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

AHN Healthcare

Hospice Registered Nurse

Coraopolis, PA · On-site

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

AHN Healthcare

Hospice Registered Nurse

Mars, PA · On-site

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

AHN Healthcare

Hospice Registered Nurse

Coraopolis, PA · On-site

NOTICE : * Successful completion of a drug screen prior to employment is part of our background ... By submitting your application, you are confirming that you are legally authorized to work in the ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Pittsburgh, PA

Prior Authorization Rn information

See Pittsburgh, PA salary details

$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Sep 7, 2026, the average hourly pay for prior authorization rn in Pittsburgh, PA is $41.01, according to ZipRecruiter salary data. Most workers in this role earn between $30.58 and $48.56 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 Pittsburgh, PA as of August 2026, with employment types broken down into 1% As Needed, 78% Full Time, 17% Part Time, 1% Temporary, and 3% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $85,303 per year, or $41 per hour.

Hospice Registered Nurse

AHN Healthcare

New Kensington, PA • On-site

Other

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 15 days ago

Job description

Job Title
Hospice Registered Nurse
Location
New Kensington, PA, USA
Additional Location(s)
Employee Type
Employee
Working Hours Per Week
40
Job Description
Care Where You Are: Where Your Work Truly Matters
AHN Healthcare@Home is a nationally recognized leader in home health and hospice, and a consistent Top Workplace. If you are a clinician seeking autonomy, meaningful patient relationships, and real career growth; this is where you belong.
We are hiring a Registered Nurse (RN) for a Hospice position providing end-of-life care to patients in their homes in the New Kensington, PA area. This position is eligible for a $ 10,000 first year success bonus to reward the accomplishment of key milestones during your first year!
What You'll Do:
  • Deliver compassionate, patient-centered care in a hospice setting, collaborating with an interdisciplinary team dedicated to comfort, dignity, and quality of life
  • Perform comprehensive patient assessments, symptom and pain management, and individualized end-of-life care planning
  • Educate and support patients and families through the end-of-life journey, ensuring they feel informed, prepared, and deeply cared for
  • Think critically, solve problems in real time, and ensure thorough, compliant EMR documentation
  • Work independently, but never alone
  • Travel to patient homes within assigned territory
Designed for Success
  • Dedicated field education team supporting you from Day 1
  • Leadership that listens, mentors, and champions your growth
  • A collaborative culture where your impact is recognized and your feedback shapes improvement
Benefits That Support Your Whole Life
  • Medical, Dental, Vision, and Pet Insurance
  • Fleet Vehicle Program
  • Generous PTO
  • 401(K) with company match
  • Paid parental leave
  • Up to 90% off degrees and certifications through our Purdue University partnership
RN Qualifications
  • Active Registered Nurse, RN license in the state you work
  • Two years of RN experience and the clinical expertise to deliver quality patient care, Hospice experience preferred
  • Due to the field-based nature of this home hospice position, a valid driver's license and the ability to spend approximately 20% of your workday driving to and from patient locations are required.
We are an equal opportunity employer and value diversity at our company.
NOTICE:
  • Successful completion of a drug screen prior to employment is part of our background process, which includes medical and recreational marijuana.
  • By supplying your phone number, you agree to receive communication via phone or text.
  • By submitting your application, you are confirming that you are legally authorized to work in the United States.

AHN Healthcare@Home is an Equal Opportunity Employer

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