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

State of Iowa

Registered Nurse

Mitchellville, IA

$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:

Wolfe Eye Clinic

Registered Nurse

West Des Moines, IA · On-site

Registered Nurse At Wolfe Eye clinic, we create Better Vision for a Better Life. Wolfe Eye Clinic ... Performing insurance pre-authorizations * Other clinical duties as needed Qualifications include:

Aveanna Healthcare

Registered Nurse (RN)

Ames, IA · On-site

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (RN)

Urbandale, IA · On-site

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Insert state-specific ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Des Moines, IA

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 3, 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 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 Des Moines, IA? The most popular types of Prior Authorization Rn jobs in Des Moines, IA are:
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What job categories do people searching Prior Authorization Rn jobs in Des Moines, IA look for? The top searched job categories for Prior Authorization Rn jobs in Des Moines, IA are:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Des Moines, IA as of July 2026, with employment types broken down into 75% Full Time, and 25% Part Time. Highlights an 100% In-person job distribution, with an average salary of $85,752 per year, or $41.2 per hour.

Registered Nurse Clinic - Eyerly Ball

UnityPoint Health

Des Moines, IA • On-site

Full-time

Medical, Dental, Retirement, PTO

Re-posted 11 days ago

UnityPoint Health rating

7.3

Company rating: 7.3 out of 10

Based on 360 frontline employees who took The Breakroom Quiz

304th of 887 rated healthcare providers

Job description

Overview
Serves as a member of the Outpatient Clinic multidisciplinary team in the medical department to assess, plan, develop, coordinate and provide assessment, treatment, and support services to clients with severe and persistent mental illness. Provides direct care services to clients in rooming clients, completing prior authorizations, managing refills, administering injections, drawing blood for laboratory assessment, and directly supporting prescribers with a variety of client care needs.
Why UnityPoint Health?
At UnityPoint Health, you matter. We're proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.
Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you're in. Here are just a few:
  • Expect paid time off, parental leave, 401K matching and an employee recognition program.
  • Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.
  • Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.
And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.
Find a fulfilling career and make a difference with UnityPoint Health.
Responsibilities
  • Provide direct support to prescribers by collecting vitals, completing medication reconciliation, assisting with nursing visits, and carrying out provider-directed care.
  • Coordinate medication access, refills, prior authorizations, samples, lab work, blood draws, IM injections, orders, lab results, prescriptions, and proper medication disposal according to protocol.
  • Respond to client, pharmacy, hospital, provider, family, and agency needs by coordinating care, mediating service-related conflicts, supporting client rights, and providing crisis intervention as needed.
  • Document psychotropic medication effectiveness, complications, side effects, treatment updates, service authorizations, and client information in compliance with regulatory, billing, and agency standards.
  • Communicate and collaborate with primary care, pharmacies, Integrated Health Home, residential services, community-based services, medical professionals, management, and the public to support coordinated care.

Qualifications
Education: Graduate of accredited nursing program. Bachelor's degree preferred.
Experience: Prefer 1 year experience in mental health field.
License(s)/Certification(s): Registered Nurse currently in good standing and licensed by the State of Iowa to practice in the State of Iowa.
Knowledge/Skills/Abilities: Professional, Ethical, Accountable, Interpersonal Skills, Teamwork, Communication-written and verbal, Planning and Organizing Skills, Flexibility, Managing priorities/deadlines, client focused. Microsoft Office- Word, Excel, Outlook and Electronic Health Record. Speak, read, and write fluent English with ability to write legible entries in case notes and complete required written assignments.
Other: Use of usual and customary equipment used to perform essential functions of the position.
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About UnityPoint Health

Sourced by ZipRecruiter

At UnityPoint Health, we provide care in nine regions throughout Illinois, Iowa, and Wisconsin. As the nation's fourth largest nondenominational health system in America, UnityPoint Health keeps people at the center of all we do. We are looking for dynamic and talented individuals to join our team. You'll find opportunities for every sized dream.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

West Des Moines, IA, US

Year founded

1995

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