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

Titan Placement Group

RN Pulmonary

Gainesville, FL · On-site

$29 - $43.20/hr

Licensed as a Registered Nurse in the State of Florida , Multistate or able to obtain licensure prior to start is required * Nursing Diploma or ASN; BSN preferred. * 1 year of RN experience in an ...

Titan Placement Group

RN Pulmonary

Gainesville, FL · On-site

$29 - $43.20/hr

Licensed as a Registered Nurse in the State of Florida , Multistate or able to obtain licensure prior to start is required * Nursing Diploma or ASN; BSN preferred. * 1 year of RN experience in an ...

Titan Placement Group

RN Pulmonary

Gainesville, FL · On-site

$29 - $43.20/hr

Licensed as a Registered Nurse in the State of Florida , Multistate or able to obtain licensure prior to start is required * Nursing Diploma or ASN; BSN preferred. * 1 year of RN experience in an ...

Star Nursing

RN - Case Manager

Gainesville, FL · On-site

... prior to surgery, procedures, and/or admission. Includes patient and family in care facilitation ... Submits clinical information to insurance companies to ensure all days are authorized and notifies ...

Star Nursing

RN - Case Manager

Gainesville, FL · On-site

... prior to surgery, procedures, and/or admission. Includes patient and family in care facilitation ... Submits clinical information to insurance companies to ensure all days are authorized and notifies ...

All Med Search

RN Pulmonary

Gainesville, FL · On-site

$29.73 - $43.20/hr

A Registered Nurse is sought for a Pulmonary unit in Gainesville, FL at a 523-bed acute care ... BLS (AHA Healthcare Provider) required prior to start * NIH Stroke Scale must be obtained within 30 ...

All Med Search

RN Inpatient Surgical Unit

Gainesville, FL · On-site

$29.73 - $43.20/hr

A 523-bed acute care hospital in Gainesville, FL is seeking a Registered Nurse for its inpatient ... BLS (AHA Healthcare Provider) required prior to start * NIH Stroke Scale must be obtained within 30 ...

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Showing results 21-40

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 Sep 4, 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 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 Gainesville, FL as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $79,609 per year, or $38.3 per hour.

Registered & Licensed Nurses - Medical Spa

DermaVe Spa

Gainesville, FL

$19 - $25/hr

Full-time

Medical

Re-posted 3 days ago

Job description

About the Position:
We are seeking passionate, licensed nurses to join our medical spa team. Open to Junior Nurse, LPN, RN, and APRN applicants, this role allows nurses of all levels to provide safe, high-quality aesthetic services. No prior esthetic experience is required; full training is included.

Key Responsibilities:

  • Deliver facials, chemical peels, and skin rejuvenation treatments

  • Assess client needs and customize treatment plans

  • Educate clients on post-care and skincare maintenance

  • Maintain a clean, sanitary, and welcoming treatment space

  • Recommend spa products and memberships

  • Administer injectables if licensed and certified (RN/APRN only)

Requirements:

  • Active license in one of the following: Junior Nurse, LPN, RN, APRN

  • Passion for skin health and client satisfaction

  • Strong communication and professional demeanor

  • Eagerness to learn aesthetic treatments

Perks & Benefits:

  • Pay based on license: $19-$23/hr (Junior Nurse/LPN), $21-$25/hr (RN/APRN)

  • Tips included

  • Paid training for aesthetic services

  • Flexible schedule and supportive team

Job Type: Full-time or Part-time

Employment Type: FULL_TIME

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