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Prior Authorization Rn Jobs in New Orleans, LA (NOW HIRING)

Aveanna Healthcare

Registered Nurse (RN)

Arabi, LA · On-site

Registered Nurse - RN Schedule: Wednesday (8a-6p) Location/Setting: Arabi, LA Age Range: child ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

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Prior Authorization Rn information

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How much do prior authorization rn jobs pay per hour?

As of Sep 1, 2026, the average hourly pay for prior authorization rn in New Orleans, LA is $40.57, according to ZipRecruiter salary data. Most workers in this role earn between $30.24 and $48.03 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 New Orleans, LA as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $84,385 per year, or $40.6 per hour.

Cardiology Clinic Nurse RN

St Thomas Community Health Center

New Orleans, LA • On-site

Full-time

Medical, Dental, Vision, Retirement, PTO

Posted 21 days ago

Job description

Benefits:
  • Health insurance
  • Paid time off
  • Parental leave
  • Vision insurance
  • Wellness resources
  • 401(k) matching
  • Dental insurance

Position Summary
St. Thomas Community Health Center is seeking a dedicated and proactive Cardiology Clinic Nurse (RN). This onsite role provides direct, face-to-face support for patients in collaboration with Cardiology providers and supports the daily function and leadership of the medical assistant team including Medical Assistants and Echocardiology. The Nurse plays a vital role in patient education, provider support, and care coordination to ensure our patients receive timely, high-quality, and equitable care.
This is a competitive salary opportunity for RNs, and may also appeal to Registered Nurses who are passionate about community-based care and interested in potential loan repayment eligibility through the HRSA Nurse Corps Loan Repayment Program.
Key Responsibilities

Team Leadership & Clinic Operations

  • Serves as the on-site lead for medical assistants, providing supervision and day-to-day support.
  • Assists in ensuring clinical protocols are followed and contributes to quality improvement efforts within the nursing team.
  • Manage schedules for cardiology providers including cardiac testing performed at St Thomas Heart and Vascular Center.
  • Monitors and balances the appointment schedule to support clinic flow and efficiency.
  • Coordinates additional clinical needs and follow-up appointments to support providers.

Care Coordination & Patient Support

  • Collaborates with providers and care teams to coordinate care and initiate referrals for Cardiology patients.
  • Provides patient education on disease processes, medications, and clinical devices to support self-management.
  • Reinforces medication adherence strategies and offers guidance to patients.

Clinical Procedures & Medication Management

  • Starts peripheral IVs on in-clinic patients.
  • Administers other IV medications to in-clinic patients per provider orders.
  • Manages subcutaneous therapies requiring registry tracking and proactive patient outreach for upcoming doses.
  • Assists providers with prior authorizations for cardiology medications and procedures, including appeals when needed.

Other Duties

  • Attends nursing and general staff meetings as scheduled.
  • Supports and helps review clinic policies and procedures.
  • Demonstrates consistent and timely attendance.
  • Promotes positive communication and uses established channels for problem-solving.
  • Assists in documentation of incidents and participates in safety and emergency preparedness drills.
  • Performs other duties as requested by the Chief Nursing Officer and Medical Director.
  • Maintains HIPAA compliance.

Qualifications
  • Current RN license in the State of Louisiana.
  • Experience in Cardiology, inpatient and outpatient.
  • Demonstrated experience starting peripheral IVs.
  • Familiarity with IV contrast media, including allergy and adverse reaction management, preferred.
  • Experience with prior authorization processes and payer appeals preferred.
  • Strong communication and interpersonal skills.
  • Ability to work collaboratively in a fast-paced clinical environment.
  • Bilingual skills (English/Spanish) a plus.
  • Familiarity with EPIC EHR strongly preferred, particularly for maintaining medication registries; not mandatory.

Salary & Benefits
  • Comprehensive benefits package including medical, dental, vision, paid time off, and retirement plan.
  • Opportunities for professional development and continuing education.
  • Potential eligibility for loan repayment through the HRSA Nurse Corps Loan Repayment Program.