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Prior Authorization Rn Jobs in Sioux Falls, SD (NOW HIRING)

Registered Nurse I

Sioux Falls, SD ยท On-site

$75 - $95/hr

The RN is responsible for direct patient care, medication administration, treatment monitoring, and ... Process medication refill requests and route prior authorization needs to the appropriate provider ...

New

Registered Nurse, RN

Sioux Falls, SD ยท On-site

$38 - $42/hr

Prior Registered Nurse, RN experience is preferable but we are willing to invest in the right candidate! As a Registered Nurse, RN you are the backbone of the Clinical Department. Your work will ...

Registered Nurse, RN

Sioux Falls, SD ยท On-site

$38 - $42/hr

Prior Registered Nurse, RN experience is preferable but we are willing to invest in the right candidate! As a Registered Nurse, RN you are the backbone of the Clinical Department. Your work will ...

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 ...

Prior experience with electronic medical record systems is desirable. Must possess or be able to ... the RN scope of practice. Ability to serve and communicate with a wide variety of clients ...

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 ...

Registered Nurse

Sioux Falls, SD ยท On-site

$33.88 - $36.94/hr

Prior experience with electronic medical record systems is desirable. Must possess or be able to ... the RN scope of practice. * Ability to serve and communicate with a wide variety of clients ...

Part Time LPN or RN

Sioux Falls, SD ยท On-site

$33.88 - $36.94/hr

Must hold or be able to obtain State of South Dakota Board of Nursing Certificate as a Licensed Practical Nurse or Registered Nurse prior to hire. Our core values of safety, teamwork, innovation ...

Must hold or be able to obtain State of South Dakota Board of Nursing Certificate as a Licensed Practical Nurse or Registered Nurse prior to hire. Our core values of safety, teamwork, innovation ...

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Prior Authorization Rn information

See Sioux Falls, SD salary details

$7

$42

$71

How much do prior authorization rn jobs pay per hour?

As of Sep 3, 2026, the average hourly pay for prior authorization rn in Sioux Falls, SD is $42.01, according to ZipRecruiter salary data. Most workers in this role earn between $31.30 and $49.71 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.

What are the most commonly searched types of Prior Authorization Rn jobs in Sioux Falls, SD?

The most popular types of Prior Authorization Rn jobs in Sioux Falls, SD are:

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For Prior Authorization Rn jobs in Sioux Falls, SD, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Rn jobs in Sioux Falls, SD look for?

The top searched job categories for Prior Authorization Rn jobs in Sioux Falls, SD are:

Infographic showing various Prior Authorization Rn job openings in Sioux Falls, SD as of August 2026, with employment types broken down into 1% As Needed, 76% Full Time, 20% Part Time, 1% Temporary, and 2% Contract. Highlights an 92% Physical, 1% Hybrid, and 7% Remote job distribution, with an average salary of $87,416 per year, or $42 per hour.

Registered Nurse I

Priority Dispatch Corp.

Sioux Falls, SD โ€ข On-site

$75 - $95/hr

Other

Posted 2 days ago

New


Job description

Job Details

Job Location: Sioux Falls Downtown - Sioux Falls, SD 57104

Position Summary

The Registered Nurse (RN) is a key clinical team member supporting the full range of psychiatric and specialty treatment services at Turnwell Mental Health Network, including Transcranial Magnetic Stimulation (TMS), Spravatoยฎ (esketamine), IV Ketamine therapy, and Intensive Outpatient Programming (IOP). The RN is responsible for direct patient care, medication administration, treatment monitoring, and clinical documentation across service lines. Working under the supervision of the Medical Director and prescribing providers, the RN ensures that every patient receives safe, compliant, and compassionate care throughout their treatment journey, and serves as a clinical resource for patients, families, and the broader care team.

