ZipRecruiter

Log In

1

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

Phenom People

Ambulatory LPN - Genetics Clinic

Columbus, OH

$24 - $32.75/hr

... prior authorization needs, admissions for patients, laboratory testing results/needs, as well as ... Reports pertinent findings to the RN Care Manager responsible for directing the patient's care.

Trinity Health

RN, Registered Nurse

Dublin, OH · On-site

If you are interested in this position and would like to email me prior to applying, please feel ... The Registered Nurse (RN), within the scope of the Ohio Nurse Practice Act, will provide care in an ...

Forest Hills Center

RN

Columbus, OH · On-site

Participate in facility surveys (inspections) made by authorized government agencies as may be ... Notify the attending physician of automatic stop orders prior to the last dosage being administered.

Forest Hills Center

RN

Columbus, OH · On-site

Participate in facility surveys (inspections) made by authorized government agencies as may be ... Notify the attending physician of automatic stop orders prior to the last dosage being administered.

Forest Hills Center

RN

Columbus, OH · On-site

Participate in facility surveys (inspections) made by authorized government agencies as may be ... Notify the attending physician of automatic stop orders prior to the last dosage being administered.

next page

Showing results 1-20

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 13, 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.
More about Prior Authorization Rn jobs
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 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 (RN) (10530)

Summit Home Care & Hospice

Grandview Heights, OH

$70K - $80K/yr

Other

Medical, Dental, Vision, Retirement, PTO

Posted 9 days ago

Job description

Summit Home Care and Hospice is searching for an experienced and motivated Registered Nurse (RN) to join our Home Health team. At Summit, we believe healthcare should be personal, compassionate, and delivered where it matters most - at home. 

Full-Time Registered Nurse (RN):

  • Hours: Monday Friday; Standard Business Hours & Occasional On-Call Rotation
  • Work Setting: On the Road for Patient Visits & Training at the Local Office or Remotely 
  • Annual Salary: $70,000 - $80,000 per Year (Overtime Eligible)
  • Location/Territory: West Jefferson, OH & Surrounding Areas (Including Galloway, OH and Lincoln Village)
  • Travel: Required + Mileage Reimbursed 

Responsibilities: 

  • The Registered Nurse (RN) plans, organizes and directs home care services and is experienced in nursing, with emphasis on community health education/experience.
  • The professional nurse builds from the resources of the community to plan and direct services to meet the needs of individuals and families within their homes and communities. 

Patient Care

  • Completes an initial assessment of patient and family to determine home care needs.
  • Provides a complete physical assessment and history of current and previous illness(es).
  • Regularly re-evaluates patient nursing needs.
  • Initiates the plan of care and makes necessary revisions as patient status and needs change.
  • Uses health assessment data to determine nursing diagnosis.
  • Develops a care plan, which establishes goals based on nursing diagnosis and incorporates therapeutic, preventive, and rehabilitative nursing actions. Includes the patient and the family in the planning process.
  • Initiates appropriate preventive and rehabilitative nursing procedures.
  • Administers medications and treatments as prescribed by the physician.
  • Provides direct patient care as defined in the State Nurse Practice Act.
  • Counsels the patient and family in meeting nursing and related needs.
  • Provides health care instructions to the patient as appropriate per the assessment and plan of care.
  • Identifies discharge planning needs as part of the care plan development and implements prior to discharge of the patient.
  • Acts as Case Manager when assigned by Clinic Manager and assumes responsibility to coordinate patient care for assigned caseload. 

Communication

  • Prepare clinical notes and updates the primary physician when necessary and at least every 60 days.
  • Communicate with the physician regarding the patient's needs and report any changes in the patient's condition; obtain/receive physician's orders as required.
  • Communicate with community health related people to coordinate the care plan. 

Additional Duties

  • Participate in on-call duties as defined by the on-call policy.
  • Ensure that arrangements for equipment and other necessary items and services are available.
  • Instruct, supervise, and evaluate home health aide care provided every two (2) weeks. 

Qualifications:

  • Graduate of an accredited school of nursing, associate or bachelor’s degree.
  • Valid/active nursing license.
  • Must be a licensed driver with an automobile in good working order and insured in accordance with the organization requirements.
  • Valid CPR certification, required.
  • Recent TB test, required.
  • Prior home health care or acute care experience preferred.
  • Management experience preferred but not required.
  • Excellent observation, verbal and written communication skills, problem solving skills, basic math skills; nursing skills per competency checklist.
  • Requires prolonged or considerable walking or standing and considerable reaching, stooping, bending, kneeling or crouching.
  • Must be able to lift, position or transfer patients and lift supplies and equipment.
  • Must have visual acuity and hearing to perform required nursing skills.

Benefits:

  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • 401(k)
  • 401(k) Matching
  • Flexible Spending Account
  • Paid Time Off 
  • Paid Sick Time
  • Mileage Reimbursement ($0.48/Mile)
  • Referral Program
  • Flexible Schedule

Apply