Prior Authorization Nurse - RN/LPN

Coal Country Community Health Center (CCCHC) is seeking a full-time dedicated and detail-oriented Prior Authorization Nurse (RN or LPN) to join our team. This hybrid role combines remote work from an approved location within the State of North Dakota with onsite work at the CCCHC Beulah Clinic.

About the role

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.

• 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

Responsibilities

The Prior Authorization Nurse is responsible for coordinating and obtaining insurance prior authorizations for:

• Medical services
• Medications
• Procedures
• Durable medical equipment (DME)
• Specialty referrals
• 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.

Requirements

• 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

Qualifications (Preferred)

• Prior authorization experience
• Experience with Medicare, Medicaid, and commercial insurance

Benefits

We offer a competitive wage and benefit package that includes:

• Health, dental, and vision insurance
• 401(k)
• Paid Time Off
• Extended Sick Time
• Other employee benefits

Why Join CCCHC?

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