Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Clinical Review Nurse — Prior Authorization Specialist

Akido

Akido is seeking a Clinical Review Nurse - Prior Authorization to join our team in California. The role involves reviewing and processing prior authorization requests to ensure compliance with health plan and regulatory requirements. You'll work closely with medical providers and operational teams to facilitate timely and accurate authorization determinations. The ideal candidate will possess an active California LVN or RN license and have at least 3-5 years of clinical utilization management review experience. Experience with EZCap is preferred. This role directly impacts our mission to enhance the quality of healthcare. #J-18808-Ljbffr Akido

Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Clinical Review Nurse — Prior Authorization Specialist in Chino, CA vacancy
  • $62.4k - $93.6k

     ...bearing care models and scaling ScopeAI, its breakthrough clinical AI platform. Read more about Akido's $60M Series B. More...  ...Akidolabs.com. The Opportunity ~ The Clinical Review Nurse - Prior Authorization is responsible for reviewing and processing prior... 
    Suggested

    Akido

    Chino, CA
    4 days ago
  • Akido Labs is looking for a Clinical Review Nurse in California to manage prior authorization requests. This role ensures compliance with clinical guidelines and coordinates closely with healthcare providers. The ideal candidate will possess an active California LVN or... 
    Suggested

    Akido Labs

    Chino, CA
    2 days ago
  • $127.48k - $184.84k

    Citizens Business Bank is looking for an Appraisal Review Officer at their Corporate Headquarters in Ontario, CA. This full-time position involves conducting residential and commercial appraisal reviews under the guidance of the Chief Appraiser, ensuring compliance with... 
    Suggested
    Full time

    Citizens Business Bank

    Ontario, CA
    4 days ago
  •  ...Hedis Clinical Review Nurse, Lvn Under the direction of the Clinical Quality Improvement (CQI) Supervisor, the HEDIS Clinical Review, LVN provides support to the CQI Supervisor, HEDIS Nurse RN, and other departments on HEDIS and quality improvement-related activities... 
    Suggested

    Alura Workforce Solutions

    Rancho Cucamonga, CA
    4 days ago
  • An established industry player in health care is seeking a Utilization Review Nurse to join their dedicated team. In this vital role, you will evaluate medical records and apply clinical expertise to ensure the delivery of necessary health services. Your contributions will... 
    Suggested

    Emanate Health

    Covina, CA
    4 days ago
  •  ...Tuesdays OR Thursdays Duration: 05/19/2026 to 11/18/2027 Description Job duties may include: lead team members in the preparation and review of regulatory reporting packages quarterly and annually in accordance with the requirements of regulatory bodies; implement sound... 
    2 days per week

    LeadStack Inc.

    Chino, CA
    3 days ago
  •  ...Position Purpose: The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and...  ...but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security... 

    The Home Depot

    Chino, CA
    3 days ago
  • $19 - $27 per hour

     ...and organizes merchandise. Assists members with transporting items. Maintains a safe shopping environment. Maintains exit areas. Reviews member receipts. Acknowledges the member and identifies member needs. Assists with securing and safeguarding Sam's Club assets and... 
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Part time

    Walmart

    Chino, CA
    6 days ago
  • $119.8k - $160k

     ...Safety (EHS) team has an excellent opportunity for a Senior EHS Specialist based at the Chino, CA warehouse. This role reports to the...  ...summarize, and report all necessary EHS data Prepare, implement, and review EHS manuals, programs, and SOPs Prepare, schedule, and conduct... 
    Full time
    Work at office
    Local area
    Monday to Friday
    Flexible hours
    Weekend work
    Afternoon shift

    In-N-Out Burgers, Inc.

    Chino, CA
    1 day ago
  •  ...Yard Specialist At Clark Pacific, the Yard Specialist supports daily manufacturing operations across multiple functional areas while...  ...pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.... 
    Full time
    Shift work

    Clark Pacific

    Ontario, CA
    7 days ago
  • $23 per hour

     ...Position Purpose The Asset Protection Specialist is primarily responsible for preventing financial loss caused by theft and fraud and...  ...but not limited to identifying incidents of theft and fraud, reviewing CCTV and exception reports, monitoring the store's physical security... 
    Local area

    Home Depot

    Ontario, CA
    1 day ago
  • Position: Nursing Faculty Member Responsibilities...  ...working with students in a clinical setting you will:...  ...midterm/end of semester reviews. Experience Working...  ...Minimum two (2) years of prior experience as a...  ...regulations of state authorization agencies. Master’s degree... 
    Full time
    Local area
    Immediate start
    Night shift

    West Coast University

    Ontario, CA
    2 days ago
  • $22.32 per hour

     ...Entry Level - Associate Member Relationship Specialist (Part-time Teller 1) Montclair Do you...  .... # Works within given limits and authority; proactively seeks supervisory assistance...  ...laws. For further information, please review the Know Your Rights notice from the Department... 
    Weekly pay
    Full time
    Part time
    Live in
    Work at office
    Monday to Friday

    Arrowhead Credit Union

    Montclair, CA
    2 days ago
  • $80k

    Technology and Educational Systems Specialist Posting Number: A01028 Department: 1606-College...  ...interact and collaborate with academic, clinical, and administrative stakeholders in a...  ...related field. Preferred Qualifications Prior work experience in health professions... 
    Temporary work
    Work experience placement
    Work at office

    Western University of Health Sciences

    Pomona, CA
    3 days ago
  •  ...Minimum 5-7 years hands-on P6 scheduling experience managing complex programs/portfolios Emphasize: "Hands-on builder—not just reviewer" Desired Skills / Attributes Knowledge of earned value management (EVM) and cost integration Ability to leverage automation... 

