waypointjobs

Akido Labs

Clinical Review Nurse: Complex Care & Prior Authorization

chino, CA

Check who can apply and the requirements below before continuing.

About this opportunity

Akido Labs lists this Clinical Review Nurse: Complex Care & Prior Authorization opportunity in chino, California. Review the employer’s description below for duties, qualifications and application requirements.

Job description

Akido Labs is seeking a Clinical Review Nurse to lead complex case management and prior-authorization activities within our Utilization Management team in California. You’ll review outpatient requests, apply MCG criteria, coordinate with providers, and ensure timely, compliant determinations for our growing managed care programs.

The role requires an active California RN license, 3–5+ years of UM review, and experience with prior authorization workflows.

#J-18808-Ljbffr

Worksite address

chino, CA, 91708, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

Ready for your next step?Apply on the official website
Apply on WhatJobs ↗

Explore related searches

Current related jobs

Veterans Health Administration

USAJOBS

Registered Nurse - Primary Care

Green Bay, WI

$69,717.00 – $122,521.00 per yearfull time

There is a full time opening for a Registered Nurse in the Primary Care Clinic in Green Bay. The function of the Patient Aligned Care team (PACT)…

Closing date 2026-10-26View job

Veterans Health Administration

USAJOBS

Registered Nurse- Community Living Center

Saint Cloud, MN

$85,887.00 – $152,379.00 per yearfull time

This is an OPEN CONTINUOUS ANNOUNCEMENT. This announcement will remain open until the closing date or until all positions have been filled. Quali…

Closing date 2027-01-13View job

Veterans Health Administration

USAJOBS

Nurse (Case Manager/Care Coordinator)

Boise, ID

$71,488.00 – $147,277.00 per yearfull time

The Community Care Coordinator Registered Nurse coordinates timely, high-quality care for Veterans across VA and community providers. Triages ref…

Closing date 2026-10-26View job

Veterans Health Administration

USAJOBS

Registered Nurse - Emergency Department

Fort Meade, SD

$71,638.00 – $134,624.00 per yearfull time

This position is eligible for the Education Debt Reduction Program (EDRP). Join VA Black Hills Health Care System as an Emergency Department Regi…

Closing date 2026-10-22View job

Veterans Health Administration

USAJOBS

Vocational Nurse - EDRP Approved

El Paso, TX

$40,753.00 – $74,170.00 per yearpart time

This position is eligible for the Education Debt Reduction Program (EDRP), a student loan payment reimbursement program. You must meet specific e…

Closing date 2026-10-22View job