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Central California Alliance for HealthPrior Authorizations Nurse (RN) (Temporary)
The Central California Alliance for Health is hiring a temporary Prior Authorizations Nurse for a full-time, 40-hour-a-week assignment running from August to the end of December…
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About This Role
The Central California Alliance for Health is hiring a temporary Prior Authorizations Nurse for a full-time, 40-hour-a-week assignment running from August to the end of December 2026, subject to business need. The registered nurse reviews prior authorization requests against contractual requirements and evidence-based standards, and takes part in utilization management care programs. The role is placed through a staffing agency and suits an RN with utilization management experience.
Job Description
The Central California Alliance for Health is hiring a temporary Prior Authorizations Nurse for a full-time, 40-hour-a-week assignment running from August to the end of December 2026, subject to business need. The registered nurse reviews prior authorization requests against contractual requirements and evidence-based standards, and takes part in utilization management care programs. The role is placed through a staffing agency and suits an RN with utilization management experience.
Responsibilities
- Make sure prior authorization requests are completed to contractual requirements
- Review requests using nationally recognized, evidence-based standards
- Take part in utilization management care programs
Requirements
- Current, unrestricted California registered nurse license
- Associate's degree in nursing and at least five years in a patient care setting, including one year in utilization or case management (a bachelor's degree can substitute for two years)
- Working knowledge of managed care, Medicare D-SNP, Medi-Cal and CMS guidelines
Qualifications
- Bachelor's degree in nursing
- Knowledge of MCG guidelines and prior authorization principles
- Working knowledge of Microsoft Excel and PowerPoint
Core Skills
Benefits
- Benefits come through the staffing agency under its own options, not the Alliance benefit listing
Frequently Asked Questions
Answers are based only on the employer’s listing; where it doesn’t say, neither do we.
What is the pay?
Zone 1 (for example Santa Cruz, Monterey, San Benito, the Bay Area and Los Angeles) pays $52 to $57.50 per hour. Zone 2 (for example Merced, Mariposa, Fresno and Bakersfield) pays $49 to $54 per hour.
How is the work arranged?
The role is hybrid, with interviews held remotely on Microsoft Teams. Attendance at quarterly company-wide events or department meetings is expected.
Who is the employer?
The assignment is at the Alliance, but the worker is employed by a temporary staffing agency that the Alliance connects the hire with.
Sample Interview Questions
AI-generated questions tailored to this specific role — a preview of the full practice set.