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Remote Oracle Rn Jobs in Sacramento, CA (NOW HIRING)

Corvel

Professional Review Nurse

Folsom, CA · Remote

$70K - $85K/yr

This is a remote position in CA. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Identify the necessity ... Must maintain current licensure as a Registered Nurse in the state of employment with a minimum of ...

Corvel

Quality Assurance Nurse

Folsom, CA · Remote

$61K - $98K/yr

This is a remote position. ESSENTIAL FUNCTIONS & RESPONSIBILITIES: * Develop, implement, and ... Current RN licensure PAY RANGE CorVel uses a market-based approach to pay and our salary ranges may ...

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All JobsOracle Rn JobsRemote Oracle Rn JobsRemote Oracle Rn Jobs in Sacramento, CA

Remote Oracle Rn information

What is the difference between Remote Oracle Rn vs Remote Oracle Database Administrator?

AspectRemote Oracle RnRemote Oracle Database Administrator
CertificationsOracle Nursing Certification, RN LicenseOracle Certified Professional (OCP), Database Certification
Work EnvironmentHealthcare settings, clinics, hospitalsIT departments, data centers, corporate environments
Job FocusPatient care, clinical proceduresDatabase management, system maintenance

Remote Oracle Rn roles focus on patient care and clinical responsibilities in healthcare settings, requiring nursing licenses and healthcare certifications. In contrast, Remote Oracle Database Administrators handle database systems, requiring IT certifications and technical expertise. Both roles are remote but serve different industries and skill sets, making their job functions distinct despite similar titles.

What are popular job titles related to Remote Oracle Rn jobs in Sacramento, CA? For Remote Oracle Rn jobs in Sacramento, CA, the most frequently searched job titles are:
What job categories do people searching Remote Oracle Rn jobs in Sacramento, CA look for? The top searched job categories for Remote Oracle Rn jobs in Sacramento, CA are:
What cities near Sacramento, CA are hiring for Remote Oracle Rn jobs? Cities near Sacramento, CA with the most Remote Oracle Rn job openings:
Remote Oracle Rn jobs near you
Infographic showing various Remote Oracle Rn job openings in Sacramento, CA as of July 2026, with employment types broken down into 100% Full Time. Highlights an 100% Remote job distribution.

Authorization Nurse, RN - Hybrid (Remote Considered) - 26-88

Hill Physicians Medical Group

Sacramento, CA • On-site, Remote

$100K - $123K/yr

Full-time

Posted 8 days ago

Job description

We're delighted you're considering joining us!
At Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.
Join Our Team!
Hill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.
DE&I Statement:
At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.
We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's right!
Job Description:
The Authorization Nurse is responsible for the evaluation of medical appropriateness and necessity for a variety of services using contracts, medical policies, and evidence-based clinical guidelines while also ensuring benefit and eligibility requirements are met. They work with physician reviewers and providers to meet the health care needs of members so that they can receive efficient and timely medical care.
Job Responsibilities:
  • Review and process urgent and non-urgent authorization requests (received via phone, fax and electronic submission) for medical necessity (according to established criteria) and authorize, pend or modify as appropriate.
  • Process authorization requests (routine, urgent and retrospective) according to regulatory requirements.
  • Utilize a variety of medical necessity, contractual and benefit criteria to determine appropriate authorization decisions. Criteria may include MCG, Hill Guidelines, Health Plan Criteria, Health Plan and Hill Physician contracted provider data and member benefit information.
  • Obtain additional medical information as necessary from requesting provider.
  • Communicate with providers and members regarding status of authorization requests.
  • Assist interdepartmental staff members to resolve issues relating to the authorization process.
  • Refer information regarding members to other departments as appropriate for follow-up (i.e., Case Management, Health Education, TPL, COB).
  • Ensure quality authorization processing while meeting individual and team productivity standards.
  • Clearly and succinctly document necessary and/or required information in Epic Tapestry system.
  • Utilize critical thinking skills to identify process issues and problems and recommend and/or implement solutions.
  • Prepare and present cases to physician reviewers/UM Medical Director in a concise, objective and organized manner.
  • Collaborate with physician reviewers, Utilization Management Medical Director and other designated physician leaders on making clinical decisions.
  • Participate in on-call or alternate work hour programs as needed to meet regulatory compliance requirements.
  • Perform other duties as assigned by supervisor/manager.

Skills and Experience Required:
  • Active, unrestricted California Licensure: Registered (RN) or Licensed Vocational Nurse (LVN).
  • Bachelor's degree in nursing strongly preferred
  • Minimum 3 or more years pertinent experience in Managed Care Utilization Management
  • Experience with medical decision supports tools such as MCG.
  • Previous experience with Epic Tapestry platform preferred but not required.
  • Knowledge of ICD-10 and CPT coding.
  • Proficient in MS Office programs (i.e., Word, Excel, Outlook, Access and Power Point)
  • Excellent verbal and written communication skills.
  • Ability to work effectively with a variety of customers including physicians, office staff, and members.
  • Demonstrated organization and time management skills with the ability to prioritize workload and meet expected and unexpected time frames.
  • Strong analytical and critical thinking skills.
  • Ability to take action in solving problems exhibiting sound judgement.
  • Demonstrated comfort with ambiguity and change.
  • Ability to work independently with self-initiative and discipline.
  • Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
  • Detail-oriented -- would rather focus on the details of work than the bigger picture
  • High stress tolerance -- thrives in a high-pressure environment
  • Demonstrated critical thinking and inquisitiveness in reviewing UM cases for appropriate global review and decision-making.

Additional Information:
Salary: $100,000 - $123,000 Annual
Location: Hybrid (Sacramento or San Ramon) - Remote Considered
Hill Physicians is an Equal Opportunity Employer

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