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Prior Authorizations Nurse Jobs (NOW HIRING)

StatCare

Prior Authorization Coordinator

Knoxville, TN · On-site

$17.75 - $22/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

StatCare strives to work collaboratively with hospital partners, nurses, and support staff ... Obtain prior authorizations for diagnostic testing (CT scans, MRIs, etc.) and pulmonary-related ...

StatCare, LLC

Prior Authorization Coordinator

Knoxville, TN · On-site

$15.25 - $19/hr

  • Medical

  • Dental

  • Vision

  • Retirement

  • PTO

StatCare strives to work collaboratively with hospital partners, nurses, and support staff ... Obtain prior authorizations for diagnostic testing (CT scans, MRIs, etc.) and pulmonary-related ...

OSF HealthCare

Prior Authorization Specialist

Peoria, IL · On-site

$18.80 - $22.12/hr

... prior authorizations. The Specialist impacts the clinical and financial risk to the organization ... equivalent (CNA, CPhT, or similar). Other requirements/information: Accurate typing speed of at ...

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Prior Authorizations Nurse information

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$17

$38

$65

How much do prior authorizations nurse jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for prior authorizations nurse in the United States is $38.62, according to ZipRecruiter salary data. Most workers in this role earn between $29.57 and $43.27 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorizations Nurse vs Utilization Review Nurse?

AspectPrior Authorizations NurseUtilization Review Nurse
CredentialsRN license, possibly certifications in case managementRN license, certifications in case management or utilization review
Work EnvironmentHealthcare facilities, insurance companies, or outpatient settingsHospitals, insurance companies, or healthcare organizations
Job FocusSecuring prior approvals for treatments or proceduresAssessing medical necessity and reviewing patient cases for ongoing care
Common UsageUsed in insurance and healthcare to obtain treatment approvalUsed in case management and quality assurance to evaluate care appropriateness

The main difference is that a Prior Authorizations Nurse primarily focuses on obtaining approval for specific treatments or procedures before they are performed, while a Utilization Review Nurse evaluates ongoing patient cases to determine the necessity and appropriateness of continued care. Both roles require RN licensure and related certifications, but their daily tasks and focus areas differ within the healthcare and insurance industries.

What are some common challenges faced by prior authorizations nurses, and how can they be addressed?

Prior Authorizations Nurses often encounter challenges such as navigating complex insurance requirements, managing high volumes of authorization requests, and ensuring timely approval to avoid treatment delays. Staying organized and up-to-date on payer policies is crucial, as is effective communication with providers and insurance representatives. Building strong relationships with both clinical teams and payers can help streamline processes and reduce administrative burdens, ultimately improving patient care outcomes.

What are the key skills and qualifications needed to thrive as a prior authorizations nurse?

To thrive as a Prior Authorizations Nurse, you need a valid RN or LPN license, a strong understanding of insurance guidelines, and expertise in clinical documentation. Familiarity with prior authorization software, electronic health records (EHRs), and payer-specific systems is typically required. Attention to detail, strong communication skills, and the ability to multitask efficiently help nurses excel in reviewing medical necessity and advocating for patients. These skills are crucial to ensure timely approvals, minimize delays in patient care, and maintain compliance with regulatory and insurance requirements.

What is a prior authorizations nurse?

Prior Authorizations Nurses are registered nurses who specialize in reviewing and processing requests for medical procedures, treatments, or medications to ensure they meet insurance coverage guidelines. They assess clinical documentation, communicate with healthcare providers, and submit necessary paperwork to insurance companies for approval. This role helps ensure that patients receive timely care while complying with payer requirements, reducing delays in treatment and managing healthcare costs.
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Prior Authorizations Nurse jobs near you
Infographic showing various Prior Authorizations Nurse job openings in the United States as of August 2026, with employment types broken down into 1% As Needed, 79% Full Time, 17% Part Time, 1% Temporary, and 2% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Coordinator, Prior Authorization

University of Utah

Salt Lake City, UT • On-site

$18.25 - $22.75/hr

Other

Posted 9 days ago

University Of Utah rating

7.2

Company rating: 7.2 out of 10

Based on 159 frontline employees who took The Breakroom Quiz

383rd of 618 rated colleges and universities

Job description

The Division of Pediatric Clinical Enterprise at the University of Utah School of Medicine has an immediate opening for a Scheduling and Prior Authorization Coordinator. This position works with a team of professionals responsible for obtaining prior authorization before services are rendered for requested procedures, testing, and medications. Responsibilities also include the coordination and scheduling of certain procedures and tests. This position works with physicians, nurses, clinic managers and financial advocates to resolve issues that arise during the prior authorizations process. A high level of computer literacy for daily navigation through multiple electronic systems, trouble shooting, and completion of tasks is necessary. This position is team‐based where excellent communication and collaboration are vital components for completing responsibilities in an efficient and timely manner.

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About University of Utah

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The University of Utah is the state’s flagship institution of higher education, with 18 schools and colleges, more than 100 undergraduate majors and graduate programs, and an enrollment of more than 38,000 students. It is a member of the Association of American Universities—an invitation-only, prestigious group of 71 leading research institutions. The U is advancing a new national model for higher education that delivers societal impact through education, research, health care, and community service, while making social, economic, and cultural contributions that improve lives across Utah and around the world.

Industry

Colleges, universities, and professional schools

Company size

10,000+ Employees

Headquarters location

Salt Lake City, UT, US

Year founded

1850

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