Laguna Niguel • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Laguna Niguel • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Laguna Niguel • 50 milesRemote · Hybrid · Onsite · Field · All Environments
Laguna Niguel • 50 milesRemote · Hybrid · Onsite · Field · All Environments
3,947 authorization jobs at 903 companies in Laguna Niguel, CA
2mo
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Authorization Specialist
Irvine, California, United States
$21-$26/hr OnsiteFull Time
2+ YOETwo years prior authorization experience; submit authorizations; experience with Blue Cross/Blue Shield/Aetna; HCPCS/ICD-10/CPT knowledge; good computer skills; Medicare guidelines preferred.
General computer skills, Medical billing software, Microsoft Office
1mo
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Authorization Specialist
Santa Ana, California, United States
$22-$38/hr OnsiteFull Time
2+ YOEHigh school diploma or equivalent, minimum 2 years scheduling/authorization/referral experience in a healthcare setting, strong attention to detail and communication skills.
1w
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Authorization Coordinator
Irvine, California, United States
$24-$29/hr OnsiteFull Time
Authorization coordination or CalAIM-related experience, strong organization and communication skills, computer proficiency, valid driver's license, auto insurance, and ability to pass a federal background screen.
Microsoft Office, CRM
3mo
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Authorization Coordinator II
Wilmington, California, United States
$23-$27/hr OnsiteFull Time
3+ YOEManage complex prior authorization requests, resolve denials, coordinate referrals; 3–4 years in authorizations; FQHC experience preferred.
Epic, EHR, Reporting Tools
1mo
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Authorization Coordinator I
Temecula, California, United States
$21-$22/hr OnsiteFull Time
Maintains and initiates patient authorizations (30 days prior), monitors authorizations in NuFACTOR, verifies deliveries, communicates benefit/financial changes, documents activity; high school diploma required; healthcare experience preferred.
NuFACTOR, Microsoft Office
1mo
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Authorization Coordinator
El Segundo, California, United States
$21-$24/hr HybridTemporary
0+ YOEHigh school diploma/GED required (Associate preferred). 0–3 years admin/customer service experience. Proficiency with Microsoft Office (Word, Excel, Outlook). Strong communication, organization, and data-entry accuracy.
Microsoft Office, Microsoft Word, Microsoft Excel, Microsoft Outlook
5d
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Authorization Coordinator (CA, Montrose)
Montrose, California, United States
$21/hr OnsiteFull Time
Prior authorization-request and medical-office experience required; strong communication, documentation, prioritization, multitasking, confidentiality, computer, and problem-solving skills needed.
5d
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Authorization Coordinator (CA, Montrose)
Montrose, California, United States
$21-$25/hr OnsiteFull Time
Previous authorization request and medical office experience required. Requires prioritization, multitasking, communication, documentation, confidentiality, problem-solving, computer proficiency, and ability to follow instructions.
fax
1w
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Prior Authorization Specialist
Brea, California, United States
$23-$27/hr OnsiteFull Time
2+ YOE2+ years prior authorization experience in infusion or pharmacy, knowledge of Medicare/Medicaid/managed care, intermediate Microsoft Excel and Word, ability to manage multiple priorities and resolve complex issues.
Microsoft Excel, Microsoft Word
1d
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Referral Authorization Manager
Los Angeles, California, United States
$70k-$75k/yr OnsiteFull Time
4+ YOE1+ MgmtRequires 4 years of referral and pre-authorization experience, 1–2 years managing direct reports, Spanish fluency, medical terminology, IPA, ICD and CPT knowledge, and ECW and E-Consult experience.
ECW, E-Consult, ICD, CPT
3w
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Prior Authorization LVN
San Bernardino, California, United States
$35-$40/hr OnsiteFull Time
1+ YOECurrent California LVN license, 1+ year clinical experience, knowledge of utilization management, medical necessity criteria, ICD-10/CPT/HCPCS, strong communication, and proficiency with EMR and Microsoft Office.
Milliman Care Guidelines (MCG), InterQual, Microsoft Word, Microsoft Excel, Microsoft Outlook, Electronic Medical Records
1w
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Authorization Clerk - Tri City Urology - Waring Road - Day - Full Time
Carlsbad, California, United States
$25-$31/hr OnsiteFull Time
3+ YOEHigh school diploma or equivalent and 3 years of authorization clerk experience in a hospital or medical office. Requires medical terminology, HIPAA, office procedures, communication, and computer skills.
word processing, spreadsheet, database
3w
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Utilization Management Authorization Assistant
Redlands, California, United States
$23-$29/hr OnsiteFull Time
2+ YOEHigh school diploma preferred; 2 years hospital experience in utilization review, case management or business office preferred; managed care experience and medical terminology knowledge desirable.
2mo
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Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Los Angeles, California, United States
$25-$40/hr OnsiteFull Time
2+ YOEObtain medical authorizations, manage CPT/ICD coding, and liaise with payers; 2+ years hospital/medical office experience; high school diploma required; LVN preferred.
Excel, Keckcare, Payer systems
2mo
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Clinical Authorization Specialist (Hospital) - PreArrival - Full Time 8 Hour Days (Non-Exempt) (Non-Union)
Los Angeles, California, United States
$25-$40/hr OnsiteFull Time
2+ YOETwo years hospital/medical office/health insurer experience; strong time management, organizational, research, negotiation, and communication skills.
Keckcare, Excel
2mo
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Clinical Review Nurse - Prior Authorization
Pomona, California, United States
$62k-$94k/yr OnsiteFull Time
3+ YOEActive California LVN or RN license; 3-5+ years clinical UM review; prior authorization in managed care; knowledge of MCG criteria; EZCap experience preferred; California DMHC/CMS knowledge.
EZCap, MCG guidelines
2d
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Temporary Therapy Authorizations Processor
Redlands, California, United States
$23/hr OnsiteFull Time, Temporary
High school diploma or equivalent, typing speed of 40 words per minute, computer and scanner skills, Microsoft Outlook proficiency, telephone etiquette, customer service, communication, flexibility, and multitasking.
Microsoft Outlook
3mo
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Senior Product Manager, Authorization Services
Los Angeles or New York
$164k-$215k/yr HybridFull Time
6+ YOE6+ years in product management; 4+ years prioritization; 4+ years tech systems experience; 2+ years cross-domain initiatives; 2+ years problem solving; compliant with laws.
SQL, Database, APIs, AI/ML
3mo
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Sr. Director, Pharmacy - Prior Authorization & Call Center
Oakland or Long Beach or El Dorado Hills or Lodi or Rancho Cordova or Redding or San Diego or Woodland Hills
$213k-$319k/yr HybridFull Time
12+ YOE6+ MgmtCA RPh license required; PharmD from US school; 12 yrs in managed care/pharmacy benefit programs; 6 yrs in people management; vendor management experience preferred.
2d
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Director, Intern, Credentialing, and Added Authorization Program - (iCAAP)
Los Angeles, California, United States
$157k-$196k/yr OnsiteFull Time
8+ YOE2+ MgmtRequires permanent LAUSD certificated employment, 8 years of public school service including 2 years as principal, 5 years of Pre-K–12 teaching, California administrative credential, master's degree, and required coursework.
Common Standards and Preconditions, CTC data dashboard
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