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Prior Authorization Rn Jobs in Fort Worth, TX (NOW HIRING)

Parallon

Authorization Coordinator

Dallas, TX · On-site

$18.50 - $22.75/hr

Responsible for review and completion of prior authorizations to ensure timeliness of appointments ... Nursing * Additional benefits for fertility and family building, adoption assistance, life ...

Mission Hospital

Authorization Coordinator

Dallas, TX · On-site

$18.50 - $22.75/hr

Tracks status of prior authorizations via payor authorization portals Reviews denied claims for ... Nursing * Additional benefits for fertility and family building, adoption assistance, life ...

IVX Health

Infusion Registered Nurse (RN)

Frisco, TX · On-site

PRN Registered Nurse (RN) | Dallas-Fort Worth Market Location(s): Plano, TX + Frisco, TX PRN ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

Infusion Registered Nurse (RN)

Plano, TX · On-site

Infusion Registered Nurse (RN) Frisco, Texas, United States; Plano, Texas, United States PRN ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

Infusion Registered Nurse (RN)

Dallas, TX · On-site

Infusion Registered Nurse (RN) Frisco, Texas, United States; Plano, Texas, United States PRN ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

Infusion Registered Nurse (RN)

Frisco, TX · On-site

PRN Registered Nurse (RN) | Dallas-Fort Worth Market Location(s): Plano, TX + Frisco, TX PRN ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

TNAA TotalMed RN

Travel CVOR RN

Dallas, TX · On-site

Ensure all patient paperwork is completed prior to procedure. * Watch for signs and symptoms of ... RNs should be able to easily lift 20 pounds. Moving or lifting patients may require lifting of up ...

Forest Lane Pediatrics

Be Seen First

Pediatric Nurse (RN/LVN) - Frisco office

Frisco, TX · On-site

$25 - $35/hr

Telephone triage, medical forms, performing procedures, parent education, prior authorizations ... LVN's and RN's welcome. SUMMARY: This position is primarily responsible for providing general ...

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Prior Authorization Rn information

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$7

$40

$69

How much do prior authorization rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for prior authorization rn in Fort Worth, TX is $40.49, according to ZipRecruiter salary data. Most workers in this role earn between $30.19 and $47.93 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 Fort Worth, TX as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $84,212 per year, or $40.5 per hour.

Pharmacist - RPh Operations Advisor - Specialty Medical Prior Authorization

Integrated Resources

Flower Mound, TX • On-site

$50.50 - $60.75/hr

Other

Posted 7 days ago

Job description

Job Title: Pharmacist
Job Duration: 12+ Months (Possibilities of extension)
Job Location: Flower Mound, TX 75028
Training shift: 7am to 10pm CST - 8 hours/day
Training: M-F 8-4:30PM CST for 6 weeks
Position Summary:
The clinical pharmacist is an operation based role that conducts clinical reviews of medical data collected to perform prior authorization for specialty medications. The clinical pharmacist will apply clinical knowledge to plan approved criteria for prospective and concurrent reviews of cases. This role will work from Client Client supported systems and take inbound calls from physician or members regarding their pending, approved, or denied prior authorizations.
Duties:
This individual must have excellent interpersonal skills. Will be responsible for:
1. Collaborates with the Technicians and Nurses to process authorization requests, including answering clinical questions, collecting appropriate clinical/ medical data needed to perform clinical assessments, and reviews as per the health plan/employer agreed criteria within the designated service level agreements. (20%)
2. Coordinates timely communication of case decision to physician, health-plan/employer, patient and other healthcare professionals following agreed upon approval & denial management processes. (15%)
3. Handles inbound phone calls and escalations from physicians or patients regarding Prior Authorization (50%)
4. Establishes and maintains communication among Client Client, health plan and employer group staff. (5%)
5. Maintain professional and technical knowledge of drug and disease-states for the Specialty Medical programs administered within the Novologix. (5%)
6. Performs other related projects and duties as assigned including on call and after hours pharmacist availability could be required. (5%)
Experience:
2+ years of clinical experience with *specialty medications* or *clinical review of prior authorization requests*.
1. Technical & Computer Proficiency
2. Self-Management and Organizational Skills
3. Clinical Prior Authorization Review Exp
Education:
Bachelor's degree in pharmacy or Pharm D. required with at least two years experience as a pharmacist. Must have an active license in good standing.
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About Integrated Resources

Sourced by ZipRecruiter

Integrated Resources Inc (IRI), based in Edison, NJ, US, is an esteemed player in the staffing solutions industry with a credible presence on their official website irionline.com. Notably, IRI provides a range of professional staffing services including contract, contract-to-hire, and direct hire solutions to a wide spectrum of industries such as healthcare, life sciences, manufacturing, financial, insurance, and others. Since its inception, IRI has been committed to delivering top-talent and optimum solutions to meet its clients' diverse needs.

Industry

Recruiting and staffing services

Company size

51 - 200 Employees

Headquarters location

Edison, NJ, US

Year founded

1996

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