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Remote UM Nurse, Pre-Service—CA RN/LVN
Remote / Online - Candidates ideally in
San Francisco, San Francisco County, California, 94102, USA
Listed on 2026-08-01
San Francisco, San Francisco County, California, 94102, USA
Listing for:
Alignment Healthcare USA, LLC
Remote/Work from Home
position Listed on 2026-08-01
Job specializations:
-
Nursing
Healthcare Nursing
Job Description & How to Apply Below
Alignment Health is seeking a remote UM Nurse, Pre-Service (California RN/LVN License Required) to join our growing UM team. You will review pre-certification requests for medical necessity, applying CMS guidelines and Milliman Care Guidelines to support timely, accurate determinations.
This fast-paced, production-driven role requires nursing experience in a managed care setting, collaboration with providers and medical directors, and the ability to manage multiple cases in a fully remote
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