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Prior Authorization Rn Jobs in Philadelphia, PA (NOW HIRING)

The RN must be able to work independently as well as interact as part of a team, consistently ... Obtains prior authorizations for medications and completes disability paperwork. * Ensures surgical ...

The RN must be able to work independently as well as interact as part of a team, consistently ... Obtains prior authorizations for medications and completes disability paperwork. * Ensures surgical ...

Registered Nurse

Sharon Hill, PA ยท On-site

$47.11/hr

Collaboration with prescribers for completion of Prior Authorizations and other medication needs ... Position requires RN to be on site 3 days a week, Tuesday through Thursday, 8 hours a day Benefits ...

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Registered Nurse Company: Oak Street Health Role Description: The Center Nurse is a clinical care ... prior authorizations. * Ensures clinical communications are managed, tasks are completed and ...

Showing results 21-40

Prior Authorization Rn information

See Philadelphia, PA salary details

$7

$40

$68

How much do prior authorization rn jobs pay per hour?

As of Aug 21, 2026, the average hourly pay for prior authorization rn in Philadelphia, PA is $40.37, according to ZipRecruiter salary data. Most workers in this role earn between $30.10 and $47.79 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 Philadelphia, PA?

The most popular types of Prior Authorization Rn jobs in Philadelphia, PA are:

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For Prior Authorization Rn jobs in Philadelphia, PA, the most frequently searched job titles are:

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The top searched job categories for Prior Authorization Rn jobs in Philadelphia, PA are:

What cities near Philadelphia, PA are hiring for Prior Authorization Rn jobs?

Cities near Philadelphia, PA with the most Prior Authorization Rn job openings:

Infographic showing various Prior Authorization Rn job openings in Philadelphia, PA as of August 2026, with employment types broken down into 2% As Needed, 71% Full Time, 19% Part Time, and 8% Contract. Highlights an 98% In-person, and 2% Remote job distribution, with an average salary of $83,977 per year, or $40.4 per hour.

Registered Nurse

New Jersey Urology

Voorhees, NJ โ€ข On-site

Full-time

Medical, Dental, Vision, Retirement

Posted 25 days ago


Job description

About the Role
The role of the Registered Nurse (RN) is to provide administrative and clinical support to the Physicians, Physician Assistants and Nurse Practitioners of the practice. The RN position requires a highly organized individual who can safely manage more than one task at a time and move efficiently throughout varied responsibilities. The RN must be able to work independently as well as interact as part of a team, consistently demonstrating respect and professionalism to fellow staff members.
What You'll Be Doing
Administrative
  • The RN directs M.D. and/or midlevel providers' patient schedule throughout the day.
  • The RN greets patients and visitors in a prompt, courteous and helpful manner and escorts the patient to the examination room.
  • Schedules patient appointments and medical procedures (x-rays and diagnostic testing) in the EMR under the direction of the medical staff.
  • Obtains prior authorizations for medications and completes disability paperwork.
  • Ensures surgical scheduling worksheet is complete and send to the surgical scheduler.

  • Is responsible for stocking and ordering of medical supplies and checking expiration dates.
  • Maintains work area in a neat and orderly manner making sure that examination rooms are set up for the day (stocking supplies, cleaning, changing solutions).
  • Prepares room & equipment for office procedures and assists the provider as needed (Vasectomy, Tursp, cystoscopy).
  • Triage patient calls with professionalism and courtesy understanding that some patients require more time than others. Resolves patient issues and concerns as effectively as possible. Able to assess, plan and document patient issues. Counsel, educate and perform patient teaching.
  • Responsible for completing, on time, all training and in-services, including but not limited to annual OSHA training and PPD placements.

Clinical
  • After proper identification of the patient by full name and birthdate, the RN will greet patients in the waiting area and escort them to the clinical care area for which their appointment is scheduled. Once the patient is placed in the exam room, the RN assists in placing all personal belongings in the appropriate place in the exam room. Any medications that the patient has brought to the visit should be placed into patient's EMR.
  • Obtains patient's weight and vital signs; record in the EMR. Assist lab staff to obtain urine, uro-flow if needed and document in EMR. Completes a review of systems and a medication check with patients: checks recent labs performed outside of AMP, hospital visits and other physician visits. Assess the reason for the scheduled appointment.
  • The RN is responsible for preparing the patient for their appointment. Female patients should be asked to undress from the waist down depending on the medical issue. Male patients should be asked to remove shoes/socks, shirt/T shirt and no gown is used.
  • The RN explains procedures to the patients addressing any questions or concerns they may have. Preps, positions and prepare sterile field and assists M.D.

  • The RN is responsible for ensuring that exam rooms are cleaned and supplies are stocked. After routine patient encounters this includes disposing of table paper and gowns and cleaning contaminated surfaces areas. During down-time tables, door handles, blood pressure cuffs, chairs and pull pars should be cleaned.
  • At the end of the day the RN is responsible for making sure that all patients have been discharged, exam rooms are stocked, clean and lights have been turned off.
  • Maintains working knowledge of OSHA compliance standards and applies these policies and procedures to daily responsibilities.
  • Monitors eyewash stations, refrigerator temperatures and other office equipment per protocol.
  • The RN prepares and administers I.M. and subQ injections of medications per M.D. orders, documents in the EMR. Performs blood glucose monitoring with the glucometer per protocol.

  • Administer Intravesical BCG, Mitomycin, DMSO, Valstar and various interstitial cystitis cocktails as ordered by provider.
  • Changes uncomplicated Foley catheters, teaches intermittent clean self-catheterizations. Performs bladder scans and flow tests as directed.
  • Documents all nursing interventions performed using the EMR including date, time, meds, dosage, site, adverse reactions, type of administration, etc.
  • Reports any adverse medication events to supervising provider.
  • Performs all other duties as assigned.

What We Expect from You
  • Graduate of an accredited RN Program
  • Current New York State License
  • Current CPR certification

  • At least one (1) year of medical/surgical experience is preferred

Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Computer Skills
To perform this job successfully, an individual should have thorough knowledge in computer information systems.
Physical Demands
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to stand; walk; sit; use hands to finger, handle, or feel; reach with hands and arms; stoop, kneel, crouch, or crawl and talk or hear. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.
Work Environment
This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines.
Other Duties
Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.
Travel
Travel is primarily local during the business day, although some out-of-the-area and overnight travel may be expected.
What We are Offer You
At U.S. Urology Partners, we are guided by four core values. Every associate living the core values makes our company an amazing place to work. Here "Every Family Matters"
Compassion
Make Someone's Day
Collaboration
Achieve Possibilities Together
Respect
Treat people with dignity
Accountability
Do the right thing
Beyond competitive compensation, our well-rounded benefits package includes a range of comprehensive medical, dental and vision plans, HSA / FSA, 401(k) matching, an Employee Assistance Program (EAP) and more.
About US Urology Partners
U.S. Urology Partners is one of the nation's largest independent providers of urology and related specialty services, including general urology, surgical procedures, advanced cancer treatment, and other ancillary services. Through Central Ohio Urology Group, Associated Medical Professionals of NY, Urology of Indiana, and Florida Urology Center, the U.S. Urology Partners clinical network now consists of more than 50 offices throughout the East Coast and Midwest, including a state-of-the-art, urology-specific ambulatory surgery center that is one of the first in the country to offer robotic surgery. U.S. Urology Partners was formed to support urology practices through an experienced team of healthcare executives and resources, while serving as a platform upon which NMS Capital is building a leading provider of urological services through an acquisition strategy.
U.S. Urology Partners is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable federal, state or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.