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Prior Authorization Rn Jobs in Des Moines, IA (NOW HIRING)

Immanuel

RN

Pleasant Hill, IA

Overview Are you an RN - Assisted Living looking to work for an amazing organization by serving ... prior to hire. * Applicants must be currently authorized to work in the United States on a ...

State of Iowa

Registered Nurse

Mitchellville, IA · On-site

$63K - $98K/yr

Registered Nurse (RN) - Women's Intake Center Are you a skilled and dedicated Registered Nurse (RN) ... to ensure authorization to work in the United States. The State of Iowa also complies with the ...

Wolfe Eye Clinic

Registered Nurse

West Des Moines, IA · On-site

Registered Nurse West Des Moines - West Des Moines, IA 50266 Overview Position Type Full Time ... Performing insurance pre-authorizations * Other clinical duties as needed Qualifications include:

State of Iowa

Registered Nurse

Mitchellville, IA · On-site

$63K - $98K/yr

Registered Nurse (RN) - Women's Intake Center Are you a skilled and dedicated Registered Nurse (RN) ... to ensure authorization to work in the United States. The State of Iowa also complies with the ...

GovernmentJobs.com

Registered Nurse

Mitchellville, IA · On-site

Registered Nurse (RN) - Women's Intake Center Are you a skilled and dedicated Registered Nurse (RN) ... Review the provisions of the statute that authorized the creation of the Nurse Licensure Compact at ...

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Prior Authorization Rn information

See Des Moines, IA salary details

$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for prior authorization rn in Des Moines, IA is $41.23, according to ZipRecruiter salary data. Most workers in this role earn between $30.72 and $48.80 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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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Des Moines, IA as of August 2026, with employment types broken down into 1% As Needed, 74% Full Time, 22% Part Time, 1% Temporary, and 2% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $85,752 per year, or $41.2 per hour.

LPN/RN (FT) | Dermatology | West Ames | 2026-194

Ames, IA • On-site

McFarland Clinic, P.C.
See more jobs at McFarland Clinic, P.C.external

$26.75 - $36.25/hr

Full-time

Posted 19 days ago

Job description

McFarland Clinic is currently accepting applications for LPN/RN for its West Ames office. Candidates should be service-oriented, a team player, and be able to provide extraordinary care, every day to our patients.

Responsibilities include: rooming patients, assisting provider in exam rooms, assisting provider with in-office procedures, patient phone call triage, stocking rooms, obtaining prior authorizations as needed for medications, surgeries and imaging. Position comes with competitive clinic pay and valuable benefits package.

Education

  • Graduate from an accredited school of nursing

Certification/License

  • Possession of State License Practical Nursing.
  • Possession of State Registered Nurse license
  • Current Basic Life Support certification for Health Care Providers.

Days: Monday - Friday

Hours: 7:00 AM - 5:00 PM.

Experience

  • Previous ambulatory care experience in Dermatology a plus
  • Experience with scribe a plus
  • EMR experience preferred.

Pre-employment drug screen and criminal history background checks are a condition of hire.

Benefits

McFarland Clinic offers a comprehensive benefits package, including health and dental insurance, 401(k), and PTO. Click here for details.

McFarland Clinic is central Iowa's largest physician-owned multi-specialty clinic. Join our team and join a group of caring professionals, dedicated to providing Extraordinary Care, Every Day! We value quality care and extraordinary service, trusting relationships and an exceptional workplace. Our organization has more than 80 years experience of caring for people. We welcome applicants who can help us enhance the health and well-being of our patients and communities we serve.

McFarland Clinic is an Equal Opportunity Employer
McFarland Clinic makes every effort to comply with all requirements of federal, state and local laws relating to Equal Employment Opportunity.