ZipRecruiter

Log In

1

Prior Authorizations Nurse Jobs (NOW HIRING)

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 ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

Utilization of electronic medical record to efficiently process required prior authorizations and communication with in the organization. * Communication with Nurse Manager and/or RN status of ...

Avera Health

Prior Authorization Representative

Le Mars, IA · On-site

$16 - $19.25/hr

Utilization of electronic medical record to efficiently process required prior authorizations and communication with in the organization. * Communication with Nurse Manager and/or RN status of ...

previous page

Showing results 41-60

All JobsPrior Authorizations Nurse Jobs

Prior Authorizations Nurse information

See salary details

$17

$38

$65

How much do prior authorizations nurse jobs pay per hour?

As of Aug 23, 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 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.

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 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 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.

More about Prior Authorizations Nurse jobs

What cities are hiring for Prior Authorizations Nurse jobs?

Cities with the most Prior Authorizations Nurse job openings:

What states have the most Prior Authorizations Nurse jobs?

States with the most job openings for Prior Authorizations Nurse jobs include:

What job categories do people searching Prior Authorizations Nurse jobs look for?

The top searched job categories for Prior Authorizations Nurse jobs are:

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 93% Physical, 1% Hybrid, and 6% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.

Infusion Prior Authorization Coordinator

ARIZONA ARTHRITIS & RHEUMATOLOGY ASSOCIATES

Phoenix, AZ • On-site

$18.50 - $23/hr

Full-time

Posted 9 days ago

Job description

Description:

Arizona Arthritis & Rheumatology Associates, P.C. is the largest private Rheumatology practice in the United States. The practice has over 60 providers, 15 sites and over 350 employees providing assessment and treatments for our rheumatology patients. Our providers work together to keep patients healthy and are recognized for excellence in medicine and for being pioneers in new treatments, ably supported by our Research department.

We are an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.

Our vision is to provide the best Rheumatology care, anywhere and, to balance sustainable operation with the highest possible level of patient care.

We are a seeking an ambitious, friendly, positive, and compassionate Infusion Prior Authorization Coordinator to join our team.

The Prior Authorization Infusion Coordinator is responsible for the financial and administrative coordination of physician administered infusion and injection therapies from order through treatment approval. This role serves as the department’s insurance and reimbursement expert, ensuring patients receive timely financial clearance while maximizing reimbursement opportunities and maintaining compliance with payer requirements.

Prior Authorization Infusion Coordinator has limited patient-facing responsibilities, allowing dedicated focus on benefit investigations, prior authorizations, appeals, financial assistance, insurance compliance, and ongoing payer management. This position works collaboratively with In Office Infusion Coordinators, providers, nursing staff, revenue cycle, and outside infusion facilities to ensure seamless patient care.

Responsibilities

Collaborate with:

  • Providers
  • Nursing staff
  • In Office Infusion Coordinators
  • Revenue Cycle
  • Insurance companies
  • Manufacturer reimbursement support teams
  • Outside infusion facilities

Provide timely updates regarding authorization status, financial barriers, payer changes, and treatment readiness.

Maintain complete and accurate documentation within the electronic health record, including:

  • Benefit investigations
  • Prior authorizations
  • Appeals
  • Financial assistance approvals
  • Insurance correspondence
  • Patient communications
  • Outside referral tracking


Learn more about AARA on our website at http://azarthritis.com


Requirements:

Essential

  • Minimum two years of experience in infusion, rheumatology, oncology, specialty practice, or medical insurance coordination.
  • Experience with physician-administered medications and buy-and-bill reimbursement.
  • Extensive knowledge of medical benefit investigations and prior authorizations.
  • Experience with Medicare, Medicare Advantage, Medicaid, and commercial payer policies.
  • Experience with manufacturer copay assistance and charitable foundation programs.
  • Experience using Nextgen.