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Prior Authorization Rn Jobs in Columbus, OH (NOW HIRING)

TLC

Registered Nurse (RN) - Mother Baby

Columbus, OH

$1K/wk

Preferred: prior travel nursing experience. * RN must pass an EKG exam prior to start. Roles & Responsibilities Provide family-centered care for postpartum mothers and their infants. Monitor and ...

AirSculpt

Registered Nurse (RN)

Columbus, OH · On-site

Overview We are seeking a dynamic Registered Nurse (RN) to join our team, meeting our stringent ... Authorization to work in the United States on a full-time basis Preferred Qualifications:

OhioHealth

RN

Columbus, OH

This position is for RNs with at least 2 years of prior RN experience, preferably in critical care, pre/post, or endoscopy. There are on-call requirements. Provides general nursing care to patients ...

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All JobsPrior Authorization Rn JobsPrior Authorization Rn Jobs in Columbus, OH

Prior Authorization Rn information

See Columbus, OH salary details

$6

$39

$67

How much do prior authorization rn jobs pay per hour?

As of Jun 9, 2026, the average hourly pay for prior authorization rn in Columbus, OH is $39.47, according to ZipRecruiter salary data. Most workers in this role earn between $29.42 and $46.73 per hour, depending on experience, location, and employer.

What is the difference between Prior Authorization Rn vs Medical Coder?

AspectPrior Authorization RnMedical Coder
CredentialsRN license, possibly certifications in case management or utilization reviewCertification in coding (CPC, CCS), no RN license required
Work EnvironmentHospitals, insurance companies, healthcare facilitiesMedical offices, hospitals, insurance companies
Primary ResponsibilitiesReviewing and obtaining prior authorizations for treatments and proceduresTranslating medical records into coded data for billing and documentation

While both roles are integral to healthcare administration, the Prior Authorization RN focuses on obtaining approvals for patient care, requiring nursing credentials and clinical knowledge. In contrast, Medical Coders specialize in coding medical records for billing, emphasizing coding certifications. Understanding these differences helps healthcare professionals and job seekers identify the right career path or job opportunity.

What are the key skills and qualifications needed to thrive as a Prior Authorization RN, and why are they important?

To thrive as a Prior Authorization RN, you need a current RN license, strong clinical assessment skills, and a solid understanding of insurance guidelines and medical necessity criteria. Familiarity with utilization management software, electronic health records (EHRs), and payer-specific authorization systems is essential. Exceptional attention to detail, critical thinking, and effective communication help you advocate for patients and collaborate with healthcare providers and insurers. These skills ensure the efficient processing of authorizations, reduce delays in care, and support patients in receiving appropriate treatments.

What Does a Prior Authorization RN Do?

A prior authorization RN is a registered nurse who assesses applications for specific treatments, medical procedures, and medications. In this job, you review each request for medical coverage and determine the necessity or potential benefits of the treatment or medicine. You assess patient information and other factors to decide whether or not to authorize coverage. Your duties as a prior authorization RN also include reviewing denials of benefits and seeking additional information that could alter the initial decision. You document your findings for each case and present the evidence along with your decision. It is your job to review the case for each patient thoroughly while following all government regulations and healthcare provider policies.

What are some common challenges faced by Prior Authorization RNs, and how can they be addressed?

Prior Authorization RNs often navigate complex insurance guidelines and manage high volumes of requests, which can be challenging due to frequent policy updates and tight timelines. Staying organized, maintaining up-to-date knowledge of payer requirements, and leveraging electronic health record (EHR) systems can help streamline the process. Collaboration with providers and insurance representatives, as well as ongoing training, are essential for efficiently resolving issues and ensuring timely patient care.

What is a Prior Authorization RN?

