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

City of Sioux Falls

Part Time LPN or RN

Sioux Falls, SD · On-site

$33.88 - $36.94/hr

Public Health Opening Date: 04/24/2026 Job Summary LPN = $24.67 - $26.69 hourly or RN = $33.88 ... prior to hire. Our core values of safety, teamwork, innovation, character and respect build ...

American Traveler

Travel Outpatient Oncology RN

Sioux Falls, SD · On-site

$2.1K - $2.8K/wk

Prior oncology experience preferred * No previous permanent employment with Avera or Sanford health ... Travel RN - Med/Surg - Oncology About American Traveler With over 25 years of experience, American ...

Tuff Memorial Home

RN

Hills, MN · On-site

The RN/LPN would work every third weekend and every third holiday on a rotating basis. This ... Participate in facility surveys (inspections) made by authorized government agencies as may to ...

Care Career

Travel Nurse RN - Clinic

Sioux Falls, SD · On-site

Care Career is seeking a travel nurse RN Clinic for a travel nursing job in Sioux Falls, South ... No prior Avera or Sanford permanent employees may be submitted Schedule: Monday-Friday, 8-hour ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Sioux Falls, SD

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.

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Prior Authorization Rn jobs near you
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.

Part Time LPN or RN

City of Sioux Falls

Sioux Falls, SD • On-site

$33.88 - $36.94/hr

Other

This job post has expired 1 day ago. Applications are no longer accepted.

City Of Sioux Falls rating

7.3

Company rating: 7.3 out of 10

Based on 12 frontline employees who took The Breakroom Quiz

595th of 855 rated public administrative organizations

Job description

Salary: $24.67 - $36.94 Hourly
Location : City of Sioux Falls, SD
Job Type: Part Time 28
Job Number: 202600065
Department: Public Health
Opening Date: 04/24/2026
Job Summary
LPN = $24.67 - $26.69 hourly or RN = $33.88 - $36.94 hourly
The City of Sioux Falls Health Department is accepting applications for a part-time Licensed Practical Nurse (LPN) or Registered Nurse (RN). The LPN/RN will provide professional nursing care for clients in a clinic setting at Falls Community Health.
Duties include working as a member of the patient care team to provide patient centered care, assisting other clinical staff, scheduling specialty referrals, providing patient education, administering vaccines, assisting with medication refill requests and procedures, tracking and returning patient phone calls, and other clinical duties as needed. This is a non-benefitted position with the ability to work up to 28 hours per week, Monday through Friday.
Minimum Qualifications
• Strong candidates will possess superior customer service skills, effective communication skills, and EMR experience.
• 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, character and respect build community from the inside out. Employees' top culture drivers include a strong sense of accomplishment, growth through learning and training, and supportive colleagues. Team members achieve job satisfaction every day with the knowledge that their service positively impacts the high quality of life this community enjoys.
Apply today to become part of ONE Team and help us take care of today for a better tomorrow!

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