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Weekend Prior Authorization Nurse Jobs (NOW HIRING)

Prior Authorization Specialist Department: Revenue Cycle / Billing Reports To: Sr. Director of Billing and Reimbursement Location: Onsite Preferred - Work From Home Position Summary The Prior ...

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Weekend Prior Authorization Nurse information

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$38

$65

How much do weekend prior authorization nurse jobs pay per hour?

As of Jul 17, 2026, the average hourly pay for weekend prior authorization 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 Weekend Prior Authorization Nurse vs Weekend Case Manager?

AspectWeekend Prior Authorization NurseWeekend Case Manager
CredentialsRN license, certifications in case management or utilization reviewRN or social work license, case management certification
Work EnvironmentHospitals, insurance companies, healthcare facilitiesHospitals, insurance companies, healthcare organizations
Job FocusReview and approve medical procedures for insurance coverageCoordinate 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.

More about Weekend Prior Authorization Nurse jobs
What cities are hiring for Weekend Prior Authorization Nurse jobs? Cities with the most Weekend Prior Authorization Nurse job openings:
What are the most commonly searched types of Prior Authorization Nurse jobs? The most popular types of Prior Authorization Nurse jobs are:
What states have the most Weekend Prior Authorization Nurse jobs? States with the most job openings for Weekend Prior Authorization Nurse jobs include:
Infographic showing various Weekend Prior Authorization Nurse job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 88% Full Time, 10% Part Time, and 1% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $80,321 per year, or $38.6 per hour.
Prior Authorization Specialist

Prior Authorization Specialist

BrightSpring Health Services

Louisville, KY

$15.25 - $15.50/hr

Full-time

Posted yesterday

New


BrightSpring Health Services rating

4.8

Company rating: 4.8 out of 10

Based on 62 frontline employees who took The Breakroom Quiz

218th of 236 rated social care providers


Job description

Overview

Join our PharMerica team! PharMerica is a closed-door pharmacy where you can focus on fulfilling the pharmaceutical needs of our long-term care and senior living clients. We offer a non-retail pharmacy environment. Our organization is in high growth mode, which means advancement opportunities for individuals who are looking for career progression!

Mon-Fri(8:30am to 5pm)

We offer:

DailyPay

Flexible schedules

Competitive pay

Shift differential

Health, dental, vision and life insurance benefits

Company paid STD and LTD

Tuition Assistance

Employee Discount Program

401k

Paid-time off

Tuition reimbursement

Non-retail/Closed-door environment

Our Pharmacy group focuses on providing exceptional customer service and meeting the pharmacy needs for hospitals, rehabilitation hospitals, long-term acute care hospitals, and other specialized care centers nationwide. If your passion is service excellence and top-quality care come join our team and apply today!

*Position will be posted for a minimum of 7 business days


Responsibilities

  • The Prior Authorization Coordinator is responsible for striving to complete either approval for pharmacy claims requiring prior authorization or by coordinating with prescribers and or facility contact to have therapy changed to a preferred alternative due to insurance not covering the treatment in question

Essential Job Responsibilities:

  • Ensure accurate and timely completion of client prior authorization and/or change of therapy paperwork by collaborating with prescribers and facility contacts
  • Follows up on all claims requiring prior authorization within four to five business days
  • Tracks and reviews all claims in QuickBase and sends excel tracking spreadsheet to Director of Pharmacy on weekly basis
  • Compares system report of unbilled claims requiring prior approval to QuickBase tracking system to ensure any claim requiring prior authorization is being followed up on
  • Assists Billing Department with resolving unbilled claims at each month end close
  • Advocates for clients as needed
  • Support for Pharmacy Operations
  • Adjudicates and resolution of claim rejections as needed
  • Utilizes Frameworks, QuickBase, Docutrack, and CoverMyMeds in order to complete workflow on daily basis
  • Other responsibilities as assigned

Qualifications

  • High School Diploma/General Education Diploma required
  • Kentucky Pharmacy Technician License preferred
  • Excellent customer service and communication skills, both written and verbal
  • Ability to prioritize and meet pre-determined deadlines
  • Must be able to effectively multi-task, be proficient at typing, and have advanced technical skills
  • Experience in healthcare billing environment (pharmacy preferred)
  • Familiarization with on-line claims processing and Medicaid and Medicare billing practices
  • Proficient with Microsoft Word & Excel required

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