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

TLC

Registered Nurse (RN) - Mother Baby

Columbus, OH

$1.8K/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 ...

BeGlobal

Travel Registered Nurse (RN)

Columbus, OH

$2.4K - $3.0K/wk

Requirements ✔ Active Ohio RN License or Compact State RN License ✔ Minimum 18 months of recent Cath Lab experience ✔ Minimum 18 months of permanent Cath Lab experience prior to travel ...

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

Prior Authorization Rn information

See Columbus, OH salary details

$7

$40

$69

How much do prior authorization rn jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for prior authorization rn in Columbus, OH is $40.81, according to ZipRecruiter salary data. Most workers in this role earn between $30.43 and $48.32 per hour, depending on experience, location, and employer.

How to make $300,000 a year as a nurse?

A Prior Authorization RN can earn $300,000 annually by gaining extensive experience, obtaining advanced certifications, and working in high-paying settings such as specialty clinics or insurance companies. Increasing workload, taking on leadership roles, or working overtime can also boost income, but reaching this level typically requires a combination of expertise, efficiency, and strategic employment choices.

How to make 150,000 as a nurse?

A Prior Authorization RN can earn $150,000 by gaining extensive experience, obtaining relevant certifications, and working in high-paying settings such as specialty clinics or insurance companies. Advancing to senior or managerial roles, working overtime, or taking on consulting opportunities can also increase earning potential.

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.

Can nurses do prior authorizations?

Prior authorization nurses, often called utilization review nurses or case managers, are qualified to handle prior authorization requests. They review medical documentation, communicate with providers and insurance companies, and ensure compliance with payer requirements, often using electronic health record systems. Certification in case management or utilization review can enhance their ability to perform these tasks effectively.

How to make an extra 2000 a month as a nurse?

A Prior Authorization RN can increase income by taking on additional shifts, working overtime, or offering consulting services to healthcare providers. Developing specialized knowledge in insurance authorization processes and obtaining relevant certifications can also lead to higher-paying opportunities or freelance work outside regular hours.

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.
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Prior Authorization Rn jobs near you
Infographic showing various Prior Authorization Rn job openings in Columbus, OH as of June 2026, with employment types broken down into 59% Full Time, 39% Part Time, 1% Temporary, and 1% Contract. Highlights an 94% Physical, 1% Hybrid, and 5% Remote job distribution, with an average salary of $84,888 per year, or $40.8 per hour.

Registered Nurse - Franklinton

Basecamp Recovery Center

Columbus, OH

$35/hr

Full-time

Posted 28 days ago

Job description

Employment Status: Full-Time

Department: Medical

FLSA Status: Non-Exempt

Schedule: Monday - Friday - 8:30a - 5p

About Us:

At the heart of our mission are our core values: Love, Community, Consistency, Honesty, and Hope. These principles guide how we serve our clients, support one another, and uphold the standards that make Basecamp a trusted place for healing and growth.

Our Services Include:

  • Outpatient Treatment - Individual and group counseling, evidence-based therapies, and psychiatric support.
  • Medication-Assisted Treatment (MAT) - Safe, physician-guided treatment options to support recovery.
  • Peer Support Services - Certified Peer Recovery Specialists offering lived-experience guidance and encouragement.
  • Case Management - Helping clients connect with housing, employment, and community resources.
  • Recovery Housing - Safe and supportive housing for individuals working toward stability and independence.
  • Withdrawal Management at Madison Health - Coordinated inpatient services for those needing detox and medical care.
  • Family & Community Engagement - Education, support, and resources for loved ones andthe wider community.

At Basecamp, we focus on ensuring every person feels supported, cared for, and connected with the right services so they can achieve long-term recovery and thrive. Guided by Love, strengthened through Community, grounded in Consistency and Honesty, and inspired by Hope, we are committed to making recovery possible for everyone we serve.

Job Summary:

The Addiction Specialized Registered Nurse (RN) provides direct patient care to individuals with substance use disorders. This role includes administering medications, conducting assessments, and collaborating with the interdisciplinary treatment team to ensure quality, person-centered care. The RN is also responsible for patient and family education, supporting recovery through clinical interventions, and contributing to a safe, welcoming, and trauma-informed environment.

Essential Duties and Responsibilities:
  • Conduct initial nursing assessments and ongoing evaluations for patients with substance use disorders.
  • Perform and interpret vital signs and withdrawal assessments, including COWS and CIWA-Ar.
  • Assist in the development of patient care plans in collaboration with medical and clinical teams.
  • Administer medications as ordered by the provider and monitor therapeutic responses.
  • Coordinate and complete prior authorizations for medications and injections.
  • Document all nursing encounters and clinical interventions in a timely and accurate manner.
  • Collaborate with clinical staff to interpret and report urine drug screens, breathalyzer, and oral swab results.
  • Provide crisis intervention support and individual nursing visits as needed.
  • Respond appropriately to medical emergencies and coordinate emergency care when necessary.
  • Communicate with pharmacies and ensure accuracy when calling in prescriptions.
  • Run OARRS reports when indicated and share results with the appropriate provider.
  • Assist case management with referrals to higher levels of care, PCP, dental, and specialty providers.
  • Facilitate or co-facilitate educational nursing groups 3-5 days per week on topics such as hygiene, medication management, and nutrition.
  • Attend all required trainings (e.g., CPI, Narcan) and participate in staff meetings.
  • Promote a clean, organized, and trauma-informed medical wing environment.
  • Ensure compliance with HIPAA and maintain patient confidentiality at all times.
  • Complete annual nursing competencies as required.

Perform other related duties as assigned.

Qualifications:

Education & Experience:

  • Current, unrestricted RN license in the State of Ohio required.
  • Minimum of 1 year experience in addiction treatment, mental health, or related healthcare setting preferred.
  • Familiarity with ASAM criteria and levels of care is a plus.

Skills & Abilities:

  • Strong critical thinking, clinical judgment, and decision-making skills.
  • Excellent verbal and written communication.
  • Ability to work effectively in a team environment with a multidisciplinary team.
  • High level of empathy, compassion, and professionalism.
  • Ability to work in a fast-paced environment and manage multiple priorities.
Working Conditions & Physical Demands:
  • Work is performed in a clinical outpatient setting.
  • May require long periods of standing, walking, or sitting.
  • Must be able to respond to emergency situations quickly and effectively.
  • Occasional lifting up to 25 pounds may be required.


Education and Experience:
  • Hold an unrestricted nursing license in the state of Ohio
  • Obtain background check, drug screen, NPI and Medicaid billing numbers
    • Any and all controlled substances found in pre-employment urine specimen must have a valid and up to date Rx
  • Demonstrates knowledge of substance use disorder and its treatment
  • Demonstrates knowledge of medication-assisted treatment
  • Demonstrates knowledge of COWS and CIWAA withdrawal assessments
  • Up to date BLS certification

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