Utilization Review RN - Prior Authorization (Temp)
$52 - $57.88 per hourCentral California Alliance for Health
Central California Alliance for Health is seeking a temporary Registered Nurse to manage prior authorization requests. Ideal candidates will possess a Bachelor's degree in Nursing and have extensive knowledge of managed care systems, particularly Medicare guidelines. The position spans until the end of 2026, with possible remote interactions via Microsoft Teams. While the role is temporary and lacking benefits, competitive compensation ranges between $52 to $57.88 per hour based on location. #J-18808-Ljbffr Central California Alliance for Health
Vacancy posted 2 days ago
Similar jobs that could be interesting for youBased on the Utilization Review RN - Prior Authorization (Temp) in California, MO vacancy
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...Overview Utilization Review Nurse - Remote at Astrana Health Location: 600 City Parkway West 10th Floor, Orange, CA 92868 Compensation... ...Be Innovative Work As One Team What You'll Do Complete prior authorization/retrospective review of elective inpatient admissions, outpatient...SuggestedHourly payRemote workMonday to FridayAstrana Health
California, MO2 days ago$55 per hour
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California, MO2 days ago- ...AI or automated systems to review applications. Every application... ...commitment. About This Temp Position This is a temporary... ...Responsible For Ensures that prior authorization requests are completed in a... ...of one year of experience in Utilization Management or Case Management...Temporary workFull timePart timeLive inWork at officeLocal areaRemote work
$26.41 - $51.49 per hour
...for clinical member services review assessment processes.... ...Conducts reviews to determine prior authorization/financial responsibility for... ...Molina care model. Adheres to utilization management (UM) policies and... ...experience. Registered Nurse (RN). License must be active and...SuggestedHourly payWork experience placementWork at officeRemote workMolina Healthcare
California, MO1 day ago$74.26k - $111.39k
...better care experience for all. The Utilization Management (UM) Prior Authorization (PA) Nurse is a full-time role... ...authorization. Responsibilities include reviewing prior authorizations for... ...California license as a Registered Nurse (RN) Bachelor of Science in Nursing (...SuggestedFull timeContract workWork at office- RN Utilization Management (RN UM) Overview The RN Utilization Management... ...stays, and discharge review that determines medical necessity... ...contact with insurance for authorization as needed. The RN UM ensures... ...patient records and attachments prior to submitting them to Medi‑...Full timeLocal area
$74.29k - $111.43k
Job Summary The Concurrent Utilization Review (UR) Nurse is responsible for conducting real‑time... ...recommendations and resolve discrepancies in care. Authorization & Payer Communication Process... ...Education - Registered Nurse (RN) with an active, unrestricted California...Work at office$27.61 - $53.83 per hour
...support for clinical member services review assessment processes. Responsible for... ...procedures. Conducts reviews to determine prior authorization/financial responsibility for Molina... ...promote the Molina care model. Adheres to utilization management (UM) policies and...Hourly payContract workWork experience placementWork at office$30 - $34 per hour
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California, MO3 days ago$26.41 - $51.49 per hour
...Healthcare in California, MO is seeking a Clinical Member Services Reviewer. The role includes assessing clinical service requests, ensuring... ...for healthcare delivery. The ideal candidate has an active RN license and at least 2 years of experience in hospital or managed...Hourly payMolina Healthcare
California, MO1 day ago$27.61 - $53.83 per hour
...includes assessing services to ensure compliance with regulations and optimizing member outcomes through effective collaboration and review processes. Candidates should have at least 2 years of relevant healthcare experience, strong communication skills, and proficiency...Hourly payWork at office$77.91k - $116.86k
...E2E Alignment Healthcare USA, LLC is seeking a remote Utilization Management Nurse to review prior authorization requests for medical necessity. The role requires a valid LVN or RN license in California, along with experience in nursing and utilization management. Successful...Remote workE2E Alignment Healthcare USA, LLC
California, MO11 hours ago$74.26k - $111.39k
A healthcare company in Missouri seeks a full-time PA Nurse to oversee the prior authorization process for medical services. The ideal candidate will hold an active RN license in California, possess strong clinical experience, and demonstrate effective communication skills...Full time$43 - $58 per hour
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NeueHealth in California is seeking a Concurrent Utilization Review Nurse responsible for conducting clinical reviews to ensure the medical necessity and appropriateness of services provided under a managed care plan. The role requires 2-3 years of clinical experience,...$85.7k - $128.54k
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Behavioral Health Utilization Management Clinician Position Summary Join a team that's dedicated... ...3+ years of managed care or utilization review experience. Strong crisis intervention... ...Health Services. Associate's degree with RN license and 3+ years of behavioral health...Full timeLocal area- ...for Career Enhancement is seeking a dedicated Behavioral Health Utilization Management Clinician in California. This role involves using... ...3+ years in a clinical setting, an active behavioral health or RN license, and a passion for improving patient outcomes. A comprehensive...
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