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Prior Authorization Rn Jobs in Carmel, IN (NOW HIRING)

Franciscan Health

Registered Nurse

Mooresville, IN · On-site

Acquire pre-certs/prior authorizations for patient needs QUALIFICATIONS * Associate's Degree -Required * Bachelor's Degree - Preferred * Valid RN license to practice in the state or as listed in the ...

Franciscan Alliance

Registered Nurse

Mooresville, IN · On-site

Acquire pre-certs/prior authorizations for patient needs QUALIFICATIONS * Associate's Degree -Required * Bachelor's Degree - Preferred * Valid RN license to practice in the state or as listed in the ...

Franciscan Alliance

Registered Nurse

Mooresville, IN · On-site

Acquire pre-certs/prior authorizations for patient needs QUALIFICATIONS * Associate's Degree -Required * Bachelor's Degree - Preferred * Valid RN license to practice in the state or as listed in the ...

Oak Street Health

Registered Nurse

Indianapolis, IN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Vergence Group

RN Specialist

Indianapolis, IN · On-site

$38/hr

Medical Eligibility And Prior Authorization Specialist Pay: $38.00/hour Part-time, Hybrid position in Indianapolis In this role you will determine medical eligibility and provide prior authorization ...

Oak St. Health

Registered Nurse

Indianapolis, IN · On-site

Registered Nurse We're building a world of health around every individual -- shaping a more ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Registered Nurse

Indianapolis, IN

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

CVS Health

Registered Nurse

Indianapolis, IN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Oak Street Health

Registered Nurse

Indianapolis, IN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

CVS Health

Registered Nurse

Indianapolis, IN · On-site

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

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Showing results 41-60

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Carmel, IN

Prior Authorization Rn information

See Carmel, IN salary details

$7

$42

$72

How much do prior authorization rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for prior authorization rn in Carmel, IN is $42.18, according to ZipRecruiter salary data. Most workers in this role earn between $31.44 and $49.90 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 Carmel, IN as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 19% Part Time, 1% Temporary, and 3% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $87,731 per year, or $42.2 per hour.

Registered Nurse

Franciscan Health

Mooresville, IN • On-site

Part-time

Re-posted 8 days ago

Franciscan Health rating

6.9

Company rating: 6.9 out of 10

Based on 269 frontline employees who took The Breakroom Quiz

456th of 891 rated healthcare providers

Job description

Franciscan Health Mooresville Campus
1201 Hadley Rd Mooresville, Indiana 46158
At Franciscan the Registered Nurse (RNs) Specialty are responsible for providing professional nursing care for patients in our specialty clinics. This role is critical in assisting providers and coworkers in coordinating patient care as well as functions as a liaison between patients, coworkers, and providers.
WHO WE ARE
Franciscan Health is a non-profit health care ministry with primary and specialty care physician groups located throughout Indiana and Illinois. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our Mission; Compassionate Concern; Joyful Service; and Christian Stewardship extend to our employees and patients. With 12 hospital ministries, Franciscan Health is one of the largest Catholic health care organizations in the Midwest. Franciscan Health includes over 1,000 employed physicians and advanced practice providers. Franciscan providers enjoy a team approach to care. Of our 260+ locations, many are nationally recognized Centers of Health Care Excellence.
The Registered Nurse (RN) is responsible for providing professional nursing care for patients including assessment, treatment, care planning, medical care evaluation, and education by following established standards and practices. The RN assists providers and coworkers in coordinating patient care as well as functions as a liaison between patients, coworkers, and providers.
WHO WE ARE
Franciscan Health is a non-profit health care ministry with primary and specialty care physician groups located throughout Indiana and Illinois. Franciscan is known for our mission of caring. Our values of Respect for Life; Fidelity to Our Mission; Compassionate Concern; Joyful Service; and Christian Stewardship extend to our employees and patients. With 12 hospital ministries, Franciscan Health is one of the largest Catholic health care organizations in the Midwest. Franciscan Health includes over 1,000 employed physicians and advanced practice providers. Franciscan providers enjoy a team approach to care. Of our 260+ locations, many are nationally recognized Centers of Health Care Excellence.
WHAT YOU CAN EXPECT
  • Sign on Bonus Available (Ask your Talent Acquisition Advisor if eligible for Sign-On Bonus)
  • RN, Specialty, Part-time, 3 days weekly, OB/GYN Mooresville
  • Enjoy work life balance with consistent day shift schedule and observed holidays off work
  • Professional development opportunities
  • Enhanced benefits package with a pay structure to reward experience and expertise
  • A more personal approach to patient care with evidence-based approach
  • Work with physicians, nurses and patients to resolve questions concerning medications, health education, and medical advice within skill level and scope of practice
  • Record and maintain complete and accurate records of patient and physician communications regarding medical care according to standard medical record documentation requirements
  • Submit electronically/fax new prescriptions and refill prescriptions according to Physician orders.
  • Serve as a resource to clinic staff regarding medical information, patient assessment, and nursing management of illness
  • Acquire pre-certs/prior authorizations for patient needs

QUALIFICATIONS
  • Associate's Degree -Required
  • Bachelor's Degree - Preferred
  • Valid RN license to practice in the state or as listed in the Nurse Licensure Compact (NLC) upon hire - Required
  • 2 years Nursing/Patient Care - Preferred
  • Basic Life Support Program (BLS) - American Heart Association

TRAVEL IS REQUIRED:
Never or Rarely
EQUAL OPPORTUNITY EMPLOYER
It is the policy of Franciscan Alliance to provide equal employment to its employees and qualified applicants for employment as otherwise required by an applicable local, state or Federal law.
Franciscan Alliance reserves a Right of Conscience objection in the event local, state or Federal ordinances that violate its values and the free exercise of its religious rights.
Franciscan Alliance is committed to equal employment opportunity.
Franciscan provides eligible employees with comprehensive benefit offerings. Find an overview on the benefit section of our career site, jobs.franciscanhealth.org.

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