Senior Utilization Review Nurse (Hybrid) Pre-Auth Lead

Pacific Staffing; Sacramento (CA); Hybrid; USD 74,390 - 90,921; Full time

Job summary

A prominent healthcare staffing agency is seeking a Utilization Review Nurse in Sacramento, CA, responsible for managing the daily operations of the UM Pre-Authorization team. The ideal candidate will ensure accurate processing of referral requests, maintain regulatory compliance, and have strong leadership skills. The position requires 7+ years of UM experience and offers a pay range of $54-$66/hour as a hybrid role. Join a collaborative environment dedicated to quality healthcare delivery.

Qualifications

• 5+ years of clinical nursing experience required.
• 3+ years of utilization management experience in a health plan or UM operations required.
• Graduate of an accredited school of nursing.

Responsibilities

• Oversee operations of the Pre-Authorization team and ensure timely operations.
• Ensure accurate preparation of referral files for review.
• Foster strong working relationships with medical staff.

Skills

Clinical nursing experience

Leadership skills

Interpersonal communication

Regulatory compliance knowledge

Data analysis

Education

Bachelor’s degree in Nursing or equivalent

Registered Nurse (CA) license

Tools

Microsoft Office (Word, Excel)

Job description

A prominent healthcare staffing agency is seeking a Utilization Review Nurse in Sacramento, CA, responsible for managing the daily operations of the UM Pre-Authorization team. The ideal candidate will ensure accurate processing of referral requests, maintain regulatory compliance, and have strong leadership skills. The position requires 7+ years of UM experience and offers a pay range of $54-$66/hour as a hybrid role. Join a collaborative environment dedicated to quality healthcare delivery.