Prior Authorization Nurse at Actalent in Mather, CA | USD40-50 | Kablio

Role

Description

case triage

prior authorization

policy review

ppo review

resource management

Triage and review cases as needed.
Work on prior authorization cases following medical policy.
Review all prior authorizations for the PPO side.
Utilize resources effectively to manage cases.

Requirements

bsn

ca license

utilization review

emr

ms apps

3 years

Bachelor of Science in Nursing (BSN) preferred.
CA Nursing License.
Experience in utilization review, utilization management, prior authorization, case management, health plan, and/or other managed care
Excellent communication skills.
Minimum of 3 years of experience, with some flexibility.
Experience in managed care or health plan environments.
Strong computer skills.
Experience with electronic medical records (EMR).
Experience with MS applications.

Benefits

Time Off/Leave (PTO, Vacation or Sick Leave) Workplace Type This is a hybrid position in Rancho Cordova,CA. Application Deadline This position is anticipated to close on Dec 12, 2025.
Employee Assistance Program
401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
Critical Illness, Accident, and Hospital
Transportation benefits
Medical, dental & vision
Health Spending Account (HSA)
Short and long-term disability
Life Insurance (Voluntary Life & AD&D for the employee and dependents)

Training + Development

Information not given or found

Interview process

Information not given or found

Visa Sponsorship

Information not given or found

Security clearance

Information not given or found

Company

Overview

$1.3B Annual Revenue

Revenue Figure

Generated annually through a network of technical and consulting services.

27,500+ Consultants

Consultants Network

Comprises a global network of expert professionals across industries.

Born in July 2021 by merging Aerotek’s engineering & sciences arm with EASi, Actalent emerged as a focused engineering-and-science partner.
Backed by Allegis Group, it drives scale and speed to market via contract, managed, and technical services.
Headquartered in Maryland with global reach, it deploys specialized teams across North America, Europe, and APAC on Fortune 500 projects.
Typical engagements span EV design, vaccine development, lab services, clinical research, and infrastructure systems.
Expertise covers a wide spectrum: aerospace, defense, healthcare, manufacturing, software systems, environmental and civil engineering.

Culture + Values

We empower people to realize their full potential by providing opportunities to grow and learn.
We build lasting relationships based on trust, integrity, and respect.
We champion innovation, continuously seeking creative solutions.
We are committed to delivering exceptional results for our clients and employees.
We foster a collaborative environment where team members contribute to collective success.

Environment + Sustainability

2050

Target Year

The company has set a goal to achieve net-zero emissions by the year 2050.

focused on reducing its carbon footprint and enhancing environmental sustainability.
committed to making energy-efficient investments and improving operational practices for sustainability.
focuses on reducing waste and increasing recycling in its operations.

Inclusion & Diversity

This company prioritizes creating an inclusive workplace where diverse perspectives are valued.
The organization strives to increase gender diversity and empower women at all levels.
The company regularly monitors and tracks progress on gender-related diversity goals.

Articles

Services Overview

Data Protection & Privacy Policy

Company

Overview

$1.3B Annual Revenue

Revenue Figure

Generated annually through a network of technical and consulting services.

27,500+ Consultants

Consultants Network

Comprises a global network of expert professionals across industries.

Born in July 2021 by merging Aerotek’s engineering & sciences arm with EASi, Actalent emerged as a focused engineering-and-science partner.
Backed by Allegis Group, it drives scale and speed to market via contract, managed, and technical services.
Headquartered in Maryland with global reach, it deploys specialized teams across North America, Europe, and APAC on Fortune 500 projects.
Typical engagements span EV design, vaccine development, lab services, clinical research, and infrastructure systems.
Expertise covers a wide spectrum: aerospace, defense, healthcare, manufacturing, software systems, environmental and civil engineering.

Culture + Values

We empower people to realize their full potential by providing opportunities to grow and learn.
We build lasting relationships based on trust, integrity, and respect.
We champion innovation, continuously seeking creative solutions.
We are committed to delivering exceptional results for our clients and employees.
We foster a collaborative environment where team members contribute to collective success.

Environment + Sustainability

2050

Target Year

The company has set a goal to achieve net-zero emissions by the year 2050.

focused on reducing its carbon footprint and enhancing environmental sustainability.
committed to making energy-efficient investments and improving operational practices for sustainability.
focuses on reducing waste and increasing recycling in its operations.

Inclusion & Diversity

This company prioritizes creating an inclusive workplace where diverse perspectives are valued.
The organization strives to increase gender diversity and empower women at all levels.
The company regularly monitors and tracks progress on gender-related diversity goals.

Articles

Services Overview

Data Protection & Privacy Policy