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United StatesRemote · Hybrid · Onsite · Field · All Environments
United StatesRemote · Hybrid · Onsite · Field · All Environments
United StatesRemote · Hybrid · Onsite · Field · All Environments
United StatesRemote · Hybrid · Onsite · Field · All Environments
1,629 prior authorization nurse jobs at 429 companies in United States
2w
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Prior Authorization Nurse
Norfolk, Virginia, United States
$25-$31/hr OnsiteFull Time
2+ YOERequires 2+ years of nursing experience in prior authorizations, strong clinical assessment and problem-solving skills, documentation and time management abilities, formulary familiarity, and knowledge of common OB/GYN conditions.
EHR
6d
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Prior Authorization Nurse
Fairfield, Iowa, United States
HybridFull Time
2+ YOERequires 2+ years of clinical nursing experience, RN license preferred or relevant LPN experience, payer-policy knowledge, specialty experience, and proficiency with Microsoft Office, Excel, CoverMyMeds, and Epic.
Microsoft Office, Microsoft Excel, CoverMyMeds, Epic, InterQual, MCG
6d
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UM Prior Authorization Nurse, RN
California, United States
$74k-$111k/yr RemoteFull Time
2+ YOEActive unrestricted California RN license, 2–3 years clinical nursing experience including 1 year in utilization review or case management, EMR and prior authorization platform experience, and strong analytical and communication skills.
Electronic Medical Records (EMR), Microsoft Office Suite, Microsoft Word, Microsoft Excel, Microsoft Outlook
1w
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Prior Authorization Nurse - RN/LPN
Beulah or North Dakota
HybridFull Time
3+ YOELicensed RN or LPN with 3–5 years of clinical nursing experience. Requires EMR and Microsoft Office proficiency, strong organization, communication, independent teamwork, and deadline management.
EMR, EPIC, Microsoft Office
3w
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RN Prior Authorization
Illinois or United States or Mattoon
$28-$43/hr RemoteFull Time
Required: Illinois RN license and Associate degree in Nursing. Role requires insurance authorization, patient communication, medical records, and healthcare provider collaboration.
3w
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Centralized Prior Authorization Nurse (RN or LPN)
Le Mars, Iowa, United States
OnsiteFull Time
Current Iowa RN or LPN licensure required. ICD-10 and CPT knowledge and prior authorization experience preferred but not required. Mandatory Reporter training certification required after hire.
Electronic Medical Record (EMR), ICD-10, CPT
1mo
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Prior Authorization LVN
San Bernardino, California, United States
$35-$40/hr OnsiteFull Time
1+ YOECurrent California LVN license, 1+ year clinical experience, knowledge of utilization management, medical necessity criteria, ICD-10/CPT/HCPCS, strong communication, and proficiency with EMR and Microsoft Office.
Milliman Care Guidelines (MCG), InterQual, Microsoft Word, Microsoft Excel, Microsoft Outlook, Electronic Medical Records
1w
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Prior Authorization Manager
Huntsville, Alabama, United States
OnsiteFull Time
Bachelor’s degree in nursing, pharmacy, or healthcare administration required; master’s preferred. Requires oncology treatment and payer-policy knowledge, prior authorization management experience, and strong analytical and communication skills.
2mo
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Prior Authorization Supervisor
Brookline, Massachusetts, United States
$97k-$109k/yr HybridFull Time
3+ YOEBachelor\u0002s in Nursing required, 3+ years case management/utilization review experience, strong clinical knowledge (oncology a plus), supervisory experience preferred, payer policy expertise, Microsoft Office skills, and ability to train and oversee staff.
Microsoft Office
1mo
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Prior Authorization Specialist - Weekend Only
Temple or Austin or Dallas or Fort Worth
RemotePart Time
2+ YOEActive RN or LPN licensure, 2 years third-party reimbursement experience, prior authorization workflow experience, strong communication and payer relations skills.
Microsoft Excel
6d
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Prior Authorization UM Nurse Consultant
Louisiana, United States
$26-$56/hr RemoteFull Time
3+ YOEActive unrestricted multi-state RN license, 3+ years clinical nursing experience, 2+ years utilization management or prior authorization experience, clinical review skills, and ASN required; BSN preferred.
InterQual, MCG, Electronic Medical Records, Microsoft Teams, Microsoft Outlook, Microsoft Word, Microsoft Excel, Microsoft PowerPoint, Google Workspace, VPN, EHR
3w
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LPN or Certified Medical Assistant - Medication Prior Authorization Specialist
Fort Dodge, Iowa, United States
$23-$34/hr OnsiteFull Time
Requires current Iowa LPN license or accredited CMA certification. Clinical or outpatient experience preferred; familiarity with EPIC is a plus.
Electronic Medical Record, EPIC
3w
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LPN/RN/MEDICATION PRIOR AUTH SPECIALIST
Morrison, Illinois, United States
OnsiteFull Time
Active IL or IA RN or LPN registration, BLS certification, basic Windows computer skills; nursing experience preferred.
Windows
1w
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Clinical Guide: Utilization Management Nurse (Outpatient Prior Authorization)
United States or Waltham
$83k-$96k/yr RemoteFull Time
4+ YOEUnrestricted RN license, 4+ years of RN experience, and 3+ years of utilization management, utilization review, or prior authorization experience. Requires CMS and Medicare Advantage knowledge.
Google Workspace, AI
1mo
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Licensed Practical Nurse (LPN) Prior Authorization - Endocrinology
Fort Wayne, Indiana, United States
OnsiteFull Time
0+ YOERequires 0–2 years of clinical or outpatient experience, state LPN/LVN licensure, BCLS, EMR proficiency, direct patient care, medication administration, diagnostic testing, and strong communication skills.
electronic medical record, EKG, HIPAA
1w
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Infusion Float RN / Authorization Department Liaison
Houston, Texas, United States
$55k-$101k/yr FieldFull Time
Texas RN license required; high school diploma or equivalent. Oncology nursing experience preferred but not required. Requires clinical care, laboratory, documentation, authorization coordination, and travel flexibility.
CBC, PT/INR, CLIA, MIPS
3w
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Registered Nurse (Behavioral Health)
Atlanta, Georgia, United States
FieldFull Time
3+ YOERequires 3–5 years of nursing or clinical mental health nursing experience, a Georgia registered nursing license, and prior mental health or prior authorization experience.
1mo
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Clinic Office Assistant; Clinic RN, LPN, CMA/RMA (Phone and Prior Authorization; Neurology)
Newburgh, Indiana, United States
$19-$27/hr OnsiteFull Time
Graduation from an accredited MA or nursing program required; CPR provider certification required; RN/LPN or MA credentials accepted; experience preferred but not required; strong communication and clinical support skills.
1w
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Registered Nurse
San Angelo, Texas, United States
OnsiteFull Time
2+ YOERequires accredited nursing program completion, associate nursing degree, Texas RN authorization, and BLS. Two years of nursing experience, bachelor's or master's degree, specialty certification, ACLS, and PALS are preferred.
20h
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Registered Nurse (ASN) - Endoscopy
Tifton, Georgia, United States
OnsiteFull Time
Associate degree in nursing and authorization to practice as a registered nurse in Georgia required; bachelor's degree in nursing preferred.
HIPAA
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