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Prior Authorization Rn Jobs in Seattle, WA (NOW HIRING)

Discovery Behavioral Health

RN (On-Call)

Edmonds, WA · On-site

$42 - $50/hr

The Registered Nurse (RN) is a vital member of a dynamic, multidisciplinary team, delivering ... securing prior authorizations for necessary treatments and tests. Documentation & Compliance

Aveanna Healthcare

Registered Nurse (Rn)

Tacoma, WA · On-site

$41 - $52/hr

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... Six months prior hands-on nursing experience preferred but not required * Must have reliable ...

CareRev

Telemetry Registered Nurse (RN)

Renton, WA

$60 - $61/hr

Current ACLS certification may be required prior to first shift. * Minimum of 2-years recent full-time experience as an inpatient Telemetry RN. * Strong ability to assess, plan, coordinate, evaluate ...

CareRev

Telemetry Registered Nurse (RN)

Redmond, WA

$60 - $61/hr

Current ACLS certification may be required prior to first shift. * Minimum of 2-years recent full-time experience as an inpatient Telemetry RN. * Strong ability to assess, plan, coordinate, evaluate ...

CareRev

Telemetry Registered Nurse (RN)

Bellevue, WA

$60 - $61/hr

Current ACLS certification may be required prior to first shift. * Minimum of 2-years recent full-time experience as an inpatient Telemetry RN. * Strong ability to assess, plan, coordinate, evaluate ...

CareRev

Telemetry Registered Nurse (RN)

Issaquah, WA

$60 - $61/hr

Current ACLS certification may be required prior to first shift. * Minimum of 2-years recent full-time experience as an inpatient Telemetry RN. * Strong ability to assess, plan, coordinate, evaluate ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Seattle, WA

Prior Authorization Rn information

See Seattle, WA salary details

$8

$48

$82

How much do prior authorization rn jobs pay per hour?

As of Jul 30, 2026, the average hourly pay for prior authorization rn in Seattle, WA is $48.10, according to ZipRecruiter salary data. Most workers in this role earn between $35.87 and $56.92 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.
More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in Seattle, WA? The most popular types of Prior Authorization Rn jobs in Seattle, WA are:
What are popular job titles related to Prior Authorization Rn jobs in Seattle, WA? For Prior Authorization Rn jobs in Seattle, WA, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Seattle, WA look for? The top searched job categories for Prior Authorization Rn jobs in Seattle, WA are:
What cities near Seattle, WA are hiring for Prior Authorization Rn jobs? Cities near Seattle, WA with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Seattle, WA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 59% In-person, 11% Hybrid, and 30% Remote job distribution, with an average salary of $100,052 per year, or $48.1 per hour.

RN Prior Authorization Nurse

Healthcare Support Staffing

Tacoma, WA

$78K/yr

Full-time

Medical, Retirement

Re-posted 24 days ago

Job description

Company Description

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

Job Description

Daily Responsibilities Prior Auth RN:

  • Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization requests.
  • Perform telephonic review of prior authorization requests for appropriate care and setting, following guidelines and policies, and approve services or forward requests to the appropriate Physician or Medical Director with recommendations for other determinations
  • Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case findings
  • Collaborate with various staff within provider networks and case management team electronically or telephonically to coordinate member care
  • Educate providers on utilization and medical management processes
  • Provide clinical knowledge and act as a clinical resource to non-clinical team staff
  • Enter and maintain pertinent clinical information in various medical management systems


Qualifications

Requirements RN Prior Authorizations:

  • RN license
  • Associate's degree in Nursing.
  • Minimum of 2-5 years of clinical experience in acute setting
  • One of these 2: experience authorizing services or experience calling in for auths from a provider setting
  • Knowledge of utilization management principles and managed care.
  • Must be comfortable with computers and with learning software programs


Hours for this Position:

M-F 8-5:30

Advantages of this Opportunity:

  • Competitive salary ($64-78K) plus annual bonus
  • Fun and positive work environment
  • Room for growth
  • Medical benefits 1st of the month after hire
  • 401k Matching
Additional Information

Interested in being considered?

If you are interested in being considered for the position, please contact Ashley Greene at 407-478-0332 ext 169.

Healthcare Support logo

About Healthcare Support

Sourced by ZipRecruiter

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.

Industry

Recruiting and staffing services

Company size

201 - 500 Employees

Headquarters location

Maitland, FL, US

Year founded

2003

Social media

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