Prior Authorizations Nurse (RN) (Temporary)

<div class="content-intro"><p><a href="https://thealliance.health/about-the-alliance/careers/" target="_blank"><img style="max-width: 100%;" src="https://thealliance.health/wp-content/uploads/Greenhouse-Board-Banner-Graphic.jpg" width="1200"></a></p> <p><strong><span data-contrast="auto">OUR COMMITMENT TO A HUMAN HIRING PROCESS</span></strong></p> <p><span data-contrast="auto">We believe every candidate deserves thoughtful consideration. That’s why we </span><span data-contrast="auto">do not use AI or automated systems to review applications</span><span data-contrast="auto">. Every application is reviewed by a real </span><span data-contrast="none">human </span><span data-contrast="auto">member of our team. Because we take the time to give each submission the attention it deserves, our review process may take a little longer — and we genuinely appreciate your patience as we work through applications carefully and respectfully.</span><span data-ccp-props="{}"> </span></p> <p><strong>SERVICE AREA PREFERENCE</strong></p> <p><span data-contrast="auto">While we encourage all interested applicants to apply, we do give priority to those who live in</span><span data-contrast="none">,</span><span data-contrast="auto"> or near, our service counties: </span><span data-contrast="auto">Santa Cruz, Monterey, Merced, San Benito, and Mariposa</span><span data-contrast="auto">. Our mission of </span><em><span data-contrast="auto">accessible, quality health care guided by local innovation</span></em><em><span data-contrast="none"> </span></em><span data-contrast="auto">leads</span><span data-contrast="auto"> everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.</span><span data-ccp-props="{}"> </span></p></div><p> </p> <hr> <h4>ABOUT THIS TEMP POSITION</h4> <p>This is a temporary position. The length of the assignment is estimated to go from August to December 2026, but this is always dependent on business need, and these dates may change. While the assignment would be at the Alliance, you would be an employee of a temporary employment agency that we would connect you with if hired for this position.<strong> </strong>This is a full-time (40 hours/week) temporary assignment.</p> <h4>WHAT YOU'LL BE RESPONSIBLE FOR</h4> <p>Reporting to the Utilization Management Supervisor, this position: </p> <ul> <li><span class="TextRun SCXW185758867 BCX8" lang="EN-US" data-contrast="auto"><span class="NormalTextRun SCXW185758867 BCX8">Ensures that prior authorization requests are completed in a </span><span class="NormalTextRun SCXW185758867 BCX8">manner that meets</span><span class="NormalTextRun SCXW185758867 BCX8"> contractual requirements and that all</span><span class="NormalTextRun SCXW185758867 BCX8"> prior authorization</span><span class="NormalTextRun SCXW185758867 BCX8"> reviews are conducted using nationally recognized and </span><span class="NormalTextRun SCXW185758867 BCX8">evidence-based</span><span class="NormalTextRun SCXW185758867 BCX8"> standards</span></span><span class="EOP Selected SCXW185758867 BCX8" data-ccp-props="{"134233279":true,"201341983":0,"335559739":0,"335559740":240}"> </span></li> </ul> <ul> <li data-leveltext="%1." data-font="Calibri Light" data-listid="14" data-list-defn-props="{"3355