Prior Authorization Nurse - RN/LPN

Coalcountryhealth; Beulah (ND); Hybrid; USD 55,000 - 75,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k)

Paid Time Off

Extended Sick Time

Job summary

Coal Country Community Health Center is seeking a full-time Prior Authorization Nurse (RN or LPN) to join our team in a hybrid role spanning remote work within North Dakota and onsite at Beulah Clinic.

Responsibilities include coordinating insurance prior authorizations for services, medications, procedures, and referrals, while collaborating with providers and payers to minimize delays in treatment.

Qualifications

• Licensed RN or LPN with current licensure.
• 3–5 years of clinical nursing experience.
• Proficiency using EPIC EMR and Microsoft Office.
• Strong organizational and communication skills.
• Ability to work independently and with others while meeting deadlines.
• Prior authorization experience preferred; Medicare/Medicaid/insurance experience beneficial.

Responsibilities

• Coordinate and obtain insurance prior authorizations for medical services, medications, procedures, DME, and referrals.
• Collaborate with providers, staff, and payers to ensure timely access to care.
• Maintain accurate documentation and timely communication with patients.

Skills

Strong organizational skills

Excellent written and verbal komunik

Independent and team collaboration

Education

RN or LPN licensure

Tools

EPIC EMR

Microsoft Office

Job description

Prior Authorization Nurse – RN/LPN

Coal Country Community Health Center (CCCHC) is seeking a full-time dedicated and detailed orientated Prior Authorization Nurse (RN or LPN) to join our team.

This position offers a hybrid work arrangement, combining remote work from an approved location within the State of North Dakota with onsite work from CCCHC Beulah Clinic location.

The Prior Authorization Nurse plays an important role in supporting patients and providers by coordinating insurance authorizations and ensuring patients have timely access to medically necessary services, medications, procedures, and treatments.

Position Highlights

• Hybrid work schedule – combination of remote and onsite work.
• Remote work must be performed within the State of North Dakota.
• No weekends or call.
• Collaborative healthcare environment, working with prior authorizations for Critical Access Hospital (CAH) and Federally Qualified Health Center (FQHC).
• Opportunity to support quality patient care and access to services.

Why Join CCCHC?

At Coal Country Community Health Center, we are committed to providing quality, compassionate, accessible healthcare to the communities we serve. Our teams values Quality, Compassion, Integrity, Teamwork, and Safety.

We offer a competitive wage and benefit package that includes health, dental, and vision insurance, 401(k), Paid Time Off, Extended Sick Time and other employee benefits.

Join our team and make a difference in helping patients receive the care they need.

Qualifications

• Licensed Registered Nurse (RN) or Licensed Practical Nurse (LPN),
• Minimum of 3-5 years of clinical nursing experience,
• Proficiency in using EMR (EPIC) and Microsoft Office,
• Strong organizational skills,
• Excellent written and verbal communication skills,
• Ability to work independently and collaboratively while meeting deadlines, required.
• Prior authorization experience, preferred.
• Experience with Medicare, Medicaid, and commercial insurance, preferred.

Prior Authorization Nurse (RN/LPN)

The Prior Authorization Nurse is responsible for coordinating and obtaining insurance prior authorization for medical services, medications, procedures, durable medical equipment (DME), specialty referrals, and hospital services. Working collaboratively with providers, clinical staff, and insurance payers, this position ensures timely access to medically necessary care while minimizing delays in treatment.

If you are an optimistic, goal orientated team contributor and looking for a unique opportunity to use your nursing skills caring for our communities,