Prior Authorizations Nurse, LVN – Temporary

Central California Alliance for Health

. Act within the scope of the Board of Vocational Nursing and Psychiatric Technicians of the State of California .

Posted 9/22/2026full-timeCalifornia • United StatesJuniorMid-Level💰 $40 - $46 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in evaluating medical records and health care data while applying MCG Care Guidelines and Medi-Cal regulations. Capable of conducting research and contributing to individualized care plans under the supervision of a Registered Nurse.

Highest-signal resume keywords

Licensed Vocational Nurse LicenseUtilization Management ExperienceMCG Care Guidelines KnowledgeMedi-Cal Regulations KnowledgeClinical Nursing Principles

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Medical Record EvaluationData Collection and ReviewPolicy InterpretationEvidence-Based Standards ApplicationResearch Conducting

Soft Skills

Problem-SolvingCommunication

Certifications & Qualifications

Licensed Vocational Nurse

Industry Keywords

Utilization ManagementCase ManagementPatient Care SettingTitle 22 Regulations

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

Current unrestricted license as a Licensed Vocational Nurse issued by the State of California
High school graduation or equivalent
Minimum of two years of experience performing work as a Licensed Vocational Nurse in a patient care setting, including some utilization management or case management responsibilities
Equivalent combination of education and experience may qualify
Knowledge of MCG Care Guidelines in review determination process
Knowledge of Medi-Cal and related policy and benefits-related Title 22 regulations
Knowledge of principles and practices of clinical nursing
Ability to evaluate medical records and other health care data
Ability to interpret and apply policies and regulations
Ability to define issues, conduct research, collect and review data, and contribute to evaluating options and individualized interventions under the supervision of a professional Registered Nurse
Must be currently authorized to work in the United States on a full-time, ongoing basis without current or future employer sponsorship

Benefits

Comp & perks

Temporary employees do not receive the Alliance benefits listed below while on assignment; staffing agency benefit options apply
Medical, Dental and Vision Plans (unavailable to temporary employees while on assignment)
Ample Paid Time Off (unavailable to temporary employees while on assignment)
12 Paid Holidays per year (unavailable to temporary employees while on assignment)
401(a) Retirement Plan (unavailable to temporary employees while on assignment)
457 Deferred Compensation Plan (unavailable to temporary employees while on assignment)
Robust Health and Wellness Program (unavailable to temporary employees while on assignment)
Onsite EV Charging Stations (unavailable to temporary employees while on assignment)
Quarterly company-wide events or department meetings for applicable telecommuting staff