Prior Authorization Nurse

We are seeking an organized, detail-oriented LPN or RN to support admissions across multiple skilled nursing facilities. This role works closely with managed care organizations, insurance companies, and facility teams to secure timely prior authorizations for skilled nursing admissions.

• Obtain prior authorizations for skilled nursing admissions across assigned facilities.

• Verify insurance eligibility, benefits, and authorization requirements.

• Coordinate with admissions teams and clinical staff to gather and submit required documentation.

• Follow up with insurance companies and managed care organizations on pending requests.

• Track authorization status, approved dates, and reference numbers, and communicate updates to facility teams.

• Identify missing information or authorization barriers and help resolve them promptly.

• Assist with denied requests and coordinate additional documentation or review as needed.

• Maintain accurate records and protect confidential patient information.

• Must be a Licensed Practical Nurse (LPN) or Registered Nurse (RN) with an active license.

• Experience with prior authorizations, insurance verification, managed care, or healthcare admissions preferred.

• Skilled nursing or post-acute care experience preferred.

• Familiarity with insurance portals and clinical documentation preferred.

• Strong communication, organization, and follow-through skills.

• Ability to manage multiple requests, meet deadlines, and coordinate across several facilities.