Prior Authorization Nurse
Hot Springs, AR · On-site
Job Title: Prior Authorization Nurse Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-15% Qualifications: * Current LPN or RN license in the required state * Completion of an ...
Hot Springs, AR · On-site
Job Title: Prior Authorization Nurse Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-15% Qualifications: * Current LPN or RN license in the required state * Completion of an ...
Hot Springs, AR · On-site
Job Title: Prior Authorization Nurse Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM) Travel: 0-15% Qualifications: * Current LPN or RN license in the required state * Completion of an ...
Long Beach, CA · On-site
Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...
Long Beach, CA · On-site
Review cases for in patients/in hospital: skilled care, acute rehab and long term acute care Provides concurrent review and prior authorizations (as needed) according to Molina policy for Molina ...
Tacoma, WA · On-site
$78K/yr
Perform telephonic review of prior authorization requests for appropriate care and setting ... Associate's degree in Nursing. * Minimum of 2-5 years of clinical experience in acute setting * One ...
Tacoma, WA · On-site
$78K/yr
Perform telephonic review of prior authorization requests for appropriate care and setting ... Associate's degree in Nursing. * Minimum of 2-5 years of clinical experience in acute setting * One ...
Phoenix, AZ · On-site +1
... prior authorization/utilization review Preferred Education * Bachelor of Science in Nursing Preferred Licenses * N/A Preferred Certifications * N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES ALL ...
Phoenix, AZ · On-site +1
... prior authorization/utilization review Preferred Education * Bachelor of Science in Nursing Preferred Licenses * N/A Preferred Certifications * N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES ALL ...
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical ...
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Nurse Case Manager (PACM) The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical ...
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 ...
... prior authorization/utilization review Preferred Education * Bachelor of Science in Nursing Preferred Licenses * N/A Preferred Certifications * N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES ALL ...
... prior authorization/utilization review Preferred Education * Bachelor of Science in Nursing Preferred Licenses * N/A Preferred Certifications * N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES ALL ...
... prior authorization/utilization review Preferred Education * Bachelor of Science in Nursing Preferred Licenses * N/A Preferred Certifications * N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES ALL ...
... prior authorization/utilization review Preferred Education * Bachelor of Science in Nursing Preferred Licenses * N/A Preferred Certifications * N/A ESSENTIAL JOB FUNCTIONS AND RESPONSIBILITIES ALL ...
Birmingham, AL · On-site
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
Birmingham, AL · On-site
$16.75 - $22.50/hr
General Summary The Prior Authorization Specialist coordinates and secures insurance authorization for medications, in-office injections, and imaging when needed to support timely patient care. This ...
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...
Northridge, CA · On-site
$38 - $42/hr
Prior Authorization Temp Nurse Case Manager, RN Northridge, CA 4-Month Contract Assignment * Quick On-Boarding/Placement Process * Career Stepping Stone from Bedside Nursing to Case Management (acute ...
Battle Creek, MI · On-site
$17 - $22.75/hr
Other perks include no nights or weekend work. $1,000 Sign-on bonus ($500 after successful ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
Battle Creek, MI · On-site
$17 - $22.75/hr
Other perks include no nights or weekend work. $1,000 Sign-on bonus ($500 after successful ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
Battle Creek, MI · On-site
$16.25 - $21.50/hr
Other perks include no nights or weekend work. ** $1,000 Sign-on bonus ($500 after successful ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
Battle Creek, MI · On-site
$16.25 - $21.50/hr
Other perks include no nights or weekend work. ** $1,000 Sign-on bonus ($500 after successful ... Educates patients and staff about the process of medication prior authorizations. * Processes ...
Atlanta, GA · On-site +1
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
Atlanta, GA · On-site +1
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
Buffalo, NY · On-site
$17.90 - $20/hr
No nights, weekends, or holidays! We offer our Prior Authorization Specialist : Employees are benefit-eligible on the first of the month following their start date This includes: * Medical, dental ...
Buffalo, NY · On-site
$17.90 - $20/hr
No nights, weekends, or holidays! We offer our Prior Authorization Specialist : Employees are benefit-eligible on the first of the month following their start date This includes: * Medical, dental ...
Santa Ana, CA · On-site
$25/hr
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...
Quick apply
Santa Ana, CA · On-site
$25/hr
Position Title Prior Authorization Specialist / Prior Authorization Coordinator Department Prior ... Communicate with physicians, nurses, pharmacies, and other departments regarding authorization ...
