Registered Nurse (RN), Prior Authorizations (Temporary)

Job overview

The Registered Nurse (RN), Prior Authorizations (Temporary) role is hybrid, with the listing location in Fresno, CA; some in-office or in-community presence may be required based on business need. The stated pay range for the Fresno area is $49–$54 per hour (Zone 2). Central California Alliance for Health provides managed care coverage to members in its service counties and is committed to accessible, quality health care guided by local innovation. Reporting to the Utilization Management Supervisor, the nurse reviews prior authorization requests using contractual requirements and evidence-based standards. The work supports utilization management programs and helps ensure review decisions follow applicable clinical and regulatory guidance.

What you'll do

• Complete prior authorization requests in accordance with contractual requirements
• conduct reviews using nationally recognized, evidence-based standards
• participate in Utilization Management Care Programs
• evaluate medical records and healthcare data
• interpret and apply policies, regulations, and procedures
• maintain accurate records.

What we're looking for

Skills & competencies

registered nurse

prior authorizations

utilization management

clinical nursing

evidence-based review

temporary assignment

hybrid work

fresno ca

central california alliance for health

$49–$54 per hour

Work arrangement

• Weekend coverage required

Benefits & perks

• The posting states this temporary assignment does not provide the listed Alliance benefits
• temporary employees may have separate benefit options through the staffing agency.

Why this role

Temporary full-time assignment estimated from August through the end of December 2026, subject to business need; the posting states temporary employees do not receive the listed Alliance benefits.

About the employer

Central California Alliance for Health (Remote) is hiring for this role. Industry: Direct Health and Medical Insurance Carriers. Sector: 52.