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Prior Authorization Rn Jobs in Springfield, MA (NOW HIRING)

Home Care Evolution

Registered Nurse (RN)

Springfield, MA · On-site

$32 - $100/hr

Prior RN experience in homecare or clinical settings * Strong interpersonal and patient care skills * Current driver's license * CPR/First Aid certified Ready to make a difference as a Registered ...

Home Care Evolution

Registered Nurse

Springfield, MA · On-site

$32 - $100/hr

Prior RN experience in homecare or clinical settings * Strong interpersonal and patient care skills * Current driver's license * CPR/First Aid certified Ready to make a difference as a Registered ...

Vivian Health

Trauma RN in Granby, CT

Granby, CT

... Prior Authorizations, and supporting the Soft Tissue Mass clinic. Qualifications · Current Connecticut RN License required. · Previous experience in Medical/Surgical Office setting preferred. · ...

Aveanna Healthcare

Registered Nurse (RN)

Holyoke, MA · On-site

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 * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (RN)

Westfield, MA · On-site

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 * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (RN)

Holland, MA · On-site

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 * Insert state-specific ...

Aveanna Healthcare

Registered Nurse (Rn)

Enfield, CT · On-site

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 * Insert state-specific ...

HAN Staff

RN - Tele

Hartford, CT

$2.2K/wk

Authorized to work in the United States. * Graduate of an Accredited School of Nursing * 2 years of experience as a Telemetry Registered Nurse (RN) * American Heart Association BLS, ACLS, NIHSS

Associated Home Care

Registered Nurse (RN)

Northampton, MA · On-site

$39 - $41/hr

HIPPA and Safety. 4. Review Personal Care Plans from Aging service Access Points, (ASAP), orienting aides in following the care plan as authorized by the ASAP RN. 5. Documents services rendered and ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Springfield, MA

Prior Authorization Rn information

See Springfield, MA salary details

$7

$41

$70

How much do prior authorization rn jobs pay per hour?

As of Jun 20, 2026, the average hourly pay for prior authorization rn in Springfield, MA is $41.12, according to ZipRecruiter salary data. Most workers in this role earn between $30.62 and $48.65 per hour, depending on experience, location, and employer.

How to make $300,000 a year as a nurse?

A Prior Authorization RN can earn $300,000 annually by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as specialty clinics or insurance companies. Increasing workload, taking on leadership roles, or working overtime can also boost income, but reaching this level typically requires a combination of expertise, efficiency, and strategic employment choices.

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.

Can nurses do prior authorizations?

Prior authorization nurses, often called utilization review nurses or case managers, are qualified to handle prior authorization requests. They review medical documentation, communicate with providers and insurance companies, and ensure compliance with payer requirements, often using electronic health record systems. Certification in case management or utilization review can enhance their ability to perform these tasks effectively.

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

A Prior Authorization RN can increase income by taking on additional shifts, working overtime, or offering consulting services to healthcare providers. Developing specialized knowledge in insurance authorization processes and obtaining relevant certifications can also lead to higher-paying opportunities or freelance work 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
Infographic showing various Prior Authorization Rn job openings in Springfield, MA as of June 2026, with employment types broken down into 57% Full Time, 41% Part Time, 1% Temporary, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $85,520 per year, or $41.1 per hour.
Travel Nurse RN - Telemetry in Hartford, CT

Travel Nurse RN - Telemetry in Hartford, CT

Travel Nurse Source

Hartford, CT

$2.2K/wk

Other

Medical, Dental, Vision, Retirement

Posted 19 days ago

Job description

Registered Nurse (RN) | Telemetry Location: Hartford, CT Agency: Health Advocates Network Pay: Competitive weekly pay (inquire for details) Shift Information: Evenings Start Date: ASAP

About the Position

TravelNurseSource is working with Health Advocates Network to find a qualified Telemetry RN in Hartford, Connecticut, 06105!
Health Advocates Network is urgently hiring Telemetry Registered Nurses (RNs) in the Hartford, CT area. Must have 2 years of Telemetry experience.

  • Pay Rate: $2,200 weekly
  • Specialty: Telemetry Registered Nurse (RN)
  • Shift: Night
  • 13 Week Contracts and more available!
  • Radius Rule: 60 mile radius applies
Qualification and Requirements:
  • Authorized to work in the United States.
  • Graduate of an Accredited School of Nursing
  • 2 years of experience as a Telemetry Registered Nurse (RN)
  • American Heart Association BLS, ACLS, NIHSS
  • Must have experience with Cardiac drips such as amiodarone and cardizem
  • Must have experience with stroke patients
  • An active, current (CT) state license

Apply for this job now or to find out more about other opportunities with Health Advocates Network, Inc. reply to this posting, contact us at or call/text . We can provide you unparalleled access to exciting career opportunities.
Benefits We Offer:
Competitive pay rates, Referral Bonus, Medical, Dental, Vision and 401k. Travel reimbursement and per diem allowances, Employee discounts, educational opportunities, and more!
Who We Are:
Health Advocates Network matches highly skilled applicants to positions at the best healthcare companies on a temporary and temporary-to-hire basis. Our mission is to provide you with a rewarding job that is well-matched to your skills - helping you advance in your career. Our experience, combined with our client relationships, makes Health Advocates Network a great resource for your career.
Health Advocates Network, Inc. is an equal-opportunity employer. All qualified applicants shall receive consideration for employment without regard to any legally protected basis protected by applicable federal or state law except where a bona fide occupational qualification applies.
Refer a Registered Nurse for a $1000.00 bonus opportunity!

About Health Advocates Network

Our Mission is to match highly skilled providers to exceptional healthcare facility opportunities while providing rewarding supplemental staffing experiences and supporting facilities to achieve unsurpassed patient care and outcomes.

29720444EXPPLAT

PandoLogic. Keywords: Travel Nurse, Location: Hartford, CT - 06152 , PL: 603245779

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