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

Rochester Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor - Weekends Rochester Center for Rehabilitation and Nursing is ... The ideal candidate will have prior Long-term Care experience and excellent communication skills!

Rochester Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor - Weekends Rochester Center for Rehabilitation and Nursing is ... The ideal candidate will have prior Long-term Care experience and excellent communication skills!

Ontario Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Canandaigua, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Canandaigua, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Canandaigua, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Rochester, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Ontario Center

Registered Nurse

Canandaigua, NY

Registered Nurse (RN) Supervisor Ontario Center for Rehabilitation and Nursing is actively seeking ... The ideal candidate will have prior supervisor experience in long-term care and strong ...

Talencia

Dialysis RN

Webster, NY · On-site

$65 - $69/hr

Dialysis RN Facility: Bay Creek Dialysis Center Location: 2010 Empire Blvd, Webster, NY 14580 ... The ideal candidate will have prior dialysis experience, be flexible with scheduling, and capable ...

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

Prior Authorization Rn information

See Rochester, NY salary details

$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Jul 15, 2026, the average hourly pay for prior authorization rn in Rochester, NY is $41.58, according to ZipRecruiter salary data. Most workers in this role earn between $31.01 and $49.23 per hour, depending on experience, location, and employer.

What do prior authorization nurses do?

Prior authorization nurses review medical documentation and communicate with healthcare providers and insurance companies to obtain approval for specific treatments, medications, or procedures. They ensure that requests meet insurance criteria, often using electronic health records and authorization systems, to facilitate timely patient care.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

How to make $300,000 as a nurse?

A Prior Authorization RN can increase earnings by gaining specialized certifications, working in high-paying healthcare settings, or taking on overtime and extra shifts. Developing expertise in insurance processes and healthcare regulations can also lead to higher-paying roles or consulting opportunities.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on overtime shifts, working in high-demand specialties, or obtaining certifications to qualify for higher-paying roles. Additionally, freelance consulting or remote review work can provide supplementary income outside regular hours.

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.
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Prior Authorization Rn jobs near you

Registered Nurse

Rochester Center

Rochester, NY

Full-time

Medical, Dental

Posted 11 days ago

Job description

Registered Nurse (RN) Supervisor - Weekends

Rochester Center for Rehabilitation and Nursing is seeking an energetic and experienced RN Supervisor to work Weekends at our Skilled Nursing Facility located in Rochester, NY. The ideal candidate will have prior Long-term Care experience and excellent communication skills!

We now offer Daily Pay through a trusted third-party provider giving you faster access to your earnings.

Rochester Center Benefits Include:

  • Tuition Reimbursement Program!

  • Generous pay rates based on experience

  • Referral Bonus Program

  • Career Advancement Opportunities

  • Two-Tiered Insurance Plan: Medical and Dental!

Duties:

  • Handle all supervisory duties for assigned unit

  • Help establish and implement employee policies and procedures

  • Mentor less experienced nurses, offering clinical & career advice

  • Maintain the standards of care for the unit

  • Review of Resident records & quality of care

  • Monitor overall care & review individual Resident cases

  • Address questions or complaints brought forward by Residents or their families

  • Represent the unit‘s interests with upper-level management

Requirements:

  • Must hold valid NYS RN License

  • 2 years Long Term Care Experience preferred

  • 1-year Charge Nurse experience preferred

  • Excellent positive attitude to act as the leader of a group

  • Strong computer skills

  • Exceptional communication skills

CVC1990

Location:

Rochester, NY

About Us:

Rochester Center for Rehabilitation and Nursing is a 124-bed skilled nursing and rehab facility that is a top choice for post-acute care in Monroe County, New York. Nestled in a woodsy enclave, this beautiful facility offers comprehensive short-term rehabilitation and long-term skilled nursing services, all designed to make patients and residents feel right at home. Our desirable location and multi-disciplinary approach are designed to help you improve your overall well-being. Rochester Center is a proud member of the Centers Health Care continuum.