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

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RN Renal Vascular

Gainesville, FL · On-site

$29.73 - $43.20/hr

A Registered Nurse is sought for a Renal Vascular unit at a 523-bed, full-service medical and ... BLS (AHA Healthcare Provider) required prior to start * NIH Stroke Scale must be obtained within 30 ...

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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 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.

Licensed Practical Nurse (LPN) / Registered Nurse (RN)

Solaris HealthCare Lake City

Lake City, FL • On-site

$23.50 - $32/hr

Full-time, Per diem, Other

Medical, Dental, Vision, Life, Retirement

Re-posted 12 days ago

Job description

SolarisHealthCare Lake City isnow hiring. We are looking for caring and compassionate individuals to provideoutstanding care to our residents each and every day.
We are located at 560 SW McFarlane Ave, Lake City, FL 32025.
Proud Partner of the Tampa Bay Buccaneers - join the spirited KARE KREWE of Lake City!
You'll love being part of our team-and you may also qualify for these amazing benefits:
Affordable Health, Dental & Vision Insurance (family options included)
Advanced Pay -get paid when YOU want
401k with Company Match -plan for your future
Generous ETO, Holidays & Sick Time -we value work life balance
Tuition Reimbursement -invest in your growth
Life Insurance & Disability Coverage -peace of mind for you & your family
Uniforms Provided & Perks Programs -we've got your covered
Shift Differentials depending on location, position & shift!
Join a team that invests in YOU - your health, future & your success!
This role requires Florida AHCA Clearinghouse background screening.
https://info.flclearinghouse.com
Open positions for LPNs & RNs
Solaris HealthCare of Lake City
FT Day and Night Shift
BAYLOR WEEKENDS (Work 32 get paid for 40)
COMPETITIVE PAY
PRN
#2025
Position Summary:
Provides nursing care within scope of practice to insure resident's needs are met in accordance with standards of practice, physician orders, center policies and procedures, and state, federal and local guidelines. Currently licensed as a Licensed Practical Nurse (LPN) or Registered Nurse (RN)
Job Functions:
  • General Responsibilities
  • Residents Rights
  • Safety
  • Staff Development
  • General Nursing Care Responsibilities
  • Nursing Care Responsibilities
  • Demonstrates knowledge and appropriate use of the Solaris HealthCare Infection Control Manual
  • Understands, participates and assists in implementing the Quality Improvement Program
  • Notifies other Departments of resident changes, i.e., room changes, LOA, new admits, discharge, etc
  • Conducts family and resident education
  • Locates and uses emergency equipment when necessary
  • Demonstrates the ability to administer medications timely and according to facility policy
  • Demonstrates the ability to administer treatments timely and according to facility policy
  • Demonstrates ability to receive, transcribe, and carry out physician orders, as allowed by Nurse Practice Act
  • Transcribes physician's orders to resident charts, medication/treatment cards and care plans, as required
  • Charts progress notes in an informative, factual manner that reflects the care administered as well as the resident's response to care
  • Follows established procedure for charting and reporting all reports of incident/accidents (residents and employees)
  • Identifies and reports changes in condition to supervisor, physician and family
  • Accurately identifies skin changes and follows Solaris HealthCare skin management protocols
  • Orders and reports diagnostic tests timely
  • Conducts frequent rounds to evaluate effectiveness of care delivery
  • Orders supplies and charges for items ordered through Central Supply
  • Follows established procedures for restraint reduction
  • Follows facility policy and procedures in the event a restraint must be utilized
  • Assures that an adequate supply of personal protective equipment is on hand and are available for staff to perform procedures that involve exposure to body/blood fluids
  • Counts narcotics at the beginning and completion of each shift with the nurse leaving and coming on to the shift
  • Follows Pharmacy policy and procedures for ordering and delivering medications
  • Coordinates resident's rehabilitation program with therapies to ensure rehabilitation needs are met
  • Plans nursing interventions for each resident based on their individual needs and monitors the implementation
  • Special Nursing Care Responsibilities
  • Food Service Responsibilities
  • Documentation Responsibilities
  • Care Plan Responsibilities
  • Admission, Transfer and Discharge Responsibilities
  • Other Responsibilities
  • Administrative Responsibilities
  • Special Activities/Attributes

Registered Nurse (RN)/ Licensed Practical Nurse (LPN) Qualifications:
  • Currently licensed as an Registered Nurse (RN) or Licensed Practical Nurse (LPN) in this state
  • CPR Certified
  • One year prior nursing experience preferred

Apply