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

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

If your RN nursing license has been inactive, retired or lapsed for five years or more and you have ... is required prior to reactivating or reinstating your license. In order to be considered for ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

If your RN nursing license has been inactive, retired or lapsed for five years or more and you have ... is required prior to reactivating or reinstating your license. In order to be considered for ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

If your RN nursing license has been inactive, retired or lapsed for five years or more and you have ... is required prior to reactivating or reinstating your license. In order to be considered for ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

... is required prior to reactivating or reinstating your license. In order to be considered for ... Current RN licensure in appropriate state, required. * Must have current BCLS, PALS and ACLS ...

Mission Hospital

RN - Other

Charleston, SC · On-site

$2.4K/wk

  • Medical

Details Client Name MUSC Health Charleston Job Type Travel Offering Nursing Profession RN Specialty ... Submittal Authorization Form so you always agree and know where you're being submitted

Oak Harbor Healthcare

RN

Mount Pleasant, SC

Participate in facility surveys (inspections) made by authorized government agencies. * Resolves ... Ensure that the CNAs refer to the resident's care plan prior to administering daily care to the ...

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Showing results 21-40

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.

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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.

Registered Nurse

Novant Health

Mount Pleasant, SC • On-site

Full-time

This job post has expired 2 days ago. Applications are no longer accepted.

Novant Health rating

7.1

Company rating: 7.1 out of 10

Based on 460 frontline employees who took The Breakroom Quiz

382nd of 888 rated healthcare providers

Job description

What We Offer:

East Cooper Medical Center is one of South Carolina's leaders in healthcare. Our approach to medicine is designed to provide patients with successful outcomes, fast recovery times, and a better quality of life. Our hospital combines technology and clinical expertise with compassion to provide personalized care for a lifetime. Our expanded scope of services, our commitment to quality & safety, and our outstanding team of caregivers have attracted patients throughout the Lowcountry and beyond, and have contributed to or hospital being nationally recognized. Interested in joining our team? Apply today! 

Facility: East Cooper Medical Center 
Location: Mount Pleasant, SC 
Department: PCU 
Position Type: FT 
Work Schedule: Days- 7a-7p

What We're Looking For:
  • Education: 4 Year / Bachelors Degree, preferred. Graduate of an accredited school of nursing required. If your RN nursing license has been inactive, retired or lapsed for five years or more and you have not been licensed in another state during the last five years, successful completion of a Board approved refresher course is required prior to reactivating or reinstating your license. In order to be considered for current licensure status, you must apply for reinstatement within one year of completing the refresher course.
  • Experience: One year relevant experience, preferred. 
  • Licensure/Certification: 
    • Current RN licensure in appropriate state, required. 

    • Must have current BCLS, PALS and ACLS certifications

What You'll Do:

The Registered Nurse serves as a leader of the healthcare team at Novant Health by establishing an authentic personalized relationship with the patient and their chosen support system, collaborating with physicians and other team members to assess, plan, implement, and evaluate an individualized plan of care that promotes optimal health or supports a peaceful death. The Registered Nurse utilizes best scientific evidence and compassion to assist the patient in navigating their health journey. The Registered Nurse accepts responsibility, authority, and accountability for management and provision of care in accordance with the current policies and procedures.

What Novant Health employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Novant Health

Sourced by ZipRecruiter

Novant Health is a not-for-profit integrated system of 16 medical centers and more than 1,900 physicians in over 800 locations, as well as numerous outpatient surgery centers, medical plazas, rehabilitation programs, diagnostic imaging centers and community health outreach programs. Novant Health's more than 36,000 team members and physician partners care for patients and communities in North Carolina and South Carolina.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Winston-Salem, NC, US

Year founded

1997

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