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

Ascension

Registered Nurse ED

Milwaukee, WI · On-site

BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse ED

Milwaukee, WI · On-site

$33.21/hr

BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse ED

Milwaukee, WI · On-site

BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse ED

Milwaukee, WI · On-site

BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

Ascension

Registered Nurse Clinic

Brookfield, 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

Brookfield, 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 ...

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

ADMISSIONS RN - day shift

West Allis, WI

$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 ...

Ascension

Registered Nurse OR Travel

Milwaukee, WI · On-site

$2.6K/wk

Registered Nurse obtained prior to hire date or job transfer date required. Must have compact RN ... our authorized applicant tracking system. E-Verify statement Employer participates in the ...

Ascension

Registered Nurse OR Travel

Milwaukee, WI

$2.6K/wk

Registered Nurse obtained prior to hire date or job transfer date required. Must have compact RN ... our authorized applicant tracking system. E-Verify statement Employer participates in the ...

Ascension

Registered Nurse OR Travel

Milwaukee, WI

$2.6K/wk

Registered Nurse obtained prior to hire date or job transfer date required. Must have compact RN ... our authorized applicant tracking system. E-Verify statement Employer participates in the ...

Ascension

Registered Nurse ED

Milwaukee, WI · On-site

BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or ... our authorized applicant tracking system. E-Verify statement Employer does not participate in E ...

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Showing results 1-20

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

Prior Authorization Rn information

See Mukwonago, WI salary details

$7

$41

$71

How much do prior authorization rn jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for prior authorization rn in Mukwonago, WI is $41.68, according to ZipRecruiter salary data. Most workers in this role earn between $31.06 and $49.33 per hour, depending on experience, location, and employer.

What do prior authorization nurses do?

Prior authorization nurses review medical documentation and communicate with healthcare providers and insurance companies to obtain approval for specific treatments, medications, or procedures. They ensure that requests meet insurance criteria, often using electronic health records and authorization systems, to facilitate timely patient care.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

How to make $300,000 as a nurse?

A Prior Authorization RN can increase earnings by gaining specialized certifications, working in high-paying healthcare settings, or taking on overtime and extra shifts. Developing expertise in insurance processes and healthcare regulations can also lead to higher-paying roles or consulting opportunities.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on overtime shifts, working in high-demand specialties, or obtaining certifications to qualify for higher-paying roles. Additionally, freelance consulting or remote review work can provide supplementary income outside regular hours.

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.
More about Prior Authorization Rn jobs
What cities near Mukwonago, WI are hiring for Prior Authorization Rn jobs? Cities near Mukwonago, WI with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Mukwonago, WI as of July 2026, with employment types broken down into 1% As Needed, 81% Full Time, 16% Part Time, and 2% Contract. Highlights an 88% Physical, 4% Hybrid, and 8% Remote job distribution, with an average salary of $86,687 per year, or $41.7 per hour.
Registered Nurse ED

Registered Nurse ED

Ascension

Milwaukee, WI • On-site

Part-time

Medical, PTO

Re-posted 10 days ago

Ascension Healthcare rating

7.0

Company rating: 7.0 out of 10

Based on 1,026 frontline employees who took The Breakroom Quiz

415th of 885 rated healthcare providers

Job description

We Are Hiring

Location: Milwaukee, WI

Facility: Ascension St. Francis Hospital

Department: Emergency Department

Schedule: Night Shift | Part-Time 

What You Will Do
  • Prioritize life-saving interventions by expertly triaging patients based on acuity, ensuring the most critical cases receive immediate, decisive care.
  • Orchestrate complex care plans from admission to stabilization, continuously monitoring patient responses to ensure every treatment leads toward a positive clinical outcome.
  • Advocate for patient safety by maintaining precise care records and communicating real-time condition changes to the medical team for rapid adjustment of treatment.
  • Drive multidisciplinary excellence by collaborating seamlessly with physicians and specialists to deliver a unified, high-quality experience for patients and their families.
What You Will Need

Licensure/Certification/Registration:

  • BLS Provider credentialed from the American Heart Association (AHA) obtained prior to hire date or job transfer date required.
  • Licensed Registered Nurse credentialed from the Wisconsin Board of Nursing or current home state license for multi-state license recognition "Compact State" obtained prior to hire date or jobtransfer date required.

Education:

  • Graduate of a board-approved Registered Nurse Program required.
  • Bachelor's degree in Nursing (BSN) preferred.

Work Experience:

  • RN with 18 months or more experience preferred.
Why Join Our Team

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.

Equal Employment Opportunity Employer

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.

Benefits

Paid time off (PTO)Various health insurance options & wellness plansRetirement benefits including employer match plansLong-term & short-term disabilityEmployee assistance programs (EAP)Parental leave & adoption assistanceTuition reimbursementWays to give back to your community

Benefit options and eligibility vary by position. Compensation varies based on factors including, but not limited to, experience, skills, education, performance, location and salary range at the time of the offer.

Employment Type: PART_TIME

What Ascension Healthcare employees say

Pay

Benefits

Hours and flexibility

Workplace

Get the full story on Breakroom

Ascension logo

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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