Central California Alliance for Health

Nurse

• Act within the scope of the Board of Vocational Nursing and Psychiatric Technicians of the State of California
• Ensure prior authorization requests are completed in a timely fashion to meet contractual requirements
• Conduct reviews using nationally recognized and evidence-based standards
• Report to the Utilization Management Supervisor
• Evaluate medical records and other health care data
• Interpret and apply policies and regulations
• Define issues, conduct research, collect and review data
• Contribute to evaluating options and individualized interventions related to care plans or treatment plans under the supervision of a professional Registered Nurse

Prior Authorizations Nurse, LVN – Temporary

Project Manager

• Provide intermediate-level project management support for medium- to high-complexity cross-functional, systems-driven strategic and operational projects
• Manage projects involving interdepartmental units and/or external stakeholder teams through all aspects of the project lifecycle
• Conduct intermediate-level business, technical, and financial analysis and reporting to support operations and business development
• Utilize, implement, and communicate project management methodologies and policies
• Mentor project teams, project stakeholders, and Enterprise Project Managers
• Support the PMO’s enterprise portfolio, program, and project management services
• Report to the Enterprise Project Management Manager

Prior Authorizations Nurse, LVN – Temporary

Enterprise Project Manager II