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Remote Prior Authorization Rn Jobs in California

Astrana Health, Inc.

UM Review Nurse

Monterey Park, CA · On-site +1

$34 - $42/hr

This is a remote position for CA-licensed nurses. Candidates must live in California. We are ... Complete prior authorization/retrospective review of elective inpatient admissions, outpatient ...

IQVIA

Flex Nurse Educator

Temecula, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Napa, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Banning, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

San Bernardino, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Vallejo, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

San Francisco, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Santa Rosa, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Menifee, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

IQVIA

Flex Nurse Educator

Petaluma, CA · Remote

Active RN license in good standing (compact multi-state preferred); may be required to obtain ... authorization to work in the US without the need for sponsorship. #LI-CES #LI-REMOTE IQVIA is a ...

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All JobsPrior Authorization Rn JobsRemote Prior Authorization Rn JobsRemote Prior Authorization Rn Jobs in California

Remote Prior Authorization Rn information

What is the difference between Remote Prior Authorization Rn vs Remote Medical Coder?

AspectRemote Prior Authorization RnRemote Medical Coder
CredentialsRN license, certification in case management or utilization reviewCertification in coding (CPC, CCS), high school diploma or equivalent
Work EnvironmentHealthcare facilities, insurance companies, telehealthMedical offices, insurance companies, remote coding platforms
Industry UsageUtilization review, patient authorization, insurance approvalMedical record review, billing, coding for insurance claims

Remote Prior Authorization Rns focus on reviewing patient information to approve treatments, while Remote Medical Coders translate medical records into codes for billing. Both roles require healthcare knowledge but serve different functions within the healthcare industry.

What are the most commonly searched types of Prior Authorization Rn jobs in California?

The most popular types of Prior Authorization Rn jobs in California are:

What are popular job titles related to Remote Prior Authorization Rn jobs in California?

For Remote Prior Authorization Rn jobs in California, the most frequently searched job titles are:

What job categories do people searching Remote Prior Authorization Rn jobs in California look for?

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What cities in California are hiring for Remote Prior Authorization Rn jobs?

Cities in California with the most Remote Prior Authorization Rn job openings:

Remote Prior Authorization Rn jobs near you
Infographic showing various Remote Prior Authorization Rn job openings in California as of September 2026, with employment types broken down into 88% Full Time, 10% Part Time, and 2% Contract. Highlights an 2% In-person, and 98% Remote job distribution.

Utilization Management Review Nurse

Monterey Park, CA • Remote

Astrana Health
See more jobs at Astrana Healthexternal

$34 - $42/hr

Full-time

Posted 4 days ago

Job description

Astrana Health is looking for a CA-licensed Utilization Review Nurse to assist our Health Services Department. In this position, you will utilize your clinical judgement to approve or deny outpatient medical services for patients based on Medical Necessity Criteria, respective to various Health Plans.
This is a remote position for CA-licensed nurses. Candidates must live in California.
We are seeking nurses with at least one year of outpatient Utilization Management experience in a fast-paced setting.
Our Values: 
  • Put Patients First
  • Empower Entrepreneurial Provider and Care Teams
  • Operate with Integrity & Excellence
  • Be Innovative
  • Work As One Team
  • Complete prior authorization/retrospective review of elective inpatient admissions, outpatient procedures, post-homecare services, and durable medical equipment
  • Refer cases to Medical Directors as needed/appropriate
  • Maintain knowledge of state and federal regulations and accreditation standards
  • Comply with internal policies and procedures
  • Perform any other job duties as requested
  • Active and unrestricted LVN license in CA. 
  • At least 1 years of outpatient UM experience
  • Experience with Microsoft applications such as Word, Excel, and Outlook
You'll be Great for this Role If:     
  • At least two (2) years of health plan, IPA or MSO experience
  • Strong interpersonal skills
  • Ability to collaborate with co-workers, senior leadership, and other management
  • Experience educating and training staff
  • This is a remote position. Our office is located at 1600 Corporate Center Drive in Monterey Park, CA. Candidates who live within a 30 mile radius of the office may be expected to work hybrid.
  • Typical business hours are Monday - Friday from 8:30 AM to 5 PM, however, this position requires open availability between 8 AM - 8 PM PST, M-Su. Your schedule will be compromised of 5 shifts per week. Nurses rotate weekend and holiday coverage. Overtime is required in this position.  
  • The national target pay range for this role is $34.00 - $47.00 per hour. Actual compensation will be based on job level, geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based on race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided based on qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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