Clinical Care & Treatment Administration
  • Administer IV Ketamine treatments to patients as prescribed by the medical team, monitoring vital signs and mental status throughout each infusion.
  • Administer and monitor Spravatoยฎ (esketamine) treatment sessions in accordance with REMS requirements, including required post-dose monitoring periods.
  • Support Transcranial Magnetic Stimulation (TMS) treatment sessions as needed, ensuring patient comfort and safety.
  • Administer injections, vaccines, and other prescribed medications per provider orders.
  • Perform EKGs, blood draws, and other diagnostic procedures as ordered by providers.
  • Process medication refill requests and route prior authorization needs to the appropriate provider or Prior Authorization Specialist.
Patient Assessment & Monitoring
  • Conduct pre-treatment assessments to confirm patient suitability and safety for specialty treatments (TMS, Spravatoยฎ, IV Ketamine).
  • Take and record patient vitals accurately, including blood pressure, pulse, weight, and temperature.
  • Monitor patients closely during and after treatment administration, escalating any adverse reactions or safety concerns to the supervising provider immediately.
  • Collaborate with providers to adjust treatment plans based on patient response and clinical presentation.
Patient Support & Education
  • Provide emotional support and reassurance to patients undergoing treatment, addressing questions and concerns with empathy.
  • Educate patients and their families on treatment protocols, potential side effects, and post-treatment care instructions.
  • Serve as a clinical point of contact for patient questions between provider visits.
Documentation & Compliance
  • Maintain accurate, timely documentation of all clinical encounters, treatments, and outcomes in the EHR.
  • Adhere to all HIPAA regulations and organizational policies related to patient privacy and clinical documentation standards.
  • Comply with specialty program-specific requirements, including REMS documentation and reporting obligations for Spravatoยฎ.
  • Maintain compliance with state nursing practice regulations and medication administration protocols.
Collaboration & Professional Development
  • Collaborate with Medical Assistants, Prior Authorization Specialists, and clinic staff to ensure coordinated, efficient patient care.
  • Participate in ongoing training and professional development to maintain clinical competency across all specialty service lines.
  • Support the onboarding and training of new clinical staff as directed by the Medical Director or Practice Manager.
QualificationsRequired
  • Valid and current RN licensure in the state of clinical practice.
  • Minimum of 2 years of nursing experience, preferably in a psychiatric, behavioral health, or outpatient setting.
  • Certification or training in IV therapy and medication administration.
  • Strong understanding of psychiatric and mental health conditions, including depression, anxiety, and treatment-resistant presentations.
  • Ability to assess patients' physical and emotional well-being accurately.
  • Proficiency with Electronic Health Record (EHR) systems.
  • Exceptional communication skills, with the ability to provide compassionate, patient-centered care.
  • Attention to detail and strong organizational skills.
  • Strong ethical standards and commitment to patient safety and confidentiality.
Preferred
  • Experience with TMS, Spravatoยฎ, and IV Ketamine treatment protocols.
  • Experience with REMS programs (e.g., Spravatoยฎ REMS).
  • Ability to work collaboratively within a multidisciplinary care team.
  • Flexibility to work shifts, including weekends, as required.
  • BLS/ACLS certification.
Core Competencies
  • Clinical Skill & Patient Safety
  • Multi-Modality Treatment Administration
  • Patient Assessment & Monitoring
  • Compassionate Patient Care
  • Documentation Accuracy & Compliance
  • Communication & Patient Education
  • Adaptability & Cross-Functional Collaboration
  • Discretion & Confidentiality
Work Environment & Physical Requirements

This is primarily a clinic-based, in-person position. The RN may support multiple specialty treatment programs and be required to stand for extended periods during infusion or treatment monitoring, as well as use computers for documentation. Occasional lifting of up to 50 pounds may be required. The RN will regularly interact with patients experiencing a range of mental health conditions; a calm, supportive, and non-judgmental approach is essential at all times.

Compensation & Benefits
  • Turnwell Mental Health Network offers a competitive compensation package, including salary, benefits, and opportunities for professional growth.
  • We provide a supportive and collaborative work environment that values innovation and compassionate patient care.
  • Details will be provided during the recruitment process.
About Turnwell Mental Health Network

Turnwell Mental Health Network is a comprehensive mental health practice dedicated to providing compassionate, evidence-based care to individuals across all stages of their mental health journey. Our services include general psychiatric evaluation and medication management, individual and group therapy, Transcranial Magnetic Stimulation (TMS), Spravatoยฎ (esketamine), IV Ketamine therapy, and Intensive Outpatient Programming (IOP). We are committed to breaking barriers to mental health care and empowering our communities through innovation, clinical excellence, and compassion.

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