Pre-Authorization Nurse Salary in United States

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Average Salary for Pre-Authorization Nurse in United States

The average salary of a(n) Pre-Authorization Nurse in United States is $65,987.

The average hourly rate of a(n) Pre-Authorization Nurse in United States is $31.72.

The average bonus of a(n) Pre-Authorization Nurse in United States is $970.00.

Job Description:

Reviews authorization requests, performing utilization management activities to include precertifications, admission reviews, and retrospective authorizations, using established medical criteria. Supports providers in working to increase efficient utilization of services. Evaluates the medical necessity for inpatient hospital admission, and authorizes the admission along with the estimated length of stay. Requires LPN or RN license. Provides authorizations and enters authorization data. Writes and sends approval and denial letters. Screens for medical necessity of outpatient procedures, home medical equipment, and any other service that requires precertification. Determines the need for continued review or follow-up and refers cases to case managers. Less

Reviews authorization requests, performing utilization management activities to include precertifications, admission reviews, and retrospective authorizations, using established medical criteria. Supports providers in working to increase efficient utilization of services. Evaluates the medical necessity for inpatient hospital admission, and authorizes the... More

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