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Prior Authorization Rn Jobs in Gainesville, FL (NOW HIRING)

IVX Health

PRN Infusion Registered Nurse (RN)

Gainesville, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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

PRN Infusion Registered Nurse (RN)

Gainesville, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

  • PTO

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 ...

Aveanna Healthcare

Registered Nurse (RN)

Gainesville, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • PTO

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 * Must have reliable ...

Uf Health Rehab Hospital

RN - Rehab

Gainesville, FL · On-site

  • Medical

  • Dental

  • Vision

  • Life

  • Retirement

Registered Nurse (RN) - Night Shift The Registered Nurse (RN) maintains the delivery of quality ... BLS Certification required prior to first shift. * ACLS certification required for specific units ...

DermaVe Spa

Aesthetic Junior Nurse (RN)

Gainesville, FL · On-site

$21 - $25/hr

Junior Aesthetic Registered Nurse (RN) Ageless Spa Center Gainesville, FL Onsite Position | 1099 ... Able to work onsite in Gainesville, FL Prior aesthetic experience is preferred but not required. We ...

DermaVe Spa

Aesthetic Junior Nurse (RN)

Gainesville, FL · On-site

$21 - $25/hr

Junior Aesthetic Registered Nurse (RN) Ageless Spa Center - Gainesville, FL Onsite Position | 1099 ... Able to work onsite in Gainesville, FL Prior aesthetic experience is preferred but not required. We ...

DermaVe Spa

Aesthetic Junior Nurse RN

Gainesville, FL · On-site

$21 - $25/hr

Junior Aesthetic Registered Nurse (RN) Ageless Spa Center - Gainesville, FL Onsite Position | 1099 ... Able to work onsite in Gainesville, FL Prior aesthetic experience is preferred but not required. We ...

Dermave Spa

Aesthetic Junior Nurse (RN)

Gainesville, FL · On-site

$21 - $25/hr

Junior Aesthetic Registered Nurse (RN) Ageless Spa Center - Gainesville, FL Onsite Position | 1099 ... Able to work onsite in Gainesville, FL Prior aesthetic experience is preferred but not required. We ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Gainesville, FL

Prior Authorization Rn information

See Gainesville, FL 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 Gainesville, FL is $38.27, according to ZipRecruiter salary data. Most workers in this role earn between $28.51 and $45.29 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 Gainesville, FL as of August 2026, with employment types broken down into 1% As Needed, 77% Full Time, 18% Part Time, 1% Temporary, and 3% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $79,609 per year, or $38.3 per hour.

Medical Assistant Prior Authorization Specialist | Community Health and Family Medicine| Day Shift |

UF Health

Gainesville, FL • On-site

$14.75 - $19/hr

Full-time

Re-posted yesterday

Job description

Overview

Under the direction of our ambulatory pharmacist this position will be responsible for prior authorizations for their assigned clinics.

The Medical Assistant provides patient care in a physician's office setting under the direct responsibility of a licensed physician. Clinical skills performed are within the scope of a Medical Assistant as defined by Florida Statutes 458.3485 and UFHP Clinical Policy and Procedure. The MA may also perform clerical, insurance, and medical record functions. May be required to float to other UFHP practices, as needed, for staffing.


Qualifications

Medical Assistant Minimum Education and Experience Requirements:

  • Candidate must be a graduate of an accredited course of study as a Certified or Registered Medical Assistant Accredited MA certifications include, but are not limited to, AAMA, NHA, NCCT, AMCA, AAMA and AMT.
  • EMT license can be used in lieu of an MA certification.
  • One year prior authorization experience preferred.
  • One year of direct patient care experience in an ambulatory care setting is preferred.
  • Person should display initiative, have the ability to multitask, and be able to assume additional responsibilities.
  • Proven ability to problem-solve and be a team member is essential.

Licensure/Certification/Registration:

  • Must possess and maintain current certification or registration as a Medical Assistant.
  • AHA or Red Cross Basic Life Support (CPR) is required or must be obtained within first 90 days of employment. Must maintain current Basic Life Support (CPR). Must successfully complete medication test within 30 days of hire  or Red Cross.

Motor Vehicle Operator Designation:

Will not operate vehicles for an assigned business purposes

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