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

Flex HR

Registered Nurse (Clinical)

Northfield, 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)

Winnetka, IL

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)

Northfield, IL

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 ...

Ascension

Registered Nurse Cardiology

Elk Grove Village, IL · On-site

$39.75 - $56.11/hr

Streamline clinic operations by managing medication refills, securing prior authorizations, and ... Registered Nurse credentialed from the Illinois Board of Nursing obtained prior to hire date or job ...

IVX Health

Contract Registered Nurse (RN)

Lombard, IL · On-site

$41.06 - $48.70/hr

As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

Contract Registered Nurse (RN)

Chicago, IL

$41.06 - $48.70/hr

As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

Compass Health Center

Registered Nurse

Chicago, IL · On-site

About This Role We are seeking a Registered Nurse to provide compassionate direct patient care to ... Coordinating with insurance companies for medication and diagnostic prior authorizations

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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

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How much do prior authorization rn jobs pay per hour?

As of Jun 12, 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.

How to make $300,000 a year as a nurse?

A Prior Authorization RN can earn $300,000 annually by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as specialty clinics or insurance companies. Increasing workload, taking on leadership roles, or working overtime can also boost income, but reaching this level typically requires a combination of expertise, efficiency, and strategic employment choices.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

Can nurses do prior authorizations?

Prior authorization nurses, often called utilization review nurses or case managers, are qualified to handle prior authorization requests. They review medical documentation, communicate with providers and insurance companies, and ensure compliance with payer requirements, often using electronic health record systems. Certification in case management or utilization review can enhance their ability to perform these tasks effectively.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on additional shifts, working overtime, or offering consulting services to healthcare providers. Developing specialized knowledge in insurance authorization processes and obtaining relevant certifications can also lead to higher-paying opportunities or freelance work outside regular hours.

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.
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Prior Authorization Rn jobs near you
Registered Nurse (Clinical)

Registered Nurse (Clinical)

Flex HR

Northfield, IL • On-site

Full-time

Life, Retirement

Posted 18 hours ago

Job description

ABOUT THE ROLE
This isn't a typical nursing job. At Forward Focus, our physicians carry limited practice size- which means you'll actually know your patients. You'll see the same faces, follow care over time, and build the kind of relationships that make this work meaningful.
We're looking for a nurse who brings both clinical skill and genuine warmth. Someone who is equally comfortable triaging a call, collaborating with a physician, and taking the extra moment to make a patient feel at ease. If that sounds like you, we'd love to meet you.
WHAT YOU'LL DO
Patient care & relationships
  • Build meaningful, long-term connections with patients through direct, consistent contact

  • Conduct phone triage and respond to clinical inquiries with sound judgment and care

  • Educate patients on medication management, health precautions, and care plans

  • Uphold HIPAA guidelines to always ensure patient confidentiality

Clinical responsibilities
  • Manage test results, medication refills, and prior authorizations

  • Perform lab draws, specimen collection, immunizations, and EKGs

  • Collaborate closely with physicians and staff to deliver coordinated, top-quality care

WHAT WE'RE LOOKING FOR
Required
  • Current, active Registered Nurse license in the state of Illinois

  • Minimum two years of hospital or clinical nursing experience

  • Strong clinical judgment and the ability to prioritize patient needs confidently

  • Excellent communication skills - with patients, physicians, and teammates

  • Proficiency with electronic medical records (EMR) systems

Who you are
  • A natural relationship-builder - you remember patients names and patients feel better after talking to you

  • Comfortable working both independently and as part of a close-knit team

  • Detail-oriented and organized, especially when managing multiple patient needs

  • Genuinely passionate about concierge-style, personalized care

â–  Phone triage â–  Lab draws & EKGs â–  Medication management â–  Prior authorizations â–  EMR proficiency â–  Patient education
BENEFITS
  • 401(k) with matching

  • Health savings account (HSA)

  • Life insurance

  • Retirement plan

  • Consistent Monday-Friday schedule - no nights, no weekends

ABOUT FORWARD FOCUS
Founded in 2007 by Dr. Gary Schaffel, Forward Focus was one of Chicago's first concierge medical practices. We now serve the North Shore with three boutique locations and a team of ten exceptional physicians - all united by the belief that great healthcare starts with genuinely knowing your patient.
Ready to apply?
If you're a nurse who wants your work to feel meaningful - where you know your patients and your team has your back - we'd love to hear from you.
Forward Focus is an equal opportunity employer committed to building an inclusive team where everyone can thrive.

Apply