ZipRecruiter

Log In

1

Prior Authorization Rn Jobs in Charleston, SC (NOW HIRING)

TNAA TotalMed RN

Travel OR RN

Charleston, SC · On-site

  • Medical

  • Dental

  • Vision

  • Retirement

Ensure all patient paperwork is completed prior to procedure. * Watch for signs and symptoms of ... RNs should be able to easily lift 20 pounds. Moving or lifting patients may require lifting of up ...

next page

Showing results 1-20

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Charleston, SC

Prior Authorization Rn information

See Charleston, SC salary details

$7

$40

$68

How much do prior authorization rn jobs pay per hour?

As of Aug 18, 2026, the average hourly pay for prior authorization rn in Charleston, SC is $40.11, according to ZipRecruiter salary data. Most workers in this role earn between $29.90 and $47.45 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.

More about Prior Authorization Rn jobs

What are the most commonly searched types of Prior Authorization Rn jobs in Charleston, SC?

The most popular types of Prior Authorization Rn jobs in Charleston, SC are:

What are popular job titles related to Prior Authorization Rn jobs in Charleston, SC?

For Prior Authorization Rn jobs in Charleston, SC, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Rn jobs in Charleston, SC look for?

The top searched job categories for Prior Authorization Rn jobs in Charleston, SC are:

Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Charleston, SC as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $83,423 per year, or $40.1 per hour.

Prior Authorization Pharmacy Technician - MUSCP

Medical University of South Carolina

Mount Pleasant, SC • On-site

$16.75 - $20.25/hr

Other

Posted 3 days ago

New

Job description

Prior Authorization Pharmacy Technician - MUSCP

Come join the team that's Changing What's Possible at MUSC Health Ambulatory Clinics. We are seeking a Pharmacy Technician to support our growing team by managing and completing medication prior authorizations for patients across multiple outpatient specialty practices. Enjoy a routine daytime schedule with no evenings, weekends or holidays and free parking on site. This position is located primarily at 1 Southpark Circle in Charleston (West Ashley), with training and occasional on-site work at MUSC Health East Cooper at 1600 Midtown Avenue in Mt. Pleasant. In this role, you will work closely with providers, pharmacists, and a dedicated team of nurses, helping ensure timely access to medications and seamless coordination of care. Our ideal candidate is someone who thrives in a collaborative, fast-paced environment with a positive attitude and a passion for providing excellent patient care. Be part of a team where your ideas are valued, your contributions are celebrated, and your potential is limitless. Apply today to find out more about joining this wonderful team!

Apply