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Part Time Prior Authorizations Nurse (RN) (Temporary) at Central California Alliance for Health - ApplyBlast

Part Time Prior Authorizations Nurse (RN) (Temporary)

Central California Alliance for Health

8 days ago

3.9 on Glassdoor

Remote

Temporary

Medior

0 applicants

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About this role

This temporary remote position in California involves reviewing prior authorization requests to ensure compliance with contractual and evidence-based standards. The role supports Utilization Management Care Programs and requires a strong understanding of managed care, Medicare, and Medi-Cal regulations. The position is open to 20-40 hours per week with a potential assignment through the end of December 2026.

Responsibilities

Complete prior authorization requests meeting contractual requirements
Conduct prior authorization reviews using evidence-based standards
Participate in Utilization Management Care Programs

Skills

Qualifications

Bachelor's degree in NursingCurrent unrestricted license as a Registered Nurse issued by the State of California

About Central California Alliance for Health

thealliance.health

Headquarters

Scotts Valley, California, United States

Company Size

501-1000 employees

Founded

1996

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Central California Alliance for Health is a state‑funded Medi‑Cal managed care plan that provides health coverage to residents of Mariposa, Merced, Monterey, San Benito, and Santa Cruz counties. The Alliance coordinates and finances medical, behavioral health, and preventive services through a network of local providers to improve access and health outcomes for its members. It also partners with community organizations and programs to support enrollment, member education, and efforts addressing social determinants of health.