Prior Authorization Specialist - ( RN , LPN )

Position Overview

Rush Specialty Hospital – a Critical Illness Recovery and Inpatient Rehabilitation Hospital located in Chicago, IL – is seeking a Prior Authorization Specialist (RN or LPN). In this role, you will manage the pre-certification and prior authorization process for patient referrals scheduled for admission. You must be located in the Central Standard Time zone. As part of a partnership with Select Medical and the Rush University System for Health, you will contribute to delivering world‐class care across the acute to post‐acute continuum.

Key Responsibilities

• Manage pre-certification and prior authorization of patient referrals.
• Initiate and complete patient authorizations ensuring timely approval.
• Ensure compliance with commercial pre-certification policies to minimize financial risk.
• Develop and maintain strong relationships with payors, case managers, and other stakeholders.
• Collaborate with Business Development and Case Management teams for effective care transitions.
• Evaluate commercial benefits alongside the Central Business Office and support billing/reimbursement processes.

Required Qualifications

• Licensure as a Registered Nurse or LVN/LPN is required.
• Minimum 2 years of direct experience in third-party reimbursement.

Preferred Qualifications

• Experience in a physical rehabilitation setting.
• Proficiency in Excel and database management.
• Residency in the Central Standard Time zone.

Benefits & Perks

• Extensive and thorough orientation program.
• Monday through Friday schedule with six (6) paid holidays.
• Opportunity to develop collaborative relationships with patients and their families.
• Paid Time Off (PTO) and Extended Illness Days (EID)
• Health, Dental, and Vision insurance; Life insurance; Prescription coverage
• A 401(k) retirement plan with company match
• Short and Long Term Disability
• Personal and Family Medical Leave