Care Review Clinician (RN/LPN) - UM & Prior Authorization

$27.61 - $53.83 per hour

Molina Healthcare of Illinois

Molina Healthcare is seeking support for clinical member services review in Sacramento, California. This role verifies that services align with clinical guidelines and regulations, promoting cost-effective member care. Responsibilities include assessing member services, analyzing requests, and ensuring compliance. Qualified candidates should have 2+ years in health care, with required clinical licensure and strong organizational skills. The position offers competitive pay at $27.61 - $53.83 hourly. #J-18808-Ljbffr

Apply

Vacancy posted 17 hours ago

Similar jobs that could be interesting for youBased on the Care Review Clinician (RN/LPN) - UM & Prior Authorization in Sacramento, CA vacancy

Care Review Clinician, RN/LPN
$27.61 - $53.83 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...reviews to determine prior authorization/financial responsibility for... ...Adheres to utilization management (UM) policies and procedures. Required...
Suggested
Hourly pay
Contract work
Work experience placement
Work at office
Molina Healthcare
Sacramento, CA
4 days ago
Care Review Clinician, RN/LPN
$27.61 - $53.83 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...reviews to determine prior authorization/financial responsibility for... ...Adheres to utilization management (UM) policies and procedures....
Suggested
Hourly pay
Contract work
Work experience placement
Work at office
Molina Healthcare
Sacramento, CA
4 days ago
Care Review Clinician, RN/LPN
$27.61 - $53.83 per hour
...for clinical member services review assessment processes. Responsible... ...integrated delivery of care across the continuum. Contributes... ...reviews to determine prior authorization/financial responsibility for... ...Adheres to utilization management (UM) policies and procedures. Required...
Suggested
Hourly pay
Contract work
Work experience placement
Work at office
Molina Healthcare
Sacramento, CA
4 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,400 to $2,500 per week in Rancho Cordova, CA
$2,400 - $2,500 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location... ...CA Agency: United Health Care Staffing, Inc. Pay: $2,40... ...and external facilities Review and assess clinical information... ...direct patient care – ideal for clinicians transitioning off bedside...
Suggested
Full time
Contract work
Casual work
Immediate start
Flexible hours
Shift work
Night shift
Weekend work
United Health Care Staffing, Inc.
Rancho Cordova, CA
12 days ago
Weekend Clinical Intake Coordinator (LVN / RN)
...the Bay Area. Today, we care for more than 4,000... ...and Sonoma counties! Our clinicians are dedicated not only... ...Intake Coordinator (LVN / RN) Saturday & Sunday... ...experience strongly preferred Prior intake, scheduling, or... ...information, please review our Privacy Policy: 21hhs...
Suggested
Temporary work
Work at office
Local area
Remote work
Work from home
Flexible hours
Weekend work
Weekday work
21st Century Home Health Services Inc
Sacramento, CA
17 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,460 to $2,536 per week in Carmichael, CA
$2,460 - $2,536 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA... ...their condition to determine the urgency of care. Administer medications, treatments, and... ...-first culture, we ensure that the best clinicians are matched with leading school districts...
Full time
Relocation package
Shift work
Night shift
Pioneer Healthcare Services
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,095 per week in Carmichael, CA
$2,095 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA... ...and your travel healthcare agency should care about you. Our team has lots of crazy ideas... ...of those recognitions are fueled by real reviews by real travel nurses and allied healthcare...
Hourly pay
Full time
Contract work
Work at office
Remote work
Shift work
Night shift
Weekend work
TravelNurseSource
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,460 to $2,536 per week in Carmichael, CA
$2,460 - $2,536 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA... ...their condition to determine the urgency of care. Administer medications, treatments, and... ...-first culture, we ensure that the best clinicians are matched with leading school districts...
Full time
Relocation package
Shift work
Night shift
TravelNurseSource
Carmichael, CA
10 hours ago
Weekend RN/LVN: Clinical Intake & Care Coordination
...Home Health Services Inc. is hiring a Weekend Clinical Intake Coordinator (LVN/RN) in Sacramento, CA. In this operational role, you'll manage Kaiser referral intake and support field clinicians. The ideal candidate has a valid California LVN or RN license and a minimum...