    Careers Integrated Resources Inc

    Pomona, CA
    9 hours ago
  •  ...the Clean Energy Revolution Become a Rights Analysis, Senior Specialist at Southern California Edison (SCE) and build a better tomorrow...  ...and perform Rights Studies for Major Projects Organization. · Review legal descriptions and associated documents in support of SCE’s... 
    Remote work
    Relocation

    Edisonrefertalent

    Pomona, CA
    2 days ago
  •  ...Financial Corp. is seeking an Escrow Officer in Ontario, CA, to manage escrow transactions from start to finish. The incumbent will review buyer, seller, and lender instructions, order title reports, and prepare closing documents. A high school diploma and 2-4 years of... 

    First American Financial Company

    Ontario, CA
    16 hours ago
  • $22 - $23 per hour

     ...paced environment. Key Responsibilities Accurately enter and update client and order information in internal databases and systems Review, verify, and correct data to ensure accuracy and completeness Maintain strict confidentiality and security of all client and... 
    Hourly pay
    Permanent employment
    Temporary work
    Work at office
    Local area

    LHH

    Ontario, CA
    2 days ago
  •  ...leadership working collaboratively with the Nurse Manager, Director, Physicians, and staff....  ...vendor per AH policy: Preferred Clinical specialty and/or nursing administration certification...  ...for staff relief for meals and breaks. Reviews and takes action on requests to adjust... 
    Full time
    Work experience placement
    Work at office
    Night shift

    Adventist Health

    Chino Hills, CA
    2 days ago
  • Job Summary The Accounts Payable Specialist supports the accounting department by managing...  ...or supervisor for resolution. Review, verify, and process files and/or invoices...  ...approval according to Company's approval authorization. Provide general ledger ("GL") coding.... 
    Casual work
    Work at office

    Vendor Resource Management

    Pomona, CA
    4 days ago
  • $65k - $80k

     ...Shorr Packaging. The Category Sourcing Specialist will be responsible for managing and...  ...Operations with accurate item content Review inventory and collaborate with Inventory...  ...Shorr Packaging does not provide work authorization sponsorship for this position. Shorr Benefits... 
    Work experience placement
    Work at office

    Shorr Packaging Corp.

    Ontario, CA
    2 days ago
  • $105k - $110k

    Hill International is seeking a Cost Specialist in Pomona, California Responsibilities: Download financial data from various sources (SAP...  ...forecast reports. (approximately 1200+ records) Prepare/review/update project budgets/baselines, short- and long-term forecasts... 
    Temporary work
    Local area
    Flexible hours

    Hill International Inc

    Pomona, CA
    2 days ago
  • Join the Clean Energy Revolution Become a Program Safety Senior Specialist at Southern California Edison (SCE) and build a better tomorrow...  ...program costs, resources, schedules, and status for management review. Delivers data analysis and business intelligence reports,... 
    Remote work
    Relocation

    Thomson Reuters Markets Espana SL.

    Chino, CA
    1 day ago
  •  ...The Behavioral Health Intake Specialist is the first point of...  ...scheduled once eligibility and any prior authorization requirements are confirmed....  ...presentations to licensed clinical staff in real time,...  ...documentation accuracy are reviewed monthly. Accuracy of program... 
    Contract work
    Work experience placement
    Work at office

    South Coast Children's Society

    Rancho Cucamonga, CA
    14 days ago
  • $68k - $88k

     ...challenges. Position Overview: Solution Specialists lead several of the pre-sales processes...  ..., timeline, and fees if appliable. Review engagements prepared by other employees...  ...Leave, Bereavement Additional Perks: Nursing Mothers Benefits, Voluntary Legal, Pet... 
    Full time
    Contract work
    Remote work
    Shift work

    World Wide Technology

    Pomona, CA
    4 days ago
  • $70.3k - $99.59k

     ...to join our corporate team! Responsibilities The Compensation Specialist will analyze market trends, conduct salary surveys, and ensure...  ...years preferred in data analysis, job description development and review. Pay Transparency Prime Healthcare offers competitive... 
    Daily paid
    Full time
    Temporary work
    Part time
    Local area
    Shift work

    Hunt Corporation

    Ontario, CA
    3 days ago
  •  ...California Edison in Pomona, CA, is seeking a Rights Analysis, Senior Specialist to support the Real Properties Department in the Transmission and Distribution unit. You will analyze land rights, review legal descriptions, and present recommendations to resolve title... 

    Thomson Reuters Markets Espana SL.

    Pomona, CA
    1 day ago
  • Mercor is seeking Building Code & Permitting Specialists to assist a partner developing AI systems for construction permitting, regulatory compliance, and plan review workflows. You will review, annotate, and validate data to help train AI models to interpret regulatory... 
    Remote job
    Full time

    Mercor

    Chino, CA
    1 day ago
  • $19 - $27 per hour

     ...Arranges and organizes merchandise. Assists members with transporting items. Maintains a safe shopping environment. Maintains exit areas. Reviews member receipts. Acknowledges the member and identifies member needs. Assists with securing and safeguarding Sam's Club assets and... 
    Hourly pay
    Minimum wage
    Full time
    Temporary work
    Part time
    Work at office

    Disabledperson, Inc

    Ontario, CA
    6 hours ago
  • $240k - $290k

     ...Neurology is looking for a full-time headache specialist who appreciates the values of our...  ...and collegial, and who has a passion for clinical education. Fellowship training in headache...  ...specialists and one experienced nurse practitioner serving our community and are... 
    Full time
    Relocation package

    Loma Linda University Faculty Medical Group

    Ontario, CA
    14 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Clinical Review Nurse — Prior Authorization Specialist. Be the first to apply!