Prior Authorizations Nurse (LVN) - Temporary Position
Job Description
This is a temporary position. The length of the assignment is estimated to go until 12/31/26, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency.
This is a full-time (40 hours/week) temporary assignment.
WHAT YOU’LL BE RESPONSIBLE FOR
Reporting to the Utilization Management Supervisor, this position:
Acts within the scope of the Board of Vocational Nursing and Psychiatric Technicians of the State of California to ensure that prior authorization requests are completed in a timely fashion to meet contractual requirements and ensure that all reviews are conducted using nationally recognized and evidence-based standards.
WHAT YOU’LL NEED TO BE SUCCESSFUL
To read the full position description and list of requirements, click here.
- Knowledge of:
- MCG C guidelines in review determination process
- Medi-Cal and related policy and benefits-related Title 22 regulations
- Principles and practices of clinical nursing
- Ability to:
- Evaluate medical records and other healthcare data
- Interpret and apply policies and regulations
- Define issues, conduct research, collect and review data, and contribute to the evaluation of options and individualized interventions related to the care plan or treatment plan, under the supervision of a professional Registered Nurse (RN)
- Education and Experience:
- Current unrestricted license as a Licensed Vocational Nurse issued by the State of California
- High school graduation or equivalent and a minimum of two years of experience performing work as a Licensed Vocational Nurse in a patient care setting which included some utilization management or case management responsibilities
OTHER INFORMATION
- We are in a hybrid work environment and anticipate that the interview process will take place remotely via Microsoft Teams.
- While some staff may work full telecommuting schedules, attendance at quarterly company-wide events or department meetings will be expected.
- In-office or in-community presence may be required for some positions and is dependent on business need.
- This is a temporary position and does not provide the benefits listed below. Temporary employees on assignment at the Alliance will be connected to a staffing agency with separate benefit options.
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The Alliance
View Company ProfileThe Alliance (operating at thealliance.health) is a health insurance platform engineered for providing Medi-Cal insurance to residents in Mariposa, Merced, Monterey, San Benito and Santa Cruz counties. Founded in 1996 by unknown founders and headquartered in Scotts Valley, CA, The Alliance helps self-funded employers control costs and uncover savings while improving access to high-value care for employees and their families. Under the hood, The Alliance utilizes the State's County Organized Health System (COHS) to provide trusted, no cost Medi-Cal health care from local teams to families. This allows residents to access essential health services. Backed by a total funding of $16.6M over 5 rounds.
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