Flexible hours
Weekend work
21st Century Home Health Services Inc
Sacramento, CA
16 hours ago
Clinical Specialist - LPN/RN
...Integral Senior Living (ISL) proudly manages care and lifestyle-focused Independent Living,... ...and external regulatory guidelines. Reviews new regulatory directives and implements changes... ...Licensure as a Registered Nurse or LPN/LVN Required Maintains knowledge of regulatory...
Temporary work
Interim role
Integral Senior Living | Solstice Senior Living
Sacramento, CA
3 days ago
Clinical Specialist - LPN/RN
...Integral Senior Living (ISL) proudly manages care and lifestyle-focused Independent Living,... ...and external regulatory guidelines. Reviews new regulatory directives and implements changes... ...Licensure as a Registered Nurse or LPN/LVN Required Maintains knowledge of regulatory...
Temporary work
Interim role
Integral Senior Living
Sacramento, CA
5 days ago
Weekend Clinical Intake Coordinator (LVN / RN)
...opportunity for a clinically experienced LVN or RN to step into a high‑impact operational role... ...Kaiser referral intake, supporting field clinicians with clinical escalations, and ensuring our patients receive timely, seamless care coordination when our weekday leadership...
Temporary work
Local area
Remote work
Work from home
Shift work
Weekend work
Weekday work
21hhs
Sacramento, CA
1 day ago
Network Resident Housing Liaison (RN or LPN)
...Performs routine audits of contracted Resident care housing providers and prepares reports... ...care housing agreement./pp Performs desk review of internal quality data and documentation... ...clinical discipline or public health. An R.N/LPN or Clinical degree/license preferred, or...
Contract work
Temporary work
Work at office
Local area
Flexible hours
InnovAge
Sacramento, CA
3 days ago
Travel Nurse RN - Ambulatory Care - $55 to $60 per hour in Sacramento, CA
$55 - $60 per hour
...Registered Nurse (RN) | Ambulatory Care Location: Sacramento, CA Agency: United Health Care Staffing, Inc. Pay: $55 to $60 per hour Shift Information: Days - 4 days x 10 hours Contract Duration: 13 Weeks Start Date: 6/23/2026 About the...
Hourly pay
Full time
Contract work
Flexible hours
Shift work
Rotating shift
United Health Care Staffing, Inc.
Sacramento, CA
11 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma in Rancho Cordova, CA
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Rancho Cordova, CA... ...and communication platforms to coordinate care Communicate professionally with hospitals... ...required Preferred Experience / Skills Prior experience in a hospital transfer center...
Weekly pay
Full time
Contract work
Temporary work
Immediate start
Shift work
Night shift
Weekend work
TravelNurseSource
Rancho Cordova, CA
5 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,298 to $2,477 per week in Carmichael, CA
$2,298 - $2,477 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: Host Healthcare Pay: $2,298 to $... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...
Full time
Contract work
Local area
Immediate start
Shift work
Night shift
TravelNurseSource
Carmichael, CA
5 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,401 per week in Carmichael, CA
$2,401 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: Magnet Medical Pay: $2,401 per week... ...Nurse (RN) in the Emergency Room (ER) provides critical care to patients in urgent or emergent conditions. The RN in the ER works...
Full time
Contract work
Immediate start
Shift work
Night shift
Magnet Medical
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma in Carmichael, CA
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: TNAA | TotalMed Pay: Competitive... ...who works for and with you. At TotalMed, we’re a team who really cares. Our goal is to give gold standard customer care by enhancing the...
Weekly pay
Daily paid
Long term contract
Full time
Contract work
Temporary work
Shift work
TravelNurseSource
Carmichael, CA
6 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma in Rancho Cordova, CA
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Rancho Cordova, CA Agency: United Health Care Staffing, Inc. Pay: Competitive weekly pay (inquire for details) Shift Information: Nights - 3 days x 12 hours Contract Duration: 13 Weeks...
Weekly pay
Full time
Contract work
Local area
Immediate start
Shift work
Night shift
TravelNurseSource
Rancho Cordova, CA
12 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,185 to $2,320 per week in Carmichael, CA
