ZipRecruiter

Log In

1

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

MUSC

Mother Baby Registered Nurse II

Charleston, SC · On-site

Summary Under general supervision, the Registered Nurse I provides individualized, goal-directed ... authorization of all newly hired employees. For further information about the E-Verify program ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

... RN nursing license has been inactive, retired or lapsed for five years or more and you have not ... is required prior to reactivating or reinstating your license. In order to be considered for ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

... RN nursing license has been inactive, retired or lapsed for five years or more and you have not ... is required prior to reactivating or reinstating your license. In order to be considered for ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

... RN nursing license has been inactive, retired or lapsed for five years or more and you have not ... is required prior to reactivating or reinstating your license. In order to be considered for ...

She Recruits LLC

Registered Nurse - New Grad

Charleston, SC · On-site

$27 - $30/hr

Med Surg Registered Nurse - Charleston, SC Pay: $27-30/hr Sign On Bonus: $20k A leading healthcare ... No prior experience required; new grads are welcome to apply. * Willingness to travel for training ...

Novant Health

Registered Nurse

Mount Pleasant, SC · On-site

... RN nursing license has been inactive, retired or lapsed for five years or more and you have not ... is required prior to reactivating or reinstating your license. In order to be considered for ...

American Traveler

Travel CVICU RN

Charleston, SC · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Prior CVICU nursing experience preferred * Driver's license required for consideration Additional ... Travel RN - Cardiovascular ICU About American Traveler With over 25 years of experience, American ...

previous page

Showing results 41-60

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.

Mother Baby Registered Nurse II

Medical University of South Carolina

Charleston, SC

Full-time

Re-posted yesterday

Job description

Job Description Summary

Under general supervision, the Registered Nurse I provides individualized, goal-directed patient care to families and patients at the competent level utilizing the principles and practices of the nursing process; delivers safe and effective care and interacts with other members of the health care team to achieve desired results

Entity

Medical University Hospital Authority (MUHA)

Worker Type

Employee

Worker Sub-Type

Regular

Cost Center

CC000521 CHS - Mother & Baby Unit (SJCH)

Pay Rate Type

Hourly

Pay Grade

Health-28

Scheduled Weekly Hours

36

Work Shift

Nights (United States of America)

Job Description

Bachelor of Nursing degree preferred. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date.

Required Licensure, Certifications, Registrations: Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.

Bachelor of Nursing degree preferred. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date.

Required Licensure, Certifications, Registrations: Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state. Current Basic Life Support (BLS) required, either a certification from an American Heart Association (AHA) BLS for Healthcare Providers (or AHA recognized equivalent) or an American Red Cross CPR/AED for Professional Rescuer and Healthcare Provider.

Additional Job Description

Minimum Requirements: Bachelor of Nursing degree preferred. RN staff hired on or after July 1, 2013 with an Associate or Diploma degree in nursing are required to be enrolled in an accredited BSN program within two years and successfully obtain a BSN degree within four years of the RN hire or reclassification date. Refer to policy A141 for more details. A minimum of one year of work experience as a registered nurse required. Licensure as a registered nurse by the South Carolina Board of Nursing or a compact state. Current American Heart Association (AHA) Basic Life Support (BLS) certification or American Red Cross BLS for Healthcare Providers certification is required.

Physical Requirements:

1. Ability to stand or sit for extended periods of time.
2. Proficiency in manual dexterity and fine motor skills for tasks such as taking patient vitals, administering injections, or conducting physical exams.
3. Capacity to lift and move patients or medical equipment as needed.
4. Visual acuity and color perception to accurately read medical charts, documents, and monitors.
5. Auditory ability to effectively communicate with patients and colleagues, as well as to perceive important sounds such as alarms or patient instructions.
6. Stamina and resilience to handle the physical and emotional demands of providing patient care, including long shifts and potentially stressful situations.
7. Mobility to navigate clinical environments, including moving between patient rooms, offices, and other areas of the facility.
8. Compliance with infection control protocols and proper use of personal protective equipment to maintain a safe and healthy work environment.

If you like working with energetic enthusiastic individuals, you will enjoy your career with us!

The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.

Medical University of South Carolina participates in the federal E-Verify program to confirm the identity and employment authorization of all newly hired employees. For further information about the E-Verify program, please click here: http://www.uscis.gov/e-verify/employees

Apply