Remote Utilization Nurse (RN) – Prior Authorizations
Central California Alliance for Health (Remote)
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Zusammenfassung
Central California Alliance for Health is seeking a Part Time Prior Authorizations Nurse (RN) for a temporary remote role in California. The assignment runs through December 2026 and is 20-40 hours per week, Monday–Friday.
The nurse will ensure prior authorization requests meet contractual requirements, participate in UM Care Programs, and apply CMS and Medi-Cal guidelines. Requirements include a CA RN license, a Nursing degree, and 5+ years in patient care with prior UM/Case Management
Qualifikationen
- Bachelor’s degree in Nursing
- Current unrestricted license as a Registered Nurse
- Associate’s degree in Nursing with relevant experience may qualify
Aufgaben
- Ensures that prior authorization requests are completed to meet contractual requirements using evidence-based standards
- Participates in the Utilization Management (UM) Care Programs
Ausbildung
Jobbeschreibung
Central California Alliance for Health is seeking a Part Time Prior Authorizations Nurse (RN) for a temporary remote role in California. The assignment runs through December 2026 and is 20-40 hours per week, Monday–Friday.
The nurse will ensure prior authorization requests meet contractual requirements, participate in UM Care Programs, and apply CMS and Medi-Cal guidelines. Requirements include a CA RN license, a Nursing degree, and 5+ years in patient care with prior UM/Case Management
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