Atlanta, GA · On-site +1
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
Quick apply
Atlanta, GA · On-site +1
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
Buffalo, NY · On-site
$17.90 - $20/hr
No nights, weekends, or holidays! We offer our Prior Authorization Specialist: Employees are benefit-eligible on the first of the month following their start date This includes: * Medical, dental ...
Buffalo, NY · On-site
$17.90 - $20/hr
No nights, weekends, or holidays! We offer our Prior Authorization Specialist: Employees are benefit-eligible on the first of the month following their start date This includes: * Medical, dental ...
Atlanta, GA · On-site
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
Quick apply
Atlanta, GA · On-site
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
New Orleans, LA · On-site
$16.50 - $22.25/hr
Prior Authorization Specialist Louisiana Pain Specialists is looking for a Prior Authorization Specialist to join our pain management team in New Orleans. This full-time position is responsible for ...
New Orleans, LA · On-site
$16.50 - $22.25/hr
Prior Authorization Specialist Louisiana Pain Specialists is looking for a Prior Authorization Specialist to join our pain management team in New Orleans. This full-time position is responsible for ...
Atlanta, GA · On-site +1
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
Atlanta, GA · On-site +1
$20 - $23/hr
No Weekends or Holidays * Paid Parental Leave Options * Affordable Medical, Dental, & Vision ... The Prior Authorization Coordinator ensures seamless patient care by maintaining prior ...
$17.31 - $21.68
3% of jobs
$21.68 - $26.05
7% of jobs
$29.33 is the 25th percentile. Wages below this are outliers.
$26.05 - $30.42
20% of jobs
The median wage is $34.13 / hr.
$30.42 - $34.79
24% of jobs
$34.79 - $39.16
14% of jobs
$41.84 is the 75th percentile. Wages above this are outliers.
$39.16 - $43.53
11% of jobs
$43.53 - $47.90
7% of jobs
$47.90 - $52.27
5% of jobs
$52.27 - $56.64
3% of jobs
$56.64 - $61.01
3% of jobs
$61.01 - $65.38
2% of jobs
$17
$38
$65
| Aspect | Weekend Prior Authorization Nurse | Weekend Case Manager |
|---|---|---|
| Credentials | RN license, certifications in case management or utilization review | RN or social work license, case management certification |
| Work Environment | Hospitals, insurance companies, healthcare facilities | Hospitals, insurance companies, healthcare organizations |
| Job Focus | Review and approve medical procedures for insurance coverage | Coordinate patient care, discharge planning, and resource management |
The Weekend Prior Authorization Nurse primarily reviews and approves medical procedures for insurance coverage during weekends, focusing on authorization processes. In contrast, the Weekend Case Manager manages patient care plans, discharge processes, and resource coordination. Both roles require nursing credentials and work in healthcare or insurance settings, but their core responsibilities differ significantly.

Full-time
Medical, Dental, Vision, Life, Retirement, PTO
This job post has expired today. Applications are no longer accepted.
7.0
Based on 32 frontline employees who took The Breakroom Quiz
413th of 884 rated healthcare providers
Job Title: Prior Authorization Nurse
Job Type: Full-time (Monday-Friday, 8:00 AM - 5:00 PM)
Travel: 0-15%
Qualifications:
Job Summary:
Discover a rewarding career at Arcare.We are seeking a detail-oriented, efficient, and patient-focused Prior Authorization Nurse to join the Arcare team. In this role, you will be responsible for reviewing and processing authorization requests to ensure compliance with national standards and contractual requirements. The Prior Authorization Nurse plays a key role in supporting the delivery of cost-effective and high-quality patient care by leveraging clinical expertise and effective communication.
In addition to managing authorization processes, the Prior Authorization Nurse will assist the clinical team with direct patient care services and nursing tasks as needed. This role is ideal for a licensed nurse with a passion for ensuring seamless access to care while maintaining high standards of clinical excellence.
Reasonable Accommodations
To perform this job successfully, an individual must be able to satisfactorily perform each essential duty. Reasonable accommodations may be made to enable qualified individuals with disabilities to perform the essential functions.
Key Responsibilities:
Skills & Attributes:
Company Paid Benefits:
Application Assistance:
If you need assistance with the application process, please email humanresources@arcare.net.
Equal Opportunity Employer:
Arcare is committed to creating a diverse environment and is proud to be an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other characteristic protected by law.
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