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Prior Authorization Rn Jobs in Queens, NY (NOW HIRING)

VillageMD

Registered Nurse - Rheumatology

Clifton, NJ · On-site

Registered Nurse (RN) As a Registered Nurse (RN) at Summit Health you are a full integral partner ... Initiates and follows through with prior authorization requests, DME orders, home health referrals

VillageMD

Registered Nurse - Rheumatology

Clifton, NJ

$40.38 - $50.48/hr

The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals

VillageMD

Registered Nurse - Rheumatology

Clifton, NJ · On-site

$40.38 - $50.48/hr

The RN will be motivated, energetic, and an empathetic communicator who is passionate about ... Initiates and follows through with prior authorization requests, DME orders, home health referrals

Rutland Nursing Home

RN - Diabetes

Brooklyn, NY · On-site

Registered Nurse (RN) in Diabetes Care The Registered Nurse (RN) plays a pivotal role in the ... Prepare prior authorizations for diabetes-related medications for insurance companies. Lead the ...

IVX Health

PRN Registered Nurse (RN)

Norwalk, CT

PRN Registered Nurse (RN) | Fairfield County Market Location(s): Norwalk Infusion Center, flex to ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

FT Registered Nurse (RN)

Clifton, NJ · On-site

$42.50 - $50.41/hr

FT Registered Nurse (RN) New Providence, New Jersey, United States Join IVX Health as a Registered ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

FT Registered Nurse (RN)

New Providence, NJ · On-site

$42.50 - $50.41/hr

FT Registered Nurse (RN) New Providence, New Jersey, United States Join IVX Health as a Registered ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

Medix

Registered Nurse RN

White Plains, NY

$100K - $120K/yr

Registered Nurse (RN) - Pediatric Allergy & Immunology Outpatient Pediatric Specialty Clinic ... Coordinate laboratory testing, imaging, referrals, prior authorizations, and specialty ...

IVX Health

FT Registered Nurse (RN)

New Providence, NJ

$42.50 - $50.41/hr

Join IVX Health as a Registered Nurse! Full-Time Registered Nurse (RN) | New Providence, NJ ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

FT Registered Nurse (RN)

New Providence, NJ · On-site

$42.50 - $50.41/hr

Join IVX Health as a Registered Nurse! Full-Time Registered Nurse (RN) | New Providence, NJ ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

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Showing results 21-40

All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Queens, NY

Prior Authorization Rn information

See Queens, NY salary details

$7

$44

$75

How much do prior authorization rn jobs pay per hour?

As of Aug 6, 2026, the average hourly pay for prior authorization rn in Queens, NY is $44.08, according to ZipRecruiter salary data. Most workers in this role earn between $32.84 and $52.16 per hour, depending on experience, location, and employer.

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.

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 are popular job titles related to Prior Authorization Rn jobs in Queens, NY? For Prior Authorization Rn jobs in Queens, NY, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Queens, NY look for? The top searched job categories for Prior Authorization Rn jobs in Queens, NY are:
What cities near Queens, NY are hiring for Prior Authorization Rn jobs? Cities near Queens, NY with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Queens, NY as of July 2026, with employment types broken down into 1% As Needed, 71% Full Time, 21% Part Time, 1% Temporary, and 6% Contract. Highlights an 90% Physical, 1% Hybrid, and 9% Remote job distribution, with an average salary of $91,687 per year, or $44.1 per hour.

FT Registered Nurse (RN)

IVX Health

New Providence, NJ

Other

PTO

Re-posted 6 days ago

IVX Health rating

5.8

Company rating: 5.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

Join IVX Health as a Registered Nurse!

Full-Time Registered Nurse (RN) | New Providence, NJ + Clifton, NJ
Monday - Thursday, and rotating Saturdays | Day Shift

Join a team that's redefining infusion care and creating exceptional patient experiences.

Are you a skilled and compassionate Registered Nurse (RN) looking for an opportunity to make a meaningful impact in patient-centered infusion care? IVX Health is seeking an RN to provide high-quality, specialized infusion therapy in an outpatient setting. As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized, compassionate care to our patients. With your expertise in infusion therapy, you'll administer treatments, monitor patient responses, and collaborate with a multi-disciplinary team to ensure the highest standard of care. Every treatment you deliver will help improve patients' lives and provide them with the support they need.

Why Join IVX Health

  • Make a Meaningful Impact - Deliver high-quality care that directly improves patients' lives and supports their families.
  • Collaborative & Supportive Team - Work alongside a dedicated, multidisciplinary team in a positive and patient-focused environment.
  • Grow Your Career - Access Continuing Education Units (CEUs), tuition reimbursement, and professional development opportunities. We cover the cost of CRNI (Certified Registered Nurse Infusion) and ONCC (Oncology Nursing Certification Corporation) certifications to support your career advancement.
  • Advanced Clinical Training - Receive ultrasound IV skills training to enhance your expertise in infusion therapy.
  • Prioritize Work-Life Balance - Enjoy flexible scheduling, ample PTO, and the ability to truly disconnect and recharge during holidays.
  • Innovative Outpatient Care - Be part of a cutting-edge healthcare model that prioritizes patient comfort, seamless care coordination, and specialized infusion therapies.

What You Will Do

  • Provide Direct Patient Care - Deliver on-site and virtual supervision while administering infusions and injections with precision.
  • Conduct Patient Assessments - Conduct patient assessments, document observations, and monitor treatment responses.
  • Educate and Support Patients - Guide patients and families through treatment expectations, potential side effects, and disease management.
  • Ensure Compliance and Quality - Maintain accurate records in the Electronic Health Record (EHR) system, review nursing documentation, and uphold HIPAA and OSHA standards.
  • Optimize Clinical Workflows - Assist with chart preparation and treatment planning to streamline patient visits.
  • Collaborate with Healthcare Teams - Work closely with referring providers and cross-functional teams to enhance care coordination.
  • Support Operations and Training - Assist in inventory management, prior authorizations, and regulatory adherence.
  • Flexibility and Adaptability - Work at multiple facilities within a designated market as needed.
  • Perform Additional Duties - Take on other responsibilities as assigned to support patient care and organizational objectives.

What We Are Looking For

  • Active and Unrestricted Registered Nurse (RN) license
  • Life Support Certifications - BLS certification required; PALS certification preferred.
  • Clinical Experience - Background in an ambulatory infusion center, outpatient specialty clinic, or similar setting is a plus.
  • Strong IV and Infusion Therapy Skills - Experience with specialty biologics, medication management, and emergency response protocols.
  • Proficiency in Clinical Documentation - Experience with EHR systems and a strong understanding of HIPAA and regulatory compliance.
  • Exceptional Communication & Collaboration - Ability to work effectively with patients, families, and multidisciplinary teams.

What IVX Health employees say

Pay

Hours and flexibility

Workplace

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