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Prior Authorization Rn Jobs in Akron, OH (NOW HIRING)

360care

Ancillary Product Coordinator

Richfield, OH · On-site

Consistently checks eligibility for every resident and submits prior authorization when applicable. * Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing ...

360care

Ancillary Product Coordinator

Richfield, OH · On-site

Consistently checks eligibility for every resident and submits prior authorization when applicable. * Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing ...

360care

Ancillary Product Coordinator

Richfield, OH

Consistently checks eligibility for every resident and submits prior authorization when applicable. * Coordinate and prepare financial estimates, purchase orders and invoices for patients and nursing ...

KMG Healthcare

Registered Nurse (RN)

Barberton, OH · On-site

$60/hr

Currently licensed Registered Nurse * RNs with prior occupational health experience a plus * Phlebotomy, immunizations/injections experience required * Current hands on training in AHA or ARC Basic ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Akron, OH

Prior Authorization Rn information

See Akron, OH salary details

$7

$40

$68

How much do prior authorization rn jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for prior authorization rn in Akron, OH is $40.41, according to ZipRecruiter salary data. Most workers in this role earn between $30.14 and $47.84 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.
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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Akron, OH as of August 2026, with employment types broken down into 5% As Needed, 85% Full Time, 5% Part Time, and 5% Contract. Highlights an 100% In-person job distribution, with an average salary of $84,063 per year, or $40.4 per hour.

Ortho Clinic Specialist MA/LPN/RN

Wooster Community Hospital

Wooster, OH • On-site

$24.24 - $43/hr

Full-time

Posted 22 days ago

Wooster Community Hospital rating

6.9

Company rating: 6.9 out of 10

Based on 17 frontline employees who took The Breakroom Quiz

552nd of 1,059 rated hospitals

Job description

Orthopedics Spine Clinical Specialist

Position Summary

We are seeking an experienced (3-5 years) and compassionate clinical professional to join our specialized orthopedic spine clinic. You will serve as a primary liaison between patients and our spine team, managing the continuum of care from initial clinical evaluations and diagnostics to pre-operative preparation and post-operative recovery.

Key Responsibilities

Clinical Care & Diagnostics

  • Room patients, obtain detailed histories, and record chief complaints, prioritizing patients with acute and chronic back or neck pain.
  • Measure and record vital signs, neurological baselines, and evaluate patient mobility and functional status.
  • Prepare patients for examinations and assist providers with in-office procedures, including joint or trigger point injections and suture/staple removal.
  • Manage wound care, apply and remove casts, splints, and bracing systems (duties vary based on licensure).

Pre- & Post-Operative Coordination

  • Educate patients on complex spinal conditions, surgical risks, and post-operative care plans, including movement restrictions and physical therapy protocols. [
  • Coordinate pre-operative clearances, diagnostic imaging (X-rays, MRIs, CTs), and surgical scheduling with local hospitals.
  • Review discharge instructions with patients, ensuring they understand medication management, red-flag symptoms, and follow-up appointments.

Administrative & Triage

  • Triage incoming clinical phone calls and portal messages, assessing pain levels and neurological changes to determine urgency.
  • Accurately document all care, assessments, and patient communications in Electronic Medical Records (EMR) systems.
  • Assist with prior authorizations for medications, spinal injections, and specialized durable medical equipment (DME).

Qualifications

  • Education: Graduate of an accredited nursing (RN/LPN) or medical assisting (CMA/RMA) program.
  • Experience: 3-5 years of direct clinical experience, with a strong preference for background in orthopedics, neurosurgery, or spine care
  • Certifications: Active, unencumbered state license (RN or LPN) or Medical Assistant certification (AAMA, AMT). Basic Life Support (BLS) certification required.
  • Skills: Proficiency in EMR software (such as Epic or similar systems), advanced knowledge of musculoskeletal/spinal anatomy, and exceptional patient communication skills.
  • Must be able to life up to 50lbs.

Approved: TMMYERS

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