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Prior Authorization Rn Jobs in Chicago, IL (NOW HIRING)

Flex HR

Registered Nurse (Clinical)

Lake Forest, IL · On-site

Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...

Flex HR

Registered Nurse (Clinical)

Lake Forest, IL · On-site

Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...

Flex HR

Registered Nurse (Clinical)

Lake Forest, IL · On-site

Manage test results, medication refills, and prior authorizations * Perform lab draws, specimen ... Current, active Registered Nurse license in the state of Illinois * Minimum two years of hospital ...

Dulyhealthandcare

RN, Phone Triage- Urology

Lombard, IL · On-site

$27 - $38.90/hr

May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ... The RN can assess the patient's medical condition and provide medical advice using Duly Health and ...

Dulyhealthandcare

RN, Phone Triage- Urology

Lisle, IL

$27 - $38.90/hr

May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ... The RN can assess the patient's medical condition and provide medical advice using Duly Health and ...

Dulyhealthandcare

RN, Phone Triage- Urology

Hinsdale, IL · On-site

$27 - $38.90/hr

May schedule tests and procedures and obtain insurance prior-authorization. Responsible for ... The RN can assess the patient's medical condition and provide medical advice using Duly Health and ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Chicago, IL

Prior Authorization Rn information

See Chicago, IL salary details

$7

$43

$74

How much do prior authorization rn jobs pay per hour?

As of Aug 9, 2026, the average hourly pay for prior authorization rn in Chicago, IL is $43.55, according to ZipRecruiter salary data. Most workers in this role earn between $32.45 and $51.54 per hour, depending on experience, location, and employer.

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.

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 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 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.
More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in Chicago, IL? The most popular types of Prior Authorization Rn jobs in Chicago, IL are:
What are popular job titles related to Prior Authorization Rn jobs in Chicago, IL? For Prior Authorization Rn jobs in Chicago, IL, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Chicago, IL look for? The top searched job categories for Prior Authorization Rn jobs in Chicago, IL are:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Chicago, IL as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $90,588 per year, or $43.6 per hour.

Triage Registered Nurse - PRN - Pulmonary Medicine

Dulyhealthandcare

Elmhurst, IL • On-site

$27 - $38.90/hr

Part-time

Posted 9 days ago

Job description

At Duly Health and Care, you are supported to do your best work and make a meaningful impact every day. You will be part of a collaborative, physician-led team that works as one and puts patients at the center of everything we do.

With a connected network of providers, care teams, and services across primary and specialty care, surgery centers, imaging, lab, and therapy, you are part of a system designed to deliver high-quality, coordinated care. Together, we create an environment where you can grow, contribute, and help improve the experience and outcomes for every patient we serve.

Overview:Triage Registered Nurse


Position Highlights:

  • Pulmonary Medicine


Position Highlights:

  • PRN

  • Hours: Monday-Friday; 8:00am-4:30pm

  • Location: Elmhurst MOB

  • Travel: Expected to travel as needed for coverage needs


Responsibilities:

  • Triage Phone Response: Manages patient health concerns and symptoms via a telephone interaction utilizing physician-approved protocols for the assessment and management of a range of symptoms. These telephone interactions require assessment, patient education and may require crisis intervention. Responds to and prioritizes incoming patient messages and test results. Schedules appointments as needed. May schedule tests and procedures and obtain insurance prior-authorization. Responsible for reviewing and authorizing/denying provider ordered prescriptions in accordance with established guidelines. Delivers patient education, according to the individualized needs of the patient and as prescribed by the Provider and/or Group policy. Educates patient and/or family members about diagnostic procedures, medications, nutrition and maintenance of health and wellness. Responds to patient questions and appropriately provides reassurance while responding to patient concerns. The RN can assess the patient's medical condition and provide medical advice using Duly Health and Care protocols, Provider directive or an approved Nursing Triage Manual.

  • Patient Documentation: Maintains accurate and detailed patient records and pertinent information; posts tests and documents patient education provided. Enters all pertinent communications with the patient into the Medical Record.

  • Clinical Resource for Staff: Performs and delegates a variety of tasks to facilitate patient care. Aware of coding and reimbursement issues. Available to other office clinical and non-clinical staff to answer questions and provide assistance as appropriate. Assists in orienting and training new staff. Seeks opportunities to improve or enhance nursing and leadership skills.

  • Other Duties as Assigned: Utilizes current nursing practices to provide patient care while focusing on the needs of the patient and exemplifying service excellence, care, concern, respect and cooperation. As a member of a health care team, functions in the role of patient advocate by being in the position of initial contact for patient-related issues. Additional duties as assigned.


Qualifications:

  • Current RN licensure in nursing.

  • Knowledge of nursing skills in accordance with nursing standards in the Nurse Practice Act.

  • Knowledge of OSHA and HIPAA

  • Prefer a minimum of one year of professional nursing experience in a clinical or hospital setting but may consider new grad under specific circumstances.

The compensation for this role includes a base pay range of $27.00-38.90 with the actual pay determined by factors such as skills, experience, education, certifications, geographic location, and internal equity. Additional compensation may be available through shift differentials, bonuses, and other incentives. Base pay is only a portion of the total rewards package.

Artificial Intelligence Disclosure

Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, all employment decisions will be made by a person.

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