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Prior Authorization Rn Jobs in Toledo, OH (NOW HIRING)

... prior hands-on nursing experience required with some exceptions. • Must have reliable ... Registered Nurse (RN) is responsible for providing and documenting skilled nursing care in ...

... (RN). The MDS Coordinator oversees the Minimum Data Set (MDS) assessment process for our small ... Prior nursing home experience is required for the MDS Coordinator position. MDS Coordinator ...

Prior experience with harm reduction a plus Qualifications * Experience: * Required: minimum of 1 ... State Registered Nurse (RN) BrightView Health Benefits and Perks * PTO (Paid Time Off)

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... prior hands-on nursing experience required with some exceptions. · Must have reliable ...

Pediatric Nurse-RN

Saline, MI · On-site

$35 - $40/hr

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... prior hands-on nursing experience required with some exceptions. · Must have reliable ...

Pediatric Nurse-RN

Saline, MI · On-site

$35 - $40/hr

Registered Nurse - RN We are one of the largest private duty nursing companies in the nation and ... prior hands-on nursing experience required with some exceptions. · Must have reliable ...

Prior experience with harm reduction a plus Qualifications * EXPERIENCE * Required: minimum of 1 ... State Registered Nurse (RN) BRIGHTVIEW HEALTH BENEFITS AND PERKS * PTO (Paid Time Off)

Addiction Nurse - RN

Maumee, OH · On-site

$31 - $35/hr

Prior experience with harm reduction a plus Qualifications * EXPERIENCE * Required: minimum of 1 ... State Registered Nurse (RN) BRIGHTVIEW HEALTH BENEFITS AND PERKS * PTO (Paid Time Off)

Prior experience with harm reduction a plus Qualifications * EXPERIENCE * Required: minimum of 1 ... State Registered Nurse (RN) BRIGHTVIEW HEALTH BENEFITS AND PERKS * PTO (Paid Time Off)

Obtain prior authorizations for medications and treatments for clients. * Enroll clients in drug ... Licensed Practical Nurse (LPN) or Registered Nurse (RN) in good standing and can administer ...

New

Obtain prior authorizations for medications and treatments for clients. * Enroll clients in drug ... Licensed Practical Nurse (LPN) or Registered Nurse (RN) in good standing and can administer ...

New

Obtain prior authorizations for medications and treatments for clients. * Enroll clients in drug ... Licensed Practical Nurse (LPN) or Registered Nurse (RN) in good standing and can administer ...

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Showing results 1-20

Prior Authorization Rn information

See Toledo, OH salary details

$6

$37

$64

How much do prior authorization rn jobs pay per hour?

As of Aug 24, 2026, the average hourly pay for prior authorization rn in Toledo, OH is $37.79, according to ZipRecruiter salary data. Most workers in this role earn between $28.17 and $44.71 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 Toledo, OH?

The most popular types of Prior Authorization Rn jobs in Toledo, OH are:

What are popular job titles related to Prior Authorization Rn jobs in Toledo, OH?

For Prior Authorization Rn jobs in Toledo, OH, the most frequently searched job titles are:

What job categories do people searching Prior Authorization Rn jobs in Toledo, OH look for?

The top searched job categories for Prior Authorization Rn jobs in Toledo, OH are:

What cities near Toledo, OH are hiring for Prior Authorization Rn jobs?

Cities near Toledo, OH with the most Prior Authorization Rn job openings:

Infographic showing various Prior Authorization Rn job openings in Toledo, OH as of August 2026, with employment types broken down into 100% Full Time. Highlights an 100% In-person job distribution, with an average salary of $78,593 per year, or $37.8 per hour.

Registered Nurse (Rn)

Aveanna Healthcare

Saline, MI • On-site

Part-time

Medical, Dental, Vision, Life, PTO

Re-posted 13 days ago


Aveanna Healthcare rating

6.7

Company rating: 6.7 out of 10

Based on 202 frontline employees who took The Breakroom Quiz

64th of 242 rated social care providers


Job description

Overview
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
• Multi-year Comparably Award winner in the following categories: Best Company Culture, Best CEO, Best Company Work-Life Balance, Best Company Career Growth, Best Company for Diversity, Best Company for Women
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 and paid training
• 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)
• 1 year prior hands-on nursing experience required with some exceptions.
• Must have reliable transportation
Aveanna Healthcare is an Equal Opportunity Employer and encourages applicants from diverse backgrounds to apply.
CCPA Notice for Job Applicants, Contractors, and Employees Residing in California
Responsibilities & Qualifications
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
Additional state specific requirements:
• South Carolina - One (1) year of pediatrics experience
• California - One (1) year of experience required working under current nursing license
• Louisiana - One (1) year of experience required working as a licensed nurse
• Continuing Education as required by state
Additional discipline specific requirements:
• Medical Oncology RN - 2 years Registered Nurse experience with cardiac monitoring and oncology experience
• Ambulatory RN - 2 years experience with vital assessment, plan of care development, and telephone triage
• Medical Surgical RN - 2 years Registered Nurse experience
• Peri-Operative Care RN - 2 years of Registered Nurse, preferably with oncology experience
Preferences
• Six (6) months of recent experience as a Licensed Nurse in a clinical care setting
• Home health experience
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.

What Aveanna Healthcare employees say

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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