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

Travel Nurse RN - Med Surg

Sioux Falls, SD · On-site

$2.0K - $2.6K/wk

Prior LVN/LPN experience may be considered to meet the 1 year requirement, depending on the assignment. * Current, valid, and active license to practice as a Registered Nurse in the state of ...

Candidates with prior permanent employment at Avera or Sanford Health systems are not eligible for ... Travel RN - Telemetry - Progressive Care Unit About American Traveler With over 25 years of ...

The RN is responsible to obtain and document the initial history of present illness, past medical history, and current medications prior to the physician seeing the patient. The RN is responsible for ...

Travel RN - Operating Room - First Assist American Traveler is seeking a credentialed RNFA for a 13 ... Prior travel nursing experience required * Must complete a health system credentialing application ...

Showing results 41-60

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?

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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.

Pediatric Home Care Nurse (RN)

Aveanna Healthcare

Hartford, SD • On-site

$40 - $45/hr

Full-time, Part-time, Per diem

Medical, Dental, Vision, Life, PTO

Re-posted yesterday


Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

64th of 246 rated social care providers


Job description

Join a Company That Puts People First!

Registered Nurse – RN

We are one of the largest private duty nursing companies in the nation and growing! At Aveanna, we’re proud to foster a workplace culture that celebrates diversity, encourages connection, and supports our team members every step of the way. Here’s what sets us apart:

Award-Winning Culture

  • Indeed’s Work Wellbeing Top 100 Company in 2024
  • Best Company for Work-Life Balance, Happiest Employees and Culture and Best CEO in 2024, as ranked by Comparably

Why Join Us?

  • Health, Dental, Vision and Company-Paid Life Insurance
  • Paid Time Off Available
  • Flexible scheduling- full-time, part-time, or PRN. Days, nights, and weekend shifts— we will work with your availability!
  • 24/7 Local support from operators and clinicians
  • Aveanna has a tablet in each patient’s home allowing for electronic documentation
  • Career Pathing with opportunities for skill advancement
  • Weekly and/or Daily Pay
  • Employee Stock Purchase Plan with 15% discount
  • Employee Relief Fund

*Benefit eligibility can vary and is dependent upon employment status and employment location

We consider it both a privilege and an honor when we welcome a new patient into our Aveanna family. Our homecare is always delivered from a place of heartfelt compassion and empathy, and every one of our Registered Nurses (RN)s works together to make sure we achieve outstanding clinical outcomes. Aveanna isn’t just a provider of compassionate homecare to children and adults. We are a national leader.

Qualifications  

  • Must have and maintain an active, unencumbered license (RN) in the state in which the clinician will practice

o Compact licenses must be transferred to your state of residence within 60 days  

  • Current CPR certification (with hands-on component)- Aveanna can assist in obtaining this requirement after hire, if necessary.
  • TB skin test (current within last 12 months)
  • Six months prior hands-on nursing experience preferred but not required
  • Must have reliable transportation  

Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.

Position Overview
Registered Nurse (RN) is responsible for providing and documenting skilled nursing care in accordance with the developed care plan and physicians orders for each individual patient while adhering to confidentiality standards and professional boundaries at all times.
Essential Job Functions
• Responsible for the delivery and coordination of quality patient care in compliance with physician orders.
• Continuously observes and assesses patient condition and care needs and reports changes in condition to the supervisor and/or physician as appropriate.
• Documents all activities, assessments, nursing actions, responses and coordination of care in a timely manner whenever care is delivered.
• Develop, implement and update the nursing care plan.
• Takes appropriate nursing action based on assessment and achieves expected outcomes.
• Recognizes changes in patient needs and responses requiring intervention and implements care to prevent risk or reduce risk.
• Accepts responsibility for personal and professional accountability by complying with Aveanna policies, state and federal regulations, accrediting bodies and the Nurse Practice Act.
• Provide care utilizing infection control measures that protect both the staff and the patient according to OSHA standards.
• Educates the patient and family regarding the disease process, self-care techniques, and prevention strategies, and in meeting the patient’s nursing needs.
• Maintain knowledge of competencies related to the nursing profession by participating in educational programs, continued education units, internal learning management skills and skill evaluations.
Requirements
• Graduate of an accredited Diploma, Associate or Baccalaureate School of Nursing
• Current, unrestricted state license as a Registered Nurse in the state of practice
• Current CPR certification
• Demonstrated proficiency in clinical assessments, documentation and compliance with nursing care and policies and procedures.

Other Skills/Abilities
• Attention to detail
• Time Management
• Effective problem-solving and conflict resolution
• Good organization and communication skills
Physical Requirements
• Must be able to speak, write, read and understand English
• Must be able to travel
• Must be able to lift 50 pounds
• Prolonged walking, standing, bending, kneeling, reaching, twisting
• Must be able to sit and climb stairs
• Must have visual and hearing acuity
• Must have strong sense of smell and touch
• Must be able to sufficiently reposition patients and move equipment without assistance
• Must be able to appropriately respond physically and mentally to emergency situations in the home or during transport
Environment
• Must be able to function in a wide variety of environments which may involve exposure to allergens and other various conditions
• Possible exposure to blood, bodily fluids and infectious diseases
Other Duties
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

As an employer accepting Medicare and Medicaid funds, employees must comply with all health-related requirements in all relevant jurisdictions, including required vaccinations and testing, subject to exemptions for medical or religious reasons as appropriate.

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About Aveanna

Sourced by ZipRecruiter

Aveanna Healthcare is one of the nation's leading providers of pediatric and adult homecare in the nation. We lead with clinical quality and compassion, delivering care in over 200 locations in 23 states. While we have a national presence, we are very much a local provider in each community we serve. Our stated mission is to revolutionize the way pediatric healthcare is delivered, one patient at a time, and we hope you will help us fulfill that mission by joining the 30,000 nurses who already call Aveanna home. Apply today.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

Atlanta, GA, US