$2,185 - $2,320 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: AMN Healthcare Pay: $2,185 to $2... ...the right RN to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and...
Extra income
Full time
Contract work
Temporary work
Shift work
Night shift
AMN Healthcare
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,108 per week in Carmichael, CA
$2,108 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: GQR Healthcare Pay: $2,108 per... ...hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
Night shift
GQR Healthcare
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,049 to $2,176 per week in Rancho Cordova, CA
$2,049 - $2,176 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Rancho Cordova, CA Agency: AMN Healthcare Pay: $2,049 to... ...the right RN to join their team of compassionate and driven health care professionals. Join this highly motivated team of caregivers and...
Extra income
Full time
Contract work
Temporary work
Shift work
Night shift
AMN Healthcare
Rancho Cordova, CA
4 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,286 per week in Carmichael, CA
$2,286 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: OneStaff Medical Pay: $2,286 per... ...work in hospital emergency rooms, ambulances, helicopters, urgent care centers, sports arenas, and more. As an Emergency Nurse, you’ll treat...
Hourly pay
Full time
Contract work
Temporary work
Work experience placement
Work at office
Flexible hours
Shift work
TravelNurseSource
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,108 per week in Carmichael, CA
$2,108 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: GQR Healthcare Pay: $2,108 per... ...hourly wages and weekly meal and lodging per diems for eligible clinicians based on nationally published GSA rates. Actual weekly pay and per...
Hourly pay
Weekly pay
Full time
Contract work
Immediate start
Shift work
Night shift
TravelNurseSource
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,298 to $2,477 per week in Sacramento, CA
$2,298 - $2,477 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Sacramento, CA Agency: Host Healthcare Pay: $2,298 to $... ...that was rated #1 in Nursing Satisfaction by MIT Sloan Management Review. No matter if you want to explore the other side of the country...
Full time
Local area
Immediate start
Shift work
Night shift
TravelNurseSource
Sacramento, CA
12 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma in Carmichael, CA
$55.55 - $65.65 per hour
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: SkyBridge Healthcare Pay: Competitive... ...We staff professionals nationwide in the areas of Nursing, Acute Care, Allied Health, Therapy, Laboratory & Scientific, and Long-Term...
Weekly pay
Full time
Contract work
Immediate start
Relocation package
TravelNurseSource
Carmichael, CA
12 days ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,365 per week in Carmichael, CA
$2,365 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: Triage Staffing Pay: $2,365 per... ...liaisons Mentoring program that is run and managed by actual clinicians – yeah, you read that right And more (because of course there...
Full time
Contract work
Shift work
Night shift
TravelNurseSource
Carmichael, CA
10 hours ago
Travel Nurse RN - Emergency Room (ER) / Trauma - $2,286 per week in Carmichael, CA
$2,286 per week
...Registered Nurse (RN) | Emergency Room (ER) / Trauma Location: Carmichael, CA Agency: OneStaff Medical Pay: $2,286 per... ...work in hospital emergency rooms, ambulances, helicopters, urgent care centers, sports arenas, and more. As an Emergency Nurse, you’ll treat...
Hourly pay
Full time
Contract work
Temporary work
Work experience placement
Shift work
OneStaff Medical
Carmichael, CA
10 hours ago
After-Hours Hospice Nurse (RN/LVN) - On-Call Nights
...Anchor Health is seeking a Hospice Afterhours RN/LVN in Elk Grove, California, providing skilled nursing care during evenings, nights, and weekends. This role focuses on continuity of care, symptom management, and emotional support for hospice patients. The ideal candidate...
Night shift
Weekend work
Afternoon shift
Anchor Health
Elk Grove, CA
16 hours ago
Hospice Afterhours RN/LVN (per diem/oncall)
...Anchor Health - Hospice Afterhours RN/LVN (per diem/oncall) Be there when patients and families need you most. Are you a compassionate... ...After-Hours Hospice LVN/RN to provide skilled, on-call nursing care outside of standard business hours. At Anchor Health, we believe...
Daily paid
Night shift
Weekend work
Afternoon shift
Anchor Health
Elk Grove, CA
1 day ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Care Review Clinician (RN/LPN) - UM & Prior Authorization. Be the first to apply!