A Prior Authorization RN is a registered nurse who specializes in reviewing and processing prior authorization requests for medical procedures, medications, or treatments. They evaluate clinical documentation to determine if requests meet insurance or regulatory criteria and often serve as a liaison between healthcare providers, patients, and insurance companies. Their role helps ensure that care is medically necessary and covered by the patient's health plan, streamlining access to important healthcare services while controlling costs.
More about Prior Authorization Rn jobs
What are the most commonly searched types of Prior Authorization Rn jobs in Columbus, OH? The most popular types of Prior Authorization Rn jobs in Columbus, OH are:
What are popular job titles related to Prior Authorization Rn jobs in Columbus, OH? For Prior Authorization Rn jobs in Columbus, OH, the most frequently searched job titles are:
What job categories do people searching Prior Authorization Rn jobs in Columbus, OH look for? The top searched job categories for Prior Authorization Rn jobs in Columbus, OH are:
What cities near Columbus, OH are hiring for Prior Authorization Rn jobs? Cities near Columbus, OH with the most Prior Authorization Rn job openings:
Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Columbus, OH as of May 2026, with employment types broken down into 60% Full Time, 7% Part Time, 2% Temporary, 30% Contract, and 1% Nights. Highlights an 87% Physical, 2% Hybrid, and 11% Remote job distribution, with an average salary of $82,099 per year, or $39.5 per hour.
Registered Nurse- Central Ohio Infusion Services

Registered Nurse- Central Ohio Infusion Services

Central Ohio Primary Care

Columbus, OH • On-site

Full-time

Posted 20 days ago

Central Ohio Primary Care rating

7.2

Company rating: 7.2 out of 10

Based on 34 frontline employees who took The Breakroom Quiz

329th of 870 rated healthcare providers

Job description

The Registered Nurse is responsible for providing administrative and clinical support to ensure efficient delivery of IV administration in an infusion room and to create a positive patient experience.
  • Full Time/Benefits Eligible
  • Monday, Tuesday, Thursday - 7:30am-5:00pm, Wednesday - 7:30am-1:30pm, Friday - 7:30am-12:00pm
  • Columbus, OH

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
  • Work closely with the clinical care team to deliver the best care for our patients.
  • Foster a climate allowing for direct communication between the care team, patient/caregiver and appropriate care providers to optimize outcomes.
  • Collaborate with other care team members to address gaps in care (chart prep).
  • Promote and facilitate improved clinical outcomes and patient satisfaction, as well as efficient use of resources.
  • Act as a patient advocate to ensure highest quality of care for our patients.
  • Perform injections, place IV's, and access ports.
  • Interview patients regarding medical concerns and obtain medical history.
  • Measure and record vital signs, such as pulse rate, temperature, blood pressure, height and weight in patients' EHR.
  • Assist in performing routine medical procedures as requested.
  • Assist in patient education with related educational flyers, and handouts related to their autoimmune disease.
  • Assist with applicable forms and patient paperwork (not limited to processing of referrals, prior authorizations or pre-certifications, etc.).
  • Respond to patient phone calls, as appropriate.
  • Maintain a clean and well-organized work area. Maintain patient confidentiality in alignment with HIPAA regulation.
  • Attend meetings and participate in classroom activities as needed.
  • All other duties as assigned.

QUALIFICATIONS:
Education, Licensures & Certifications
  • Required: Registered Nurse in the State of Ohio
  • Preferred: Experience with Infusion or Rheumatology

Knowledge, Skills & Abilities
  • Self-disciplined, energetic, passionate, and innovative
  • Ability to communicate clearly and effectively with patients and other external parties in a courteous and friendly manner
  • Ability to maintain confidentiality at all times
  • Ability to react calmly and effectively in emergency situations
  • Ability to interpret, adapt, and apply guidelines and procedures
  • Ability to communicate clearly and document efficiently in EHR
  • Knowledge in vaccine administration, storage, handling and documentation
  • Knowledge and understanding of medical terminology
  • Knowledge of patient care and examination procedures
  • Knowledge of using medical equipment and instruments to administer patient care
  • Knowledge of common safety hazards and precautions to establish a safe work environment
  • Skill in assisting in a variety of treatments and medications, as directed
  • Skill in taking vital signs
  • Skill in establishing and maintaining effective working relationships with patients, medical staff, and the public
  • Customer service skills; social perceptiveness and service oriented
  • Excellent time management skills and ability to multi-task and prioritize work

#IND-RN
Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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