Utilization Management Nurse (RN) (Temporary)
About the role
About This Temp Position
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. This is a full-time (40 hours/week) temporary assignment.
What You'll Be Responsible For
Reporting to the Utilization Management Supervisor, this position:
- Ensures that prior authorization requests are completed in a manner that meets contractual requirements and that all prior authorization reviews are conducted using nationally recognized and evidence-based standards
- Performs concurrent or post-service (retrospective) review of acute in-patient care services using established criteria
Service Area Preference
While we encourage all interested applicants to apply, we do give priority to those who live in, or near, our service counties: Santa Cruz, Monterey, Merced, San Benito, and Mariposa. Our mission of accessible, quality health care guided by local innovation leads everything we do, and having team members who are connected to the communities we serve strengthens our ability to deliver on that commitment.