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Prior Authorization Rn Jobs in Milwaukee, WI (NOW HIRING)

Ascension

Clinic RN

Milwaukee, WI · On-site

$35.46/hr

Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse Clinic ENT

Milwaukee, WI · On-site

Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

RN-Clinic

Milwaukee, WI

Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse Surgery

Milwaukee, WI · On-site

Registered Nurse credentialed from the Minnesota Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse Clinic Triage

Brown Deer, WI · On-site

$35.46 - $50.05/hr

Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Clinic RN

Racine, WI · On-site

Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse Surgery

Milwaukee, WI · On-site

$43.14/hr

Registered Nurse credentialed from the Minnesota Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

RN-Clinic

Milwaukee, WI · On-site

$35.46/hr

Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

UHS

ADMISSIONS RN- Per Diem

West Allis, WI · On-site

$70K - $96K/yr

We are looking for looking for Per Diem Admissions Registered Nurses (RN) to join the Intake ... The Intake/Admissions Clinician is responsible for the verification and prior authorization of ...

UHS

Night Shift RN/Intake Clinician

West Allis, WI · On-site

... RN to join our team of dedicated healthcare professionals! Shift/s: NOCS Join a dynamic team of ... The Intake/Admissions Clinician is responsible for the verification and prior authorization of ...

UHS

ADMISSIONS RN - day shift

West Allis, WI · On-site

$70K - $96K/yr

We are looking for looking for Full Time Admissions Registered Nurses (RN) to join the Intake ... The Intake/Admissions Clinician is responsible for the verification and prior authorization of ...

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Showing results 41-60

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Milwaukee, WI

Prior Authorization Rn information

See Milwaukee, WI salary details

$7

$41

$71

How much do prior authorization rn jobs pay per hour?

As of Sep 14, 2026, the average hourly pay for prior authorization rn in Milwaukee, WI is $41.62, according to ZipRecruiter salary data. Most workers in this role earn between $31.01 and $49.28 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.

More about Prior Authorization Rn jobs

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For Prior Authorization Rn jobs in Milwaukee, WI, the most frequently searched job titles are:

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The top searched job categories for Prior Authorization Rn jobs in Milwaukee, WI are:

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Cities near Milwaukee, WI with the most Prior Authorization Rn job openings:

Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Milwaukee, WI as of September 2026, with employment types broken down into 79% Full Time, 19% Part Time, and 2% Contract. Highlights an 95% In-person, 2% Hybrid, and 3% Remote job distribution, with an average salary of $86,571 per year, or $41.6 per hour.

Clinic RN

Milwaukee, WI • On-site

Ascension
Health Care and Social Assistance • 10K+ employees
Learn more about Ascensionexternal

$35.46/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Key responsibilities

  • Accurately process and execute medical orders.

  • Review, evaluate, and verify laboratory results.

  • Perform telephone triage assessments and coordinate care.

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,051 frontline employees who took The Breakroom Quiz

Job description

Your future role at a glance 

Location:  Milwaukee, WI

Facility:  Prospect Medical Commons

Specialty:  Surgery

Schedule:  Full-time / Days


Life at Ascension: Where purpose meets opportunity

Ascension is a leading nonprofit Catholic health system with a culture and associate experience grounded in service, growth, care and connection. We empower our 97,000+ associates to bring their skills and expertise every day to reimagining healthcare, together. Recognized as one of the Best 150+ Places to Work in Healthcare and a Military-Friendly Gold Employer, you’ll find an inclusive and supportive environment where your contributions truly matter.


Benefits that help you thrive
  • Comprehensive health coverage: medical, dental, vision, prescription coverage and HSA/FSA options
  • Financial security & retirement: employer-matched 403(b), planning and hardship resources, disability and life insurance
  • Time to recharge: pro-rated paid time off (PTO) and holidays
  • Career growth: Ascension-paid tuition (Vocare), reimbursement, ongoing professional development and online learning
  • Emotional well-being: Employee Assistance Program, counseling and peer support, spiritual care and stress management resources
  • Family support: parental leave, adoption assistance and family benefits
  • Other benefits: optional legal and pet insurance, transportation savings and more


How you’ll make an impact in this role
  • Accurately process and execute medical orders.
  • Review, evaluate, and verify laboratory results.
  • Perform telephone triage assessments and coordinate care.
  • Manage necessary clinical documentation and paperwork.

What minimum requirements you’ll need

Licensure / Certification / Registration:

  • BLS Provider obtained within 1 Month (30 days) of hire date or job transfer date required. American Heart Association or American Red Cross accepted.
  • One or more of the following required:
    • Registered Nurse credentialed from the Wisconsin Board of Nursing obtained prior to hire date or job transfer date. Licensure from the Wisconsin Board of Nursing OR current home state license if considered multi-state/Compact State. Licensure is dependent on state associate works in.
    • Registered Nurse credentialed from the Minnesota Board of Nursing obtained prior to hire date or job transfer date. Licensure is dependent on state associate works in.

Education:

  • Diploma from an accredited school/college of nursing OR Required professional licensure at time of
    hire required.

What additional preferences we're seeking

36 hours per week / M-F

3 to 5 years of RN experience.

Clinic  / Medical Office background is desired.


Equal employment opportunity employer

Ascension provides Equal Employment Opportunities (EEO) to all associates and applicants for employment without regard to race, color, religion, sex/gender, sexual orientation, gender identity or expression, pregnancy, childbirth, and related medical conditions, lactation, breastfeeding, national origin, citizenship, age, disability, genetic information, veteran status, marital status, all as defined by applicable law, and any other legally protected status or characteristic in accordance with applicable federal, state and local laws. For further information, view the EEO Know Your Rights (English) poster or EEO Know Your Rights (Spanish) poster.

Fraud prevention notice

Prospective applicants should be vigilant against fraudulent job offers and interview requests. Scammers may use sophisticated tactics to impersonate Ascension employees. To ensure your safety, please remember: Ascension will never ask for payment or to provide banking or financial information as part of the job application or hiring process. Our legitimate email communications will always come from an @ascension.org email address; do not trust other domains, and an official offer will only be extended to candidates who have completed a job application through our authorized applicant tracking system.

E-Verify statement

Employer does not participate in E-Verify and therefore cannot employ STEM OPT candidates.

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

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About Ascension

Sourced by ZipRecruiter

Ascension is a leading non-profit, faith-based national health system made up of over 150,000 associates and 2,600 sites of care, including more than 140 hospitals and 40 senior living communities in 19 states.

Industry

Health care and social assistance and outpatient health care

Company size

10,000+ Employees

Headquarters location

St. Louis, MO, US

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