Who can apply: Limited to certain states (list not available).
Location as listed by the employer: “Remote in California ; Teleworker”
Apply on Central California Alliance for Health's site ↗
Opens the employer's official application page.
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About this role
Central California Alliance for Health is hiring for a Prior Authorizations Nurse (RN) (Temporary) role (temporary). See the official posting for full details.
Requirements
- Desirable Qualifications Bachelor’s degree in Nursing
- Working knowledge of managed care, the Medicare D-SNP and Medi-Cal programs, and related regulations
- Working knowledge of Centers for Medicare & Medicaid Services (CMS) guidelines, including applicable Local Coverage Determinations and National Coverage Determinations
- Working knowledge of Microsoft Excel and PowerPoint, and database software
- Some knowledge of health care providers in the Alliance service area counties
- 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 which included a minimum of one year of experience in Utilization Management or Case Management (a Bachelor’s degree may…
Summarized from the employer's posting — check the full posting for every requirement.
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