26 prior authorization nurse jobs at 14 companies in Stanton, CA
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Prior Authorization LVN
San Bernardino, California, United States
$35-$40/hrOnsiteFull Time
LSMA Management: Provides comprehensive administrative and operational support for medical practices.
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
Akido Labs: Operates an AI-powered medical network providing clinical care.
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.
International SOS: Global health and security risk management services provider.
0.5+ YOECalifornia-authorized RN license, current BLS, six months of recent comparable nursing experience, and six months using eMAR and EMR systems. Must assess patients, document care, and work effectively under stress.
electronic medication administration record (eMAR), electronic medical record (EMR)
Sunnyside Nursing and Post-Acute Care: Provides skilled nursing, rehabilitation, and long-term care services.
Current active California LVN license and authorization to work in the United States required. Responsibilities include skin assessment, treatment, diagnostic services, nursing care, charting, and care planning.
RN- Care Review Clinician- Utilization Review (Remote- CA License Req)
San Francisco or Los Angeles or San Jose or San Diego or Sacramento or Long Beach or California
$30-$59/hrRemoteFull Time
Molina HealthcareNYSE: MOH: Provides managed health insurance through government-sponsored benefit programs.
2+ YOEActive unrestricted RN license in state of practice (CA required for this posting), 2+ years clinical experience (acute care/prior authorization/managed care), UM/prior authorization experience preferred, Microsoft Office proficiency, strong communication and critical-thinking skills.
MedPOINT Management: Provides administrative and management services for healthcare networks and hospitals.
1+ YOEClinical background required (LVN/RN preferred),1-3 years UM/prior authorization experience, knowledge of outpatient terminology,CPT/ICD-10 coding,InterQual/Milliman familiarity,proficient with UM systems and Microsoft Office.
InterQual, Milliman, Microsoft Office Suite, CPT, ICD-10
Part-Time Caregiver - Choose Your Own Schedule (Weekly Pay)
Huntington Beach or Newport Beach or Fountain Valley or Costa Mesa or Orange County
$17-$22/hrFieldPart Time
CareWorks Health Services: Provides professional in-home senior care and personal assistance services.
No experience required; training is provided. Applicants must be at least 18, compassionate, punctual, and legally authorized to work in the United States.
Huntington Retirement: Assisted living facility providing senior residential and care services.
High school diploma or equivalent; COVID-19 vaccination with booster; Live Scan clearance; U.S. work authorization; caregiver experience preferred, with CPR and first aid knowledge.
Crofton Manor Inn: Assisted living and memory care community for seniors.
High school diploma or equivalent, COVID-19 vaccination with booster, U.S. work authorization, Live Scan clearance, CPR and first aid knowledge, and compassionate resident-care skills.
Home Helpers of Orange Coast: Provides non-medical in-home care services for seniors.
Compassionate, dependable caregivers able to assist with daily living, mobility, meals, housekeeping, medication reminders, and client safety; a driver’s license, background check, work authorization, and HCA registration may be required.
Salus Homecare: Provides home health, hospice, and palliative care services.
Requires California HCA certification, recent TB test, legal US work authorization, physical capability, English proficiency, and safe driving record with valid auto insurance when driving clients.
TheKey: Provider of premium in-home senior care and companionship services.
1+ YOEAt least one year of professional caregiving experience; weekend availability; California HCA registration, driver's license, insured vehicle, TB clearance or chest X-ray, work authorization, and background screening eligibility.
Salus Homecare: Providing accredited in-home health, hospice, and personal care services.
Requires California HCA certification, TB test within 90 days, legal US work authorization, English proficiency, physical ability, and safe driving record with auto insurance when transporting clients.
San Dimas Retirement: Assisted living and memory care community for seniors.
Must be COVID-19 vaccinated (including booster), clear Live Scan background check, high school diploma/GED, authorized to work in US, able to perform personal care, mobility assistance, and basic first aid/CPR.