This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
The Nurse Case Manager, Prior Authorization RN is responsible for reviewing and processing prior authorization requests for medical services, ensuring that all clinical criteria and health plan ...
Job Summary The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio ...
Job Summary The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio ...
Job Summary The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio ...
Job Summary The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio ...
Job Summary The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio ...
Job Summary The VP Product Innovation - Prior Authorization creates and oversees the product strategy, Go-To-Market planning, product roadmap, and lifecycle of an assigned solution portfolio ...
... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse ...
... prior authorizations (as needed) according to Molina policy for Molina members as part of the ... We just had an amazing opportunity become available for a Utilization Review RN right in Syracuse ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...
$39 - $45/hr
Prior Authorization RN Case Manager Granada Hills, CA Full-Time Direct Hire Description Therole of the Prior Authorization Nurse Case Manager (PACM) is to promotethe quality and cost effectiveness of ...
Bachelor's degree required; advanced degree (MBA, MHA, MPH, RN, MD) strongly preferred. * 10+ years ... Deep expertise in prior authorization, utilization review, and medical cost containment strategies.
Bachelor's degree required; advanced degree (MBA, MHA, MPH, RN, MD) strongly preferred. * 10+ years ... Deep expertise in prior authorization, utilization review, and medical cost containment strategies.
Enter and maintain pertinent clinical information in various medical management systems Qualifications Requirements RN Prior Authorizations: * RN license * Associate's degree in Nursing. * Minimum of ...
Enter and maintain pertinent clinical information in various medical management systems Qualifications Requirements RN Prior Authorizations: * RN license * Associate's degree in Nursing. * Minimum of ...
Prior Auth Nurse Temp
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse Temp
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Position Summary The case manager/prior authorization RN reviews upcoming medical treatments, services, or procedures for the pain and wound clinic's patient populations to determine whether their ...
Prior Auth Nurse
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse
San Bernardino, CA · On-site
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse Temp
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Auth Nurse Temp
$45 - $50/hr
The role of the Case Manager, Prior Authorization RN is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and ...
Prior Authorization RN Case Manager-Urgent
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case ... Current California RN License * Minimum of 1 year acute experience * Knowledge of Managed Care ...
Prior Authorization RN Case Manager-Urgent
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case ... Current California RN License * Minimum of 1 year acute experience * Knowledge of Managed Care ...
Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ... Work alongside the other RCM VP's to build a performance-based culture based on accountability ...
Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ... Work alongside the other RCM VP's to build a performance-based culture based on accountability ...
VP, RCM Business Operations
Nashville, TN · On-site
Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ... Work alongside the other RCM VP's to build a performance-based culture based on accountability ...
VP, RCM Business Operations
Nashville, TN · On-site
Infusion and drug billing (e.g., J-codes, NDC mapping), prior * authorization for high-cost ... Work alongside the other RCM VP's to build a performance-based culture based on accountability ...
Vice President Prior Authorization Rn information
See salary details
$43.5K - $64.8K
1% of jobs
$64.8K - $86K
5% of jobs
$86K - $107.3K
14% of jobs
$113.3K is the 25th percentile. Wages below this are outliers.
$107.3K - $128.6K
18% of jobs
The median wage is $142.2K / yr.
$128.6K - $149.9K
19% of jobs
$149.9K - $171.1K
14% of jobs
$180.2K is the 75th percentile. Wages above this are outliers.
$171.1K - $192.4K
11% of jobs
$192.4K - $213.7K
8% of jobs
$213.7K - $235K
4% of jobs
$235K - $256.2K
4% of jobs
$256.2K - $277.5K
2% of jobs
$43.5K
$157.5K
$277.5K
How much do vice president prior authorization rn jobs pay per year?
As of Jun 23, 2026, the average yearly pay for vice president prior authorization rn in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.
Do nurses handle prior authorization?
Nurses, including those in roles like Vice President Prior Authorization RN, often assist with prior authorization processes by reviewing medical documentation and supporting the approval process. However, the primary responsibility for obtaining prior authorization typically falls to specialized staff or healthcare providers, with nurses providing support and ensuring compliance. Knowledge of insurance policies and documentation requirements is essential in these roles.
What are prior authorization jobs?
