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

IVX Health

PRN Registered Nurse (RN)

Stamford, CT · On-site

$42.50 - $50.41/hr

As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

Phaxis

LPN

Manhattan, NY · On-site

$35 - $42/hr

... referrals, prior authorizations, and lab work Maintain infection control standards and clinical supplies Requirements: • Active NYS LPN or RN License • Current CPR Certification • ...

IVX Health

PRN Registered Nurse (RN)

Norwalk, CT · On-site

$42.50 - $50.41/hr

As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

IVX Health

PRN Registered Nurse (RN)

Norwalk, CT · On-site

$42.50 - $50.41/hr

As a Registered Nurse at IVX Health, you'll be at the forefront of delivering personalized ... Support Operations and Training - Assist in inventory management, prior authorizations, and ...

Abby Care

NJ - Intake Nurse

Newark, NJ · On-site

The Intake RN uses clinical judgment to identify patients who qualify for skilled nursing, home ... Prior authorization or utilization management experience. * Bilingual capabilities. Benefits

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

$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

Medix

Registered Nurse (RN)

New York, NY · On-site

$43.27 - $52.88/hr

... and prior authorizations. * Administer immunizations and medications, and execute nursing ... Current New York State RN license. * 2-4 years of related experience. Experience * Minimum 2-4 ...

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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 7, 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.

Intake Registered Nurse (RN), Home Care (CHHA), Full-Time

FlexStaff

Lake Success, NY • On-site

$100K/yr

Full-time

Re-posted 15 hours ago

Job description


FlexStaff is seeking a Registered Nurse (RN) with experience in home care (CHHA) to work full-time as a Nurse Instructor for our client, a certified home care agency, located in Brooklyn, NY.
Schedule: Monday - Friday 8:30 am - 5:00 pm.
Permanent Position.
In this role you will be taking referrals and processing appropriate home care services; as well as maintaining open lines of communication with referral sources and within the company departments.
Key Position Requirements:
  • License: Active NYS RN License.
  • Experience: Minimum of 2 years of nursing or intake experience in a licensed home care agency (CHHA).
  • Knowledge of Allscripts a MUST
  • EMR knowledge: HomeCare HomeBase (HCHB) or Careport
  • Compensation: $100,000 annually

Responsibilities include, but not limited to:
  • Screen referrals for clinical appropriateness and payer eligibility
  • Triage new referrals and identify urgent clinical needs
  • Review medical records, hospital summaries, and current medications
  • Verify and obtain physician orders and prior authorizations as needed
  • Complete timely intake documentation in the EMR
  • Coordinate admission scheduling with patient/family, clinicians, and physicians
  • Communicate referral details to the interdisciplinary team
  • Educate patient/family on home health services, visit expectations, and patient rights
  • Identify and escalate safety risks, infection control issues, or barriers to care
  • Arrange or schedule initial assessments (telephonic or in-person)
  • Maintain compliance with Medicare, state, and agency admission requirements
  • Track referral outcomes, denials, and report trends to management
  • Provide telephonic triage or on-call handoff for intake issues (if applicable)
  • Train/support intake staff on screening and documentation standards

*Additional Salary Details
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member's base salary and/or rate, several factors may be considered as applicable (e.g. location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget, and internal equity).

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