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 ...
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 ...
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 ...
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 ...
Remote Prior Authorization Pharmacist
Baton Rouge, LA · Remote
$51 - $61.25/hr
Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Baton Rouge, LA · Remote
$51 - $61.25/hr
Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Denham Springs, LA · Remote
$53.25 - $64/hr
Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Remote Prior Authorization Pharmacist
Denham Springs, LA · Remote
$53.25 - $64/hr
Collaborate with physicians, nurses, and medical directors on complex cases. * Document outcomes in ... Prior authorization, utilization management, or managed care preferred - retail or hospital ...
Registered Nurse Urology
Baton Rouge, LA · On-site
$64.48K - $95.45K/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
Registered Nurse Urology
Baton Rouge, LA · On-site
$64.48K - $95.45K/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 ...
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 ...
Registered Nurse Urology
Baton Rouge, LA · On-site
$64.48K - $95.45K/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 ...
Registered Nurse Urology
Baton Rouge, LA · On-site
$64.48K - $95.45K/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 ...
Registered Nurse
Baton Rouge, LA · On-site
$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 ...
Registered Nurse
Baton Rouge, LA · On-site
$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 ...
Registered Nurse (Rn)
Saint Amant, LA · On-site
Registered Nurse - RN seeking Monday and Tuesday day shifts We are one of the largest private duty ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Registered Nurse (Rn)
Saint Amant, LA · On-site
Registered Nurse - RN seeking Monday and Tuesday day shifts We are one of the largest private duty ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...
Registered Nurse (Rn)
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 ...
Registered Nurse (Rn)
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 ...
Registered Nurse (Rn)
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 ...
Registered Nurse (Rn)
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 ...
Registered Nurse (Rn)
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 ...
Registered Nurse (Rn)
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 ...
RN - Registered Nurse - Behavioral / Psych
Baton Rouge, LA · On-site
$1.70K - $2K/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 ...
RN - Registered Nurse - Behavioral / Psych
Baton Rouge, LA · On-site
$1.70K - $2K/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 ...
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 1 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; * 1 year of prior experience in the desired setting is required; * excellent communication skills ...
RN - PRN Agency Pool
Baton Rouge, LA · On-site
$40 - $50/hr
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 1 year of prior experience in the desired setting is required; * excellent communication skills ...
RN - PRN Agency Pool
Baton Rouge, LA · On-site
$40 - $50/hr
To be successful in this role, you will need to have * a valid RN license in the state seeking work; * 1 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 ...
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 ...
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 ...
RN - MS
$54.31/hr
Join Our Team as a Registered Nurse - MS (Night Shift 12-Hour) Are you a dedicated registered nurse ready to elevate your career? We are seeking a skilled RN with a passion for leading compassionate ...
RN - MS
$54.31/hr
Join Our Team as a Registered Nurse - MS (Night Shift 12-Hour) Are you a dedicated registered nurse ready to elevate your career? We are seeking a skilled RN with a passion for leading compassionate ...
RN - MS
$54.31/hr
Join Our Team as a Registered Nurse - MS (Night Shift 12-Hour) Are you a dedicated registered nurse ready to elevate your career? We are seeking a skilled RN with a passion for leading compassionate ...
RN - MS
$54.31/hr
Join Our Team as a Registered Nurse - MS (Night Shift 12-Hour) Are you a dedicated registered nurse ready to elevate your career? We are seeking a skilled RN with a passion for leading compassionate ...
Prior Authorization Rn information
See Baton Rouge, LA salary details
$7.16 - $12.80
0% of jobs
$12.80 - $18.45
0% of jobs
$18.45 - $24.09
4% of jobs
$24.09 - $29.73
18% of jobs
$30.48 is the 25th percentile. Wages below this are outliers.
$29.73 - $35.38
20% of jobs
The median wage is $37.70 / hr.
$35.38 - $41.02
18% of jobs
$46.10 is the 75th percentile. Wages above this are outliers.
$41.02 - $46.67
16% of jobs
$46.67 - $52.31
10% of jobs
$52.31 - $57.96
6% of jobs
$57.96 - $63.60
4% of jobs
$63.60 - $69.25
3% of jobs
$7
$40
$69
How much do prior authorization rn jobs pay per hour?
As of May 30, 2026, the average hourly pay for prior authorization rn in Baton Rouge, LA is $40.56, according to ZipRecruiter salary data. Most workers in this role earn between $30.24 and $48.03 per hour, depending on experience, location, and employer.
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 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 is the difference between Prior Authorization Rn vs Medical Coder?
| 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.
More about Prior Authorization Rn jobs
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What cities near Baton Rouge, LA are hiring for Prior Authorization Rn jobs? Cities near Baton Rouge, LA with the most Prior Authorization Rn job openings:
Job description
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.
About US Tech Solutions
Sourced by ZipRecruiter
US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions.
Industry
It services
Company size
1,001 - 5,000 Employees
Headquarters location
Jersey City, NJ, US
Year founded
2000