- Scripps Health (San Diego, CA)
- …tasks within regulatory agency time frames required. * Graduate of an accredited LVN or RN Program *Preferred Qualifications:* * Previous UM, QI, Discharge ... Health for over 10 years *As a Licensed Vocational Nurse , you will:* * Conduct regular file audits to...**Pt Care Technical* **Organization:** **Scripps Health Corp* **Title:** *Quality LVN - Utilization Review - Remote within… more
- Ventura County (Ventura, CA)
- Senior Registered Nurse - Ambulatory Care Operations...new programs; + Provides clinical guidance and training to RN , LVN , and MA staff levels to ... (Bilingual Preferred) Print (https://www.governmentjobs.com/careers/ventura/jobs/newprint/4520146) Apply Senior Registered Nurse - Ambulatory Care Operations (Bilingual… more
- The Cigna Group (Harlingen, TX)
- … or utilization management position (experience can be a combination of LVN / RN licensure) * Previous HEDIS and/or CMS STARs experience a plus * Bilingual ... in staff meetings. * Other Duties as assigned. **Experience:** * Current Licensure as a LPN/ LVN or RN , in the state of Texas in good standing. * Associates… more
- Tenet Healthcare (Detroit, MI)
- Registered Nurse Case Manager Adult Services Full Time Days - 2406003328 Description : **$15,000 Sign on Bonus, with required relevant experience** DMC Harper ... for case management scope of services including: Utilization Management supporting medical necessity and denial... experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- The Cigna Group (El Paso, TX)
- …quality of care is maintained. Provides clinical assessments, health education, and utilization management to customers. Performs community visits or telephonic ... reside in El Paso, Texas area.** **Experience:** .Current unrestricted LPN/ LVN or RN licensure in the state...or Two years (2) years recent experience in a case- management or utilization management position… more
- Banner Health (Susanville, CA)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate… more
- STG International (Milledgeville, GA)
- …practices. + Must possess a current unencumbered active license to practice as a Registered Nurse ( RN ) or LPN/ LVN in the state of Georgia. + Must be able ... facility. + Coordinate with the scheduler to ensure a Registered Nurse ( RN ) is on...Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) is on duty 24 hours… more
- Molina Healthcare (Riverside, CA)
- …Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ... Vocational Nurse ) with experience in Prior Authorizations, Utilization Review / Utilization Management ...Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse ( LVN )… more
- Molina Healthcare (NV)
- …or equivalent combination of Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) with experience in lieu of RN license. + OR Bachelor's or ... compact state at this time.** **Prior experience with managed care (Medicaid, Medicare) Utilization Management processes and 3 + years in management / staff… more
- CVS Health (Austin, TX)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... impact on our members, who are enrolled in Care Management and present with a wide range of complex...or changes in condition to be transitioned back to RN . + Complete post discharge call and required assessments… more
- HCA Healthcare (Campbell, CA)
- …with purpose and integrity. We care like family! Jump-start your career as a(an) Utilization Management RN today with HCA Healthcare. **Benefits** HCA ... vary by location._** Come join our team as a(an) Utilization Management RN . We care...research clinical and non-clinical issues required . Current California RN or LVN license required . Minimum… more
- ERP International (Camp Lejeune, NC)
- **Overview** ERP International is seeking full-time **Licensed Practical** **/Vocational Nurses (LPN/ LVN )** in support of the Pain Management Clinic at theNaval ... by DOD and TRICARE directives, coordinating with the local MHP clinic, utilization and Referral Management policies, and obtains additional clinical data… more
- Prime Healthcare (La Palma, CA)
- …Responsible for the coordination of the various activities of the Case Management Department including utilization management , social services and ... Education and Work Experience + Knowledge of Discharge Planning/ Utilization Management / Case Management ...Specific Requirements (facility may require items listed below): + RN license upon hire preferred + LVN … more
- LA Care Health Plan (Los Angeles, CA)
- …Chinese, Armenian, Arabic, Farsi, Khmer, Korean, Russian, Tagalog, Vietnamese. Licenses/Certifications Required Registered Nurse ( RN ) - Active, current and ... unrestricted California License Licenses/Certifications Preferred Required Training Required: Registered Nurse ( RN ) Physical Requirements Light Additional… more
- Elevance Health (Tampa, FL)
- …**Preferred skills, Capabilities, and Experience:** + Compact license is preferred. + Utilization Management experience preferred. + Medicaid Utilization ... **Licensed Utilization Review II** **Location** : KS, FL. and...Current active unrestricted license or certification as a LPN, LVN , or RN to practice as a… more
- Elevance Health (Norfolk, VA)
- …contract. **Preferred Skills, Knowledge, and Experience:** + Previous experience with Utilization Management preferred. + Computer experience and experience ... + Current, unrestricted LPN/ LVN , LSW, LCSW, LMSW or license other than RN (as allowed by state law) in applicable state(s) required. + May require… more
- Elevance Health (Morrisville, NC)
- …state of North Carolina. The ** RN Case Manager** **(LTSS Service Coordinator- RN )** is responsible for overall management of member's case within the scope ... of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance with applicable state law and contract;… more
- Elevance Health (Latham, NY)
- …must reside in tri-state area (NY, NJ, or CT). The **LTSS Service Coordinator - RN Telehealth** is responsible for overall management of member's case within the ... **LTSS Service Coordinator - RN Telehealth** _Location:_ While this position is remote, candidate… more
- Select Medical (Columbus, OH)
- …**Case Manager** _Requires a current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN ) or a Respiratory Therapist (RT) OR Medical Social ... the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates...**Current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist ( RN preferred)… more
- Select Medical (Columbus, OH)
- …they do. Minimum requirements: + **Current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN )or a Respiratory Therapist OR current license / ... current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW...the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + Coordinates… more