Prior Authorization Nurse - RN/LPN

Coal Country Community Health Center; Beulah (ND); Hybrid; USD 65,000 - 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 in Beulah, North Dakota, is seeking a full-time Prior Authorization Nurse (RN or LPN) to join our team. The role blends remote work from an approved ND location with onsite duties at the Beulah Clinic, providing crucial support for insurance prior authorizations.

You will coordinate authorizations for medical services, medications, procedures, DME, and referrals, working closely with clinicians and payers to minimize delays and ensure access to care.

Qualifications

• RN or LPN license required
• 3–5 years of clinical nursing experience preferred
• Proficiency in EPIC EMR and Microsoft Office
• Strong organizational skills, written and verbal communication
• Ability to work independently and collaboratively to meet deadlines
• Prior authorization experience preferred
• Experience with Medicare, Medicaid, and commercial insurance preferred

Responsibilities

• Coordinate and obtain insurance prior authorizations for medical services, medications, procedures, durable medical equipment (DME), specialty referrals and hospital services.
• Work collaboratively with providers, clinical staff and payers to ensure timely access to medically necessary care.
• Document and track authorizations in the EMR and follow up to minimize delays.

Skills

Organizational skills

Communication skills

Independent worker

Team collaboration

Tools

EPIC EMR

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.

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.

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,