PitchMeAI Jobs
Central California Alliance for Health

Prior Authorizations Nurse (RN) (Temporary)

Central California Alliance for Health · Remote in California

Posted about 3 months ago · $52 - $57.50

or apply directly on Central California Alliance for Health's site. We never take the application ourselves.

Is this posting real?

This role has been open
77 days
Central California Alliance for Health's roles stay open a median of 74 days
Reposted
No
Salary listed
Yes
100% of Central California Alliance for Health's roles list one
Ghost-job risk at Central California Alliance for Health
high
11 stale, 1 reposted of 13 open
Hiring momentum
22 roles opened in the last 90 days
↑ up vs. the prior 90 days
Last confirmed on the employer's board
2026-10-25

Measured from postings appearing on and disappearing from Central California Alliance for Health's own greenhouse board since 2026-08-03. Full hiring picture for Central California Alliance for Health.

About this role

The Prior Authorizations Nurse (RN) position is a temporary, full-time role focused on ensuring prior authorization requests meet contractual requirements and are conducted according to recognized standards. The nurse will report to the Utilization Management Supervisor and participate in Utilization Management Care Programs, evaluating medical records and applying relevant regulations and guidelines.

Our read on this posting2.8out of 5
benefits
1/5
freshness
1/5
career value
3/5
role clarity
4/5
pay transparency
5/5

Scored from the posting itself — how clearly the role is described, how much it says about pay and benefits, and how recently it was listed. Not a judgement of Central California Alliance for Health as an employer.

What you need

  • Current unrestricted license as a Registered Nurse issued by the State of California
  • Associate’s degree in Nursing and a minimum of five years of experience in a patient care setting including at least one year in Utilization Management or Case Management
  • Knowledge of Prior Authorization principles and practices
  • Knowledge of clinical nursing principles and practices
  • Ability to evaluate medical records and other health care data
  • Ability to interpret and explain policies, regulations, terms, and procedures

Nice to have

  • Bachelor’s degree in Nursing
  • Working knowledge of managed care, Medicare D-SNP and Medi-Cal programs
  • Working knowledge of CMS guidelines and applicable Local and National Coverage Determinations
  • Working knowledge of Microsoft Excel, PowerPoint, and database software
  • Some knowledge of health care providers in the Alliance service area counties

Worth weighing

  • This is a temporary position with no benefits provided by the Alliance during the assignment.
  • The role is remote but may require attendance at quarterly events or meetings, depending on business needs.
  • The pay range varies based on location, and final compensation will depend on various factors including experience and qualifications.

Summarised from Central California Alliance for Health's posting. Read the full original.

Listed by Central California Alliance for Health on their greenhouse job board, last confirmed open on 2026-10-25. PitchMeAI is not the employer.

More roles at Central California Alliance for Health

All 13 open roles at Central California Alliance for Health →