,000 as a nurse?

A Prior Authorization RN can increase earnings by gaining specialized certifications, working in high-paying healthcare settings, or taking on overtime and extra shifts. Developing expertise in insurance processes and healthcare regulations can also lead to higher-paying roles or consulting opportunities.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on overtime shifts, working in high-demand specialties, or obtaining certifications to qualify for higher-paying roles. Additionally, freelance consulting or remote review work can provide supplementary income outside regular hours.

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 Virginia? The most popular types of Prior Authorization Rn jobs in Virginia are:
What are popular job titles related to Prior Authorization Rn jobs in Virginia? For Prior Authorization Rn jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Virginia look for? The top searched job categories for Prior Authorization Rn jobs in Virginia are:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Virginia as of July 2026, with employment types broken down into 5% As Needed, 72% Full Time, 21% Part Time, and 2% Contract. Highlights an 100% In-person job distribution, with an average salary of $87,114 per year, or $41.9 per hour.
Psychiatric Nurse

Psychiatric Nurse

Milestone LLC

Chesapeake, VA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 4 days ago

Job description

As a Psychiatric Registered Nurse at Milestone LLC, you will provide comprehensive nursing care to clients with mental health disorders. You will be responsible for conducting psychiatric assessments, developing and implementing nursing care plans, administering medications, and monitoring clients' mental and physical health status. Your role will also involve collaborating with a multidisciplinary team to ensure that clients receive appropriate and holistic care throughout their treatment journey.

In this position, you will facilitate therapeutic groups and individual counseling sessions, provide education to clients and their families on mental health topics, and support clients in developing coping strategies. You will maintain accurate documentation of nursing interventions, client progress, and outcomes while adhering to ethical standards and best practices in psychiatric nursing.

May include any and/or all of the following:

1. Current Registered Nurse (RN) license in the state

2. Bachelor's degree in Nursing (BSN) preferred

3. Experience in psychiatric or mental health nursing

4. Knowledge of psychiatric disorders and medication management

5. Strong assessment and critical thinking skills

6. Excellent communication and interpersonal skills

7. Ability to work collaboratively in a multidisciplinary team

8. Commitment to ongoing professional development and staying current with best practices in psychiatric nursing.

9. Maintain license and/or certification.

10. Provide consultation to supervisors; performs other duties as assigned.

11. Complete and submit initial prior authorizations and continued stay reports.

12. Submit prior authorizations and continued stay reports in Notable.

13. Facilitate clinical training to employees on a monthly basis.

Requirements

Willingness to work in stressful situations Case management.

Client documentation

Oral and written communication Treatment plan development

Crisis intervention

Ability to Lecture and give Presentation Ability to maintain confidentiality.

Knowledge of:Community Resources Counseling Interventions Funding Sources

CORE Standards Human Development Group Dynamics Computer Software Psychotherapy

Trainings/Certifications:

CPR/FIRST AID

Crisis Prevention Intervention

Minimum Qualifications:

A Licensed individual with at least two (2) years of clinical work experience with children and/or adults in the human services field. Experience with writing assessments is a plus

Benefits

  • Health Care Plan (Medical, Dental & Vision)
  • Retirement Plan (401k, IRA)
  • Paid Time Off (Vacation, Sick & Public Holidays)
  • Family Leave (Maternity, Paternity)
  • Training & Development