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Nurse RN 3 - 93804

Rancho Cordova, CA 95670

Employment Type: Contract Job Number: 9020466 Pay Rate: Pay Rate: $51.19 - $52.27 per hour

Job Description


Nurse RN 3



Job Summary
 

The Nurse RN 3 is responsible for triaging and reviewing cases, with a primary focus on prior authorization reviews. This role applies established medical policies and utilizes appropriate resources to support accurate and timely clinical determinations and case handling.


Responsibilities


  • Triage incoming cases and determine priority based on clinical need and guidelines.

  • Review and process prior authorization cases in alignment with medical policy.

  • Utilize clinical resources and reference tools to support decision-making.

  • Document clinical decisions, rationale, and case notes accurately in the appropriate systems.

  • Communicate effectively with internal teams and external stakeholders as needed.

  • Collaborate with other clinicians or departments for complex or atypical cases.



Requirements


  • Valid California registered nursing license.

  • Strong computer skills and ability to work within electronic medical record (EMR) systems.

  • Good written and verbal communication skills.

  • Working knowledge of Microsoft applications.

  • BSN preferred.

  • Previous prior authorization or utilization review experience preferred.

  • EMR experience preferred.



Skills


  • Clinical assessment and critical thinking.

  • Proficiency with Microsoft Office and general computer applications.

  • Accuracy and attention to detail in documentation.

  • Effective time management and ability to handle multiple cases.

  • Strong interpersonal and communication abilities.

  • Ability to interpret and apply medical policies and clinical guidelines.



Summary Qualification


  • Current, valid California RN license.

  • BSN preferred.

  • Experience in prior authorization, utilization review, or related case management preferred.

  • Experience working with EMR systems and standard office software.

  • Demonstrated ability to work independently in a remote or semi-remote environment.



Wollborg Michelson Recruiting is an Equal Opportunity Employer and prohibits discrimination of any kind. We ensure job offers are made based of one s employment experience, skills, and qualifications, regardless of race, gender, ethnic origin, or any other classification protected by law. All applicants must furnish proper identification to prove their legal right to work in the US upon a job offer. We participate in E-Verify to confirm one s right to work in the US. Wollborg Michelson Recruiting does not provide sponsorship for an employment-based visa status.
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About Rancho Cordova, CA

Discover exciting job opportunities in the vibrant area surrounding Rancho Cordova, California! Join us in this flourishing community, nestled in the heart of Sacramento County. Rancho Cordova boasts a thriving job market, offering immense growth potential for career seekers. With its proximity to the American River, Folsom Lake, and the beautiful Sierra Nevada mountains, outdoor enthusiasts will find endless opportunities for adventure. Home to landmarks like the Mather Field Aviation Museum and the American River Parkway, this area perfectly blends history and natural beauty. Indulge in the region's diverse cuisine, catch a show at the Sacramento Theatre Company, or cheer on the NBA's Sacramento Kings at the Golden 1 Center – there's something for everyone here. Begin your career journey in Rancho Cordova, where work-life balance meets endless possibilities!