Prior Authorization Nurse
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 ...
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 ...
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 ...
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 ...
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 ...
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
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 ...
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
San Bernardino, CA · On-site
$35 - $40/hr
The Prior Authorization Nurse (LVN) is responsible for performing clinical review and evaluation of authorization requests to ensure medical necessity, appropriate utilization of healthcare services ...
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 ...
$18.13 - $21.78/hr
Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership ... Hours may vary, including working some evenings and weekends based on workload. Individuals are not ...
Quick apply
$18.13 - $21.78/hr
Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership ... Hours may vary, including working some evenings and weekends based on workload. Individuals are not ...
Columbus, OH · On-site
$18.13 - $21.78/hr
Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership ... Hours may vary, including working some evenings and weekends based on workload. Individuals are not ...
Columbus, OH · On-site
$18.13 - $21.78/hr
Other duties as assigned by the Prior Authorization Supervisor, Director of Nursing, and Leadership ... Hours may vary, including working some evenings and weekends based on workload. Individuals are not ...
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 ...
$19 - $23.50/hr
Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure timely ...
$19 - $23.50/hr
Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure timely ...
Brentwood, TN · On-site +1
$17.50 - $21.75/hr
Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure timely ...
Quick apply
Brentwood, TN · On-site +1
$17.50 - $21.75/hr
Monday - Friday, standard business hours (no nights, weekends, or holidays) What You Will Do * Review and Process Prior Authorizations - Thoroughly review Prior Authorization orders and ensure timely ...
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 ...
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 ...
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 ...
Albuquerque, NM · On-site
$16.50 - $22/hr
Nurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointment * Surgery schedulers on surgical authorization timelines and operative plan documentation
Albuquerque, NM · On-site
$16.50 - $22/hr
Nurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointment * Surgery schedulers on surgical authorization timelines and operative plan documentation
Albuquerque, NM · On-site
$16.50 - $22/hr
Nurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointment * Surgery schedulers on surgical authorization timelines and operative plan documentation
Quick apply
Albuquerque, NM · On-site
$16.50 - $22/hr
Nurses and infusion schedulers to ensure authorizations are secured prior to every treatment appointment * Surgery schedulers on surgical authorization timelines and operative plan documentation
New York, NY · On-site
$19.75 - $26.25/hr
Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...
New York, NY · On-site
$19.75 - $26.25/hr
Prior authorization is one of the largest operational bottlenecks for agencies. Our platform ... Comfortable working independently in a fast-moving startup Nice to Have * RN, LPN, or clinical ...
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Work with supervisors or nurse managers to confirm treatment plans meet medical necessity criteria.
Auburn, NY · On-site
$18 - $24.50/hr
The prior authorization specialist is responsible for coordinating all aspects of the prior ... Work with supervisors or nurse managers to confirm treatment plans meet medical necessity criteria.
$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.

Other
Re-posted 24 days ago
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!
Company Job Description/Day to Day Duties: 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 members as part of the Utilization Management team.
Identifies appropriate benefits, eligibility, and expected length of stay for members requesting treatments and/or procedures.
Participates in interdepartmental integration and collaboration to enhance the continuity of care for Molina members including Behavioral Health and Long Term Care.
Employment Type: Temporary Assignment (1-2 months)
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.
Recruiting and staffing services
201 - 500 Employees
Maitland, FL, US
2003