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Prior Authorization Rn Jobs in El Paso, TX (NOW HIRING)

Aveanna Healthcare

Registered Nurse (RN)

El Paso, TX · On-site

Registered Nurse- RN Schedule : Night Shifts (7p-7a) Location/Setting: El Paso, TX Age Range ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

Aveanna Healthcare

Registered Nurse (RN)

El Paso, TX · On-site

Registered Nurse- RN Schedule : Days shifts (8 to 12h) Location/Setting: El Paso, TX Age Range ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

DOCS Health

Registered Nurse

Las Cruces, NM · On-site

Registered Nurse Opportunity Attention all Registered Nurses, we are calling you to partner with us ... Interview military personnel to determine current and prior medical concerns. * Identify any ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in El Paso, TX

Prior Authorization Rn information

See El Paso, TX salary details

$6

$38

$65

How much do prior authorization rn jobs pay per hour?

As of Aug 14, 2026, the average hourly pay for prior authorization rn in El Paso, TX is $38.21, according to ZipRecruiter salary data. Most workers in this role earn between $28.46 and $45.24 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.
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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in El Paso, TX as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 18% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $79,471 per year, or $38.2 per hour.

Home Infusion Registered Nurse (Full-Time)

CSI Pharmacy

El Paso, TX • On-site

$40 - $50/hr

Full-time

Posted 23 days ago

CSI Pharmacy rating

7.1

Company rating: 7.1 out of 10

Based on 6 frontline employees who took The Breakroom Quiz

Job description

Job Title
Home Infusion Registered Nurse (Full-Time)
Location
El Paso, TX, USA
Additional Location(s)
Employee Type
Employee
Working Hours Per Week
40
Job Description
Summary
This position is available for licensed Registered Nurses (RN). Under the supervision of a Clinical Nurse Supervisor (CNS), the role involves a range of technical, clerical, clinical, and general infusion nurse tasks related to home infusion services. Responsibilities include patient home care, including assessment, obtaining IV and port access, administering intravenous and injectable medications, and providing education. Additionally, the role supports pharmacy operations through quality control activities, maintenance of pharmacy and nursing records, inventory management and preparation of medication orders.
Compensation Range: $40/hr - $50/hr (DOE) + $.48/mile
Location: El Paso, TX
Schedule: 32-40hrs/week on average and is eligible for full benefits
Travel: Must be willing to travel up to 2 hours out from El Paso, TX to see patients in their homes which is included in work hours and is compensated for hourly + $.48/mile
Essential Duties and Responsibilities
The following duties are representative of the responsibilities of this position. Additional tasks may be assigned as necessary.
General Responsibilities
  • Provide in-home infusion therapy with regular travel required to and from patient residences.

Clinical Responsibilities
  • Administers prescribed specialty medications through intravenous (IV), subcutaneous, or other appropriate routes in accordance with provider orders and established protocols.
  • Monitors patients closely throughout the infusion process to identify and respond promptly to any adverse reactions or complications.
  • Conducts comprehensive pre-treatment assessments, including review of the patient's medical history, allergies, and current medications to ensure safe and effective therapy.
  • Evaluates and monitors the patient's physical condition and vital signs (e.g., blood pressure, heart rate) before, during, and after infusion procedures.
  • Identifies, documents, and communicates any potential risks, adverse reactions, or complications associated with infusion therapy in accordance with clinical protocols.
  • Educates patients and caregivers on prescribed medications, including their purpose, mechanism of action, potential side effects, and what to expect throughout the treatment process.
  • Provides clear post-infusion guidance, including instructions for managing side effects and responding to potential emergencies at home.
  • Monitors patients continuously during and after infusions to promptly identify and address any immediate adverse reactions.
  • Coordinates and conducts follow-up communications, including calls or visits, to assess patient progress and monitor for delayed side effects.
  • Provides clinical feedback and collaborates on care plan adjustments based on patient response, condition changes, or reported concerns.

Documentation and Compliance
  • Maintains thorough and accurate documentation of the infusion process, including patient responses, adverse events, and medication administration details.
  • Records patient education and follow-up instructions in compliance with healthcare regulations, clinical standards, and pharmacy policies.

Collaboration and Communication
  • Collaborates closely with the nursing team, pharmacists, and pharmacy staff to ensure coordinated, high-quality patient care and effective implementation of treatment plans.
  • Communicates promptly with the Clinical Nurse Supervisor regarding any concerns related to treatment effectiveness, patient responses, or adverse reactions.

Medication and Safety Management
  • Ensure proper preparation and handling of medications in accordance with established safety protocols and regulatory standards.
  • Verifies medication accuracy, confirming the correct drug and dosage are prepared and administered for each individual patient.
  • Maintains strict adherence to sterile techniques and safety protocols throughout the infusion process to ensure patient safety and procedural integrity.
  • Follows established infection control guidelines to prevent contamination during the preparation and administration of medications.

Inventory and Insurance Support
  • Monitors inventory levels of specialty medications and infusion-related supplies to ensure consistent availability and prevent shortages.
  • Collaborates with the pharmacy team to manage inventory effectively, ensuring timely replenishment and accurate stock control.
  • Provides support for insurance verification and prior authorization processes related to specialty medications, ensuring timely access to prescribed therapies.

Additional Responsibilities for IgCN-Certified Nurses
Clinical staff who hold an active IgCN certification may be required to participate in CSI's Immunoglobulin Mentorship Program as part of their role. Participation is dependent on operational needs and program assignments.
  • Serve as an IgCN mentor to new or transferring nursing staff who are local or regional to the mentor, as assigned.
  • Provide guidance, coaching, and professional support to less experienced nurses to support safe and effective immunoglobulin therapy delivery.
  • Assist with training activities as outlined by the Ig educator, including review of educational materials, infusion protocols, and patient care standards.
  • Support skills development through direct observation, coaching, and feedback related to immunoglobulin administration and patient management.
  • Act as a clinical resource to the assigned mentee throughout the defined orientation or transition period.
  • Participate in document review, including competency checklists, orientation materials, and required training records.
  • Conduct direct observation of clinical practice as required and assess the mentee's level of competency within the defined orientation period.
  • Document mentorship activities, observations, and competency assessments in accordance with CSI policies and accreditation requirements.

Qualification Requirements
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Must possess the ability to multi-task and frequently change direction.
  • Must have and maintain a valid driver's license, maintain automobile insurance coverage and have access to a reliable automobile
  • College degree/ certification required or equivalent experience.
  • RN: 2 years (Required)
  • ER/ICU/Infusion: 1 year preferred (critical thinking)
  • Accessing PIV lines, Ports and maintaining PICC lines: 1 year (Required)
  • Infusion experience in a hospital or Home Health setting: 1 year (Preferred)

NOTICE: Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
By supplying your phone number, you agree to receive communication via phone or text.
CSI Pharmacy is an Equal Opportunity Employer

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