Prior authorization jobs, such as those for a Vice President Prior Authorization RN, involve reviewing and approving medical procedures, treatments, or medications before they are provided to ensure they meet insurance or healthcare guidelines. These roles require knowledge of healthcare policies, strong communication skills, and often involve working with electronic health records and insurance companies to facilitate timely approvals.
What is the difference between Vice President Prior Authorization Rn vs Prior Authorization Nurse Manager?
| Aspect | Vice President Prior Authorization Rn | Prior Authorization Nurse Manager |
|---|---|---|
| Credentials | RN license, leadership experience, possibly advanced degrees | RN license, management experience |
| Work Environment | Executive leadership, strategic planning, policy development | Operational management, team oversight, process improvement |
| Employer & Industry | Health insurance companies, healthcare organizations | Hospitals, healthcare facilities, insurance providers |
| Search & Comparison Intent | High-level strategic roles, executive responsibilities | Operational, team management roles |
The Vice President Prior Authorization Rn focuses on strategic leadership and policy development at an executive level, while the Prior Authorization Nurse Manager handles day-to-day team management and operational tasks. Both roles require RN licensure, but differ significantly in scope and responsibilities.
What jobs can I do if I don't want to be a nurse anymore?
A Vice President of Prior Authorization Rn typically has healthcare management skills, which can be transferred to roles such as healthcare administrator, medical director, or healthcare consultant. These positions often require leadership, knowledge of medical policies, and experience with healthcare regulations, and they may involve overseeing clinical operations or compliance efforts.
How to make 150,000 as a nurse?
A Vice President of Prior Authorization Nursing can earn $150,000 or more by gaining extensive experience in healthcare administration, obtaining relevant certifications, and working in organizations that value leadership in clinical review processes. Advanced degrees such as a master's in nursing or healthcare administration can also enhance earning potential, especially in senior or executive roles overseeing prior authorization teams.
What cities are hiring for Vice President Prior Authorization Rn jobs? Cities with the most Vice President Prior Authorization Rn job openings:
What are the most commonly searched types of Prior Authorization Rn jobs? The most popular types of Prior Authorization Rn jobs are:
What job categories do people searching Vice President Prior Authorization Rn jobs look for? The top searched job categories for Vice President Prior Authorization Rn jobs are:
Full-time
Medical, Dental, Vision
Posted 13 days ago
Job description
Company Description
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!
Job Description
We are aggressively seeking a Provider Network Coordinator to join a large Healthcare organization. As the year 2016 is in full swing, this organization is very busy, and they need YOUR help.
Take advantage of flexible hours, a competitive salary, and be a Prior Authorization Nurse with one of the fastest-growing healthcare companies in the U.S. Get in NOW, while there is still huge room for growth and career development!
This exciting opportunity will require a Prior Authorization Registered Nurse who can provide a high level of service and attention to their patients. If you are a seasoned Prior Authorization Registered Nurse and you meet the qualifications listed below, please click apply below for consideration!
Daily Responsibilities:
- Perform care management duties to assess, plan and coordinate all aspects of medical and supporting services across the continuum of care for select members to promote quality, cost effective care
- Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment and provider options
- Utilize assessment skills and discretionary judgment to develop plan of care based upon assessment with specific objectives, goals and interventions designed to meet member's needs and promote desired outcomes
- Coordinate services between Primary Care Physician (PCP), specialists, medical providers, and non-medical staff as necessary to meet the complete medical socio economic needs of clients
Hours for this Position:
Monday - Friday 9:00 am -6:00 pm or 8-5pm
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Salary:
Negotiated based on relevant job experience
Interested in being Considered?
If you are interested in applying to this position, please click Apply Now.
Qualifications
- Active/Compact State's RN License
- 1 year of case management experience
- Experience with medical decision support tools (i.e. Interqual, Milliman, NCCN) and government sponsored managed care programs is preferred
Additional Information
Interested in being considered?
If you are interested in being considered for this position, please click the apply button below.Â
About Healthcare Support
Sourced by ZipRecruiter
HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
Industry
Recruiting and staffing services
Company size
201 - 500 Employees
Headquarters location
Maitland, FL, US
Year founded
2003