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

Registered Nurse

Kissimmee, FL · On-site

$31 - $46/hr

This Emergency Room RN position is located in Panama City, FL at a 238-bed acute care hospital that ... BLS must be obtained prior to employment start date * Nonviolent Crisis Intervention must be ...

Registered Nurse - RN *Spanish Speaking Nurses Needed* We are one of the largest private duty ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

Registered Nurse - RN Trach/Vent Nurses Needed We are one of the largest private duty nursing ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

Registered Nurse - RN High Acuity/Level 3 Nurses Needed We are one of the largest private duty ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

Correctional nurses deliver care to promote and improve overall health, often managing a patient population that has had limited access to healthcare prior to incarceration. This role allows RNs to ...

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Prior Authorization Rn information

See Lakeland, FL salary details

$6

$39

$67

How much do prior authorization rn jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for prior authorization rn in Lakeland, FL is $39.38, according to ZipRecruiter salary data. Most workers in this role earn between $29.38 and $46.63 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.

What are the most commonly searched types of Prior Authorization Rn jobs in Lakeland, FL?

The most popular types of Prior Authorization Rn jobs in Lakeland, FL are:

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What cities near Lakeland, FL are hiring for Prior Authorization Rn jobs?

Cities near Lakeland, FL with the most Prior Authorization Rn job openings:

Infographic showing various Prior Authorization Rn job openings in Lakeland, FL as of August 2026, with employment types broken down into 1% As Needed, 75% Full Time, 21% Part Time, 1% Temporary, and 2% Contract. Highlights an 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $81,912 per year, or $39.4 per hour.

Urogynecology Procedural Registered Nurse (RN) - UH2 Women's Care Clinic

Tampa, FL • On-site


Truman Medical Centers

8.0

Company rating: 8.0 out of 10

Based on 64 frontline employees who took The Breakroom Quiz

88th of 896 rated healthcare providers

People enjoy working here

Good employer

Recommended by parents


Full-time

Re-posted yesterday


Job description

If you are a current University Health or University Health Physicians employee and wish to be considered, you must apply via the internal career site.

Please log into myWORKDAY to search for positions and apply.

Urogynecology Procedural Registered Nurse (RN) - UH2 Women's Care Clinic101 Truman Medical CenterJob LocationUniversity Health 2 (UH2)Kansas City, Missouri
Department
UH2 Womens Care
Position Type
Full time
Work Schedule
8:00AM - 4:30PM
Hours Per Week
40
Job Description

Are you passionate about delivering exceptional patient care while helping shape the future of women's health? Join our team as a Urogynecology Procedural Registered Nurse (RN) and play a key role in providing specialized care for patients throughout their urogynecology journey.

In this rewarding role, you'll provide expert clinical coordination and procedural support within our Women's Health ambulatory service line, with a primary focus on urogynecology and urodynamic procedures. You'll guide patients through every step of their care experience by coordinating pre- and post-procedure care, providing education, managing communication, assisting with scheduling and prior authorizations, and ensuring every patient receives safe, compassionate, and efficient care.

As our urogynecology program continues to grow, you'll help expand an innovative RN-led urodynamics clinic designed to meet increasing patient demand and support new Medicare requirements for urodynamic testing prior to bladder Botox procedures. Working alongside physicians, advanced practice providers, and clinic support staff, you'll help streamline workflows, improve patient access, reduce administrative burden, and enhance the overall patient experience.

What You'll Do

  • Coordinate urogynecology and urodynamic procedural workflows from start to finish.

  • Provide pre-procedure and post-procedure patient education, coordination, and follow-up.

  • Manage patient communication, triage calls, and symptom assessment.

  • Coordinate prior authorizations and treatment planning to ensure timely care.

  • Track patient symptoms using standardized scoring tools and documentation.

  • Assist with urodynamic testing and bladder instillation procedural workflows.

  • Support the development and growth of an RN-led urodynamics clinic.

  • Collaborate with providers and clinic staff to improve efficiency, increase access to care, and optimize clinic operations.

  • Help reduce provider administrative workload through effective care coordination.

  • Ensure compliance with Medicare requirements and organizational standards related to procedural care.

What You Bring (Minimum Requirements)

  • Current Missouri Registered Nurse (RN) license or eligibility for Missouri RN licensure.

  • Current Basic Life Support (BLS/BCLS) certification.

  • Current Advanced Cardiovascular Life Support (ACLS) certification, as required by the department.

  • If the position includes radiologic responsibilities, completion of radiology certification or training through an accredited nursing program, or successful completion of department-approved radiology competency training.

If you're looking for an opportunity to combine clinical expertise, patient advocacy, and innovation in a collaborative Women's Health environment, we'd love to have you on our team. Join us and help shape the future of urogynecologic care while making a meaningful difference in the lives of our patients every day.


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