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Prior Authorization Rn Jobs in Washington (NOW HIRING)

UHS

Intake Registered Nurse

Washington, DC · On-site

The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

Vivian Health

Intake RN in Washington, DC

Washington, DC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Washington

Prior Authorization Rn information

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$8

$47

$81

How much do prior authorization rn jobs pay per hour?

As of Aug 19, 2026, the average hourly pay for prior authorization rn in Washington is $47.85, according to ZipRecruiter salary data. Most workers in this role earn between $35.67 and $56.63 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.

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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Washington as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 14% Part Time, 3% Temporary, and 6% Contract. Highlights an 88% Physical, 1% Hybrid, and 11% Remote job distribution, with an average salary of $99,519 per year, or $47.8 per hour.

Intake Registered Nurse

UHS

Washington, DC • On-site

Per diem

Re-posted 8 days ago

Universal Health Services rating

6.9

Company rating: 6.9 out of 10

Based on 254 frontline employees who took The Breakroom Quiz

456th of 888 rated healthcare providers

Job description

Responsibilities

Psych Registered Nurse (RN) Opportunity - PRN

7am-7:00pm and 7pm-7:300am Shifts Available - Including Weekends

The Psychiatric Institute of Washington provides comprehensive behavioral healthcare for children, adolescents, adults, and senior adults suffering from mental health and addictive illnesses. PIW is a 130 bed, short-term, acute care hospital offering inpatient, partial and intensive outpatient hospitalization, as well as specialized treatment programs for chemical dependency. PIW has an excellent reputation as an innovative hospital with caring, dedicated staff, experienced in the delivery of behavioral healthcare. Situated in the safe, historical Tenleytown neighborhood, PIW is one mile from the Tenleytown Metro stop and within walking distance to local cafes and restaurants.

The Role: The RN - Intake, under the supervision of the Director - Admissions, provides telephonic and in-person risk assessment to assist the physician in identification of appropriate level of care for potential patients. The RN – intake serves as the initial contact with referral sources and potential patients, coordinates the referral and intake process, facilitates the admission process and maintains communication with referral sources, families, patients, and unit staff. The RN - Intake works with the Business Office regarding patient financial data and verification and prior authorization of insurance benefits as needed, as well as with the UR Department for the certification of patients admitted.

If you would like to learn more about the Intake Registered Nurse (RN) position before applying, please contact Eduardo Amay, Recruiter by phone at eduardo.adams@uhsin.com.

What do our current nurses value at UHS?

An environment that puts patient care first. 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. Having the opportunity to grow, learn, and advance in your career. There are very robust continuing education options and opportunities for leadership development as a Registered Nurse (RN) with UHS. Supportive and responsive leadership. Competitive salary and comprehensive benefits package.

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.

We believe that diversity and inclusion among our teammates is critical to our success.

Notice

At UHS and all subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates with matching skillset and experience with the best possible career at UHS and our subsidiaries. We take pride in creating a highly efficient and best in class candidate experience. During the recruitment process, no recruiter or employee will request financial or personal information (Social Security Number, credit card or bank information, etc.) from you via email. The recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail etc. If you feel suspicious of a job posting or job-related email, let us know by contacting us at: https://uhs.alertline.com or 1-800-852-3449


Qualifications

Job Requirements:

  • Licensure: Current license to practice professional nursing in Washington, DC.
  • New Grads encouraged to apply! Excellent mentorship program and orientation available!
  • Current BLS certification.
Qualifications:

Job Requirements:

  • Licensure: Current license to practice professional nursing in Washington, DC.
  • New Grads encouraged to apply! Excellent mentorship program and orientation available!
  • Current BLS certification.
Education:UNAVAILABLEEmployment Type: PER_DIEM

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About Universal Health Services

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Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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