Registered Nurse
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty ... Registered Nurse with current license in LA state of employment. Additional licensure may be ...
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty ... Registered Nurse with current license in LA state of employment. Additional licensure may be ...
Baton Rouge, LA · On-site
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty ... Registered Nurse with current license in LA state of employment. Additional licensure may be ...
The RN supports the urology providers in delivering high quality, patient-centered care to a ... Obtain prior authorizations for medications. * Collaborate with primary care providers, specialists ...
The RN supports the urology providers in delivering high quality, patient-centered care to a ... Obtain prior authorizations for medications. * Collaborate with primary care providers, specialists ...
Baton Rouge, LA · On-site
$64K - $95K/yr
The RN supports the urology providers in delivering high quality, patient-centered care to a ... Obtain prior authorizations for medications. * Collaborate with primary care providers, specialists ...
Quick apply
Baton Rouge, LA · On-site
$64K - $95K/yr
The RN supports the urology providers in delivering high quality, patient-centered care to a ... Obtain prior authorizations for medications. * Collaborate with primary care providers, specialists ...
Baton Rouge, LA · On-site
$64K - $95K/yr
The RN supports the urology providers in delivering high quality, patient-centered care to a ... Obtain prior authorizations for medications. * Collaborate with primary care providers, specialists ...
Baton Rouge, LA · On-site
$64K - $95K/yr
The RN supports the urology providers in delivering high quality, patient-centered care to a ... Obtain prior authorizations for medications. * Collaborate with primary care providers, specialists ...
Must have a current license or temporary authorization (interim approval not to exceed 120 days from date of issuance) as an Advanced Practice Registered Nurse (APRN) with authorization to practice ...
Must have a current license or temporary authorization (interim approval not to exceed 120 days from date of issuance) as an Advanced Practice Registered Nurse (APRN) with authorization to practice ...
Baton Rouge, LA · On-site
Baton Rouge A qualified Registered Nurse (RN) candidate to perform the responsibilities of case ... Process and manage authorizations for patient care services * Document and chart data using ...
Baton Rouge, LA · On-site
Baton Rouge A qualified Registered Nurse (RN) candidate to perform the responsibilities of case ... Process and manage authorizations for patient care services * Document and chart data using ...
Baton Rouge, LA · On-site
Baton Rouge A qualified Registered Nurse (RN) candidate to perform the responsibilities of case ... Process and manage authorizations for patient care services * Document and chart data using ...
Quick apply
Baton Rouge, LA · On-site
Baton Rouge A qualified Registered Nurse (RN) candidate to perform the responsibilities of case ... Process and manage authorizations for patient care services * Document and chart data using ...
Baton Rouge, LA · On-site
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
Baton Rouge, LA · On-site
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
$28 - $33/hr
Ensure all required documentation is completed and documented prior to procedures.Intrathecal Pain Pump Management (RN-Specific)Perform intrathecal pain pump refills per provider orders and clinic ...
$28 - $33/hr
Ensure all required documentation is completed and documented prior to procedures.Intrathecal Pain Pump Management (RN-Specific)Perform intrathecal pain pump refills per provider orders and clinic ...
... and prior authorizations. Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside BLS or CPR ...
... and prior authorizations. Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside BLS or CPR ...
Baton Rouge, LA · On-site
$54K - $116K/yr
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
Baton Rouge, LA · On-site
$54K - $116K/yr
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
Baton Rouge, LA · On-site
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
Baton Rouge, LA · On-site
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
Baton Rouge, LA · On-site
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
Baton Rouge, LA · On-site
... prior authorizations. ● Ensures clinical communications are managed, tasks are completed and ... What we're looking for Required Qualifications: ● Active, Unrestricted Registered Nurse Licensure ...
... and prior authorizations. Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside BLS or CPR ...
... and prior authorizations. Ensures clinical communications are managed, tasks are completed and ... Active, Unrestricted Registered Nurse Licensure in the state that you reside BLS or CPR ...
Maringouin, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Maringouin, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Port Allen, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Port Allen, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Baton Rouge, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Baton Rouge, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Baton Rouge, LA · On-site
$1.7K - $2.0K/wk
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 2 year of prior experience in the desired setting is required; * excellent communication skills ...
Baton Rouge, LA · On-site
$1.7K - $2.0K/wk
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 2 year of prior experience in the desired setting is required; * excellent communication skills ...
Denham Springs, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Denham Springs, LA · On-site
Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 2 year of prior experience in the desired setting is required; * excellent communication skills ...
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 2 year of prior experience in the desired setting is required; * excellent communication skills ...
$6.40 - $11.45
0% of jobs
$11.45 - $16.51
0% of jobs
$16.51 - $21.56
4% of jobs
$21.56 - $26.61
18% of jobs
$27.27 is the 25th percentile. Wages below this are outliers.
$26.61 - $31.66
20% of jobs
The median wage is $33.74 / hr.
$31.66 - $36.71
18% of jobs
$41.26 is the 75th percentile. Wages above this are outliers.
$36.71 - $41.76
16% of jobs
$41.76 - $46.81
10% of jobs
$46.81 - $51.86
6% of jobs
$51.86 - $56.91
4% of jobs
$56.91 - $61.96
3% of jobs
$6
$36
$61
| Aspect | Prior Authorization Rn | Medical Coder |
|---|---|---|
| Credentials | RN license, possibly certifications in case management or utilization review | Certification in coding (CPC, CCS), no RN license required |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Medical offices, hospitals, insurance companies |
| Primary Responsibilities | Reviewing and obtaining prior authorizations for treatments and procedures | Translating 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.
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.

Work At Home, LA
Contract
Position Summary:
As a Prior Authorization Nurse, you work outside the walls of a hospital setting in a specialty area of the nursing field providing utilization management prior authorization reviews.
Build strong direct relationships with providers and medical directors through review of member clinical information, applying criteria, and completing authorization determinations in accordance with company policies and procedures, Document patient care activity and communication with the, provider and medical director. Participate in on call rotation as indicated by staffing and business needs.
Duties:
Registered Nurse with current license in LA state of employment. Additional licensure may be required in multi-state service areas.
Minimum 3 years nursing experience with a minimum of 1 year in utilization management/ prior authorization review experience.
Experience :
Utilization Management. Prior Authorization Review experience
About US Tech Solutions:
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit www.ustechsolutions.com (http://www.ustechsolutionsinc.com/) .
US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.
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US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
It services
1,001 - 5,000 Employees
Jersey City, NJ, US
2000