36 prior authorization nurse jobs at 21 companies in Walnut Park, CA
3mo
Save
Mark Applied
Hide
3mo
Clinical Review Nurse - Prior Authorization
Pomona, California, United States
$62k-$94k/yrOnsiteFull Time
Akido Labs: Private AI-native healthcare delivering primary, specialty, and safety-net care through its medical network.
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.
Care First Home Health: Provides Medicare-certified home health services in Nevada.
1+ YOEActive state RN authorization, CPR, driver's license, car insurance, reliable automobile, accredited nursing-school graduation, computer proficiency, and 1+ year professional nursing experience.
Computers, Health Insurance Portability and Accountability Act (HIPAA), QAPI
International SOS: Global provider of health and security risk services.
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: Nonprofit skilled nursing facility serving Torrance residents with subacute rehabilitation and long-term care.
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.
Sulphur Springs Union School District: Public California elementary school district serving K–6 students in the Santa Clarita Valley.
Valid California LVN license, medication-assistance authorization, CPR/First Aid, and California driver's license required; specialized procedure training required. BLS and LPN credentials preferred.
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: Provider of managed healthcare services for government-sponsored 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.
Staff Psychiatric Mental Health Nurse Practitioner (PMHNP) — Remote | Telehealth | Full-Time or Part-Time | California
United States or Long Beach or Oakland or San Jose or Sacramento or Anaheim or Fresno or San Francisco or San Diego or Bakersfield or Los Angeles
$150k-$300k/yrRemoteFull Time, Part Time
Legion Health: Private U.S. telepsychiatry providing insured patients with AI-enabled psychiatric diagnosis, testing, prescriptions, and ongoing care.
Active unrestricted PMHNP authority in at least one U.S. state or jurisdiction, strong psychiatric assessment, diagnostic, and medication-management skills, communication skills, and telehealth experience.
electronic health record systems, EHR, e-Prescribe, AI tools, UpToDate, Carlat
Golden Rose Care Center: For-profit skilled nursing home in Pasadena providing rehabilitation, subacute care, long-term support, and therapy to residents.
0+ YOECNA license and BLS certification; English proficiency; U.S. work authorization; compassionate with good teamwork.
MedPOINT Management: Privately owned California managed-care services providing IPA management, consulting, claims, and medical operations for providers 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
Eastland Rehabilitation and Nursing Center: For-profit Ohio skilled nursing facility providing 24-hour nursing, short-term rehabilitation, respite, and long-term care.
Requires high school diploma or equivalent, prior janitorial and skilled nursing home experience, COVID-19 vaccination including boosters, and U.S. work authorization.
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: California-licensed home care agency providing personalized in-home support to seniors and families throughout Orange County.
No experience required; training is provided. Applicants must be at least 18, compassionate, punctual, and legally authorized to work in the United States.
San Dimas Retirement Center: Assisted living and memory-care facility serving California seniors aged 60 and older.
High school diploma or equivalent, COVID-19 vaccination with booster, U.S. work authorization, and cleared Live Scan background check. Caregiving experience is preferred but not required.
Octapharma Plasma: Collects and supplies human plasma for life-saving therapies.
1+ YOERequires a recognized healthcare program, valid state RN license or equivalent, CPR certification, and state authorization for moderate complexity testing; one year of relevant experience preferred.
Donor Management System (NexLynk), FDA, CLIA, cGMP, SOPs, PPE
Huntington Retirement: Private Torrance assisted-living community providing assisted living, memory care, and 24-hour support for older adults.
High school diploma or equivalent, COVID-19 vaccination with booster, Live Scan clearance, U.S. work authorization, and first aid/CPR knowledge. Caregiving experience preferred but not required.
Crofton Manor Inn: Private assisted living facility serving seniors with personalized residential, memory-care, and respite services.
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.
Arosa: Private U.S. provider of integrated in-home care and care-management services for older adults and their families.
Compassionate caregiver with strong communication skills, English proficiency encouraged, California HCA registration, background checks, drug screening, U.S. work authorization, and ability to support senior adults.
Caregiver / Personal Care Attendant - Sacramento Area
Sacramento or Anaheim or Los Angeles County
$19-$23/hrOnsitePart Time, Full Time
Care Partners At Home: California home care agency serving seniors, Medi-Cal members, and people with intellectual and developmental disabilities.
Registered Home Care Aide required; authorized US work status, negative TB test, drug screening, and CPR/first aid certification required. Caregiving experience is preferred but not required.
Salus Homecare: Privately owned home-care, home-health, hospice, and palliative-care provider serving seniors and adults at home.
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.
Home Helpers of Orange Coast: Locally owned home-care franchise providing non-medical support to seniors, recovering adults, and people with disabilities.
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.