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Prior Authorization Nurse (RN) image - Rise Careers
Job details

Prior Authorization Nurse (RN)

The Alliance is seeking a skilled Prior Authorization Nurse (RN) to join their team, responsible for ensuring timely completion of prior authorization requests in alignment with industry standards.

Skills

  • Utilization management principles
  • Case management skills
  • Critical thinking
  • Clinical nursing expertise

Responsibilities

  • Complete prior authorization requests in a timely manner.
  • Evaluate medical records and health care data.
  • Utilize Milliman Care Guidelines and related policies in review determination process.
  • Demonstrate strong critical thinking and clinical nursing skills.

Education

  • Bachelor’s degree in Nursing
  • Current unrestricted RN license in California

Benefits

  • Medical, Dental and Vision Plans
  • Ample Paid Time Off
  • 12 Paid Holidays per year
  • 401(a) Retirement Plan
  • 457 Deferred Compensation Plan
  • Health and Wellness Program
  • Onsite EV Charging Stations
To read the complete job description, please click on the ‘Apply’ button
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CEO of Central California Alliance for Health
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Michael Schrader
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Average salary estimate

$114280.5 / YEARLY (est.)
min
max
$82857K
$145704K

If an employer mentions a salary or salary range on their job, we display it as an "Employer Estimate". If a job has no salary data, Rise displays an estimate if available.

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15 jobs
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SENIORITY LEVEL REQUIREMENT
TEAM SIZE
SALARY RANGE
$82,857/yr - $145,704/yr
EMPLOYMENT TYPE
Full-time, remote
DATE POSTED
April 11, 2025

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