- Prime Healthcare (Ontario, CA)
- …licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/176615/ utilization - review -nurse- lvn ... Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse ( LVN ) license. + Minimum two years of experience in acute hospital case… more
- UCLA Health (Los Angeles, CA)
- …with: + Current CA LVN licensure required + Two or more years of utilization review / utilization management experience in an HMO, MSO, IPA, or health plan ... and guidelines in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial… more
- The Arora Group (Bethesda, MD)
- …- Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/ LVN ) - Utilization Review in Bethesda, Maryland to provide care to ... be required on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/ LVN ) - UTILIZATION REVIEW : + Initiate, perform and complete assigned duties in… more
- Matrix Providers (Jacksonville, FL)
- Licensed Practical Nurse (LPN/ LVN ) -Naval Hospital Jacksonville, FL Location: Jacksonville, FL, United States Healthcare Provider Type : Nursing START YOUR ... Come home to Matrix. Matrix Providers is hiring a Licensed Practical Nurse (LPN/ LVN ) to join our team of talented professionals who provide health care services… more
- Molina Healthcare (WI)
- …a LVN / LPN or RN Nurse with previous experience in Concurrent Review /_** **_Utilization Review / Utilization Management and knowledge of Interqual / ... following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… more
- STG International (Macon, GA)
- …War Veterans Home in Milledgeville, GA. JOB SUMMARY: The primary purpose of the LPN/ LVN is to provide direct nursing care to the residents. ESSENTIAL FUNCTIONS: + ... forms, reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions, etc.,… more
- Banner Health (Tucson, AZ)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of practice, temporary LPN or... license in state of practice, temporary LPN or LVN license in state of practice, or compact LPN… more
- Sharp HealthCare (San Diego, CA)
- …0-2 errors; Have the ability to proof work. Knowledge of insurance, utilization review , scheduling requirements and front desk responsibilities. Knowledgeable on ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Driver's License… more
- The Cigna Group (Birmingham, AL)
- …skills * Typing and computer knowledge- able to type 35WPM * Knowledge of utilization review requirements and procedures * Knowledge of current health care ... Walker or Fayette County **Experience:** * Current Licensure as a Registered Nurse or LVN /LPN, in the state of Alabama in good standing. * Associates degree, diploma… more
- Amergis (Orange, CA)
- The LPN/ LVN Case Manager is responsible for coordinatingcontinuum of care activities for assigned patients and ensuring optimumutilization of resources, service ... + Documents patient case information within a database system + Performs chart review /audits monthly or as needed + Participates in monthly case conferences by… more
- Cedars-Sinai (Culver City, CA)
- …clinical functions of the medical practice(s). 2. Assists in the development, review , and revision of standard operating policies and procedures in collaboration ... liaison, for administrative support activities including facilities management, pharmacy, utilization management, quality management, risk management, human resources, payroll,… more
- Sutter Health (Concord, CA)
- …of practice Fiscal Responsibility (includes productivity, HHRG rating, supply management, utilization review ) * Demonstrates ability to prioritize individual ... referral sources and community agencies * Demonstrates knowledge and appropriate utilization of internal, community resources to meet patient needs * Demonstrates… 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 as… more
- The Cigna Group (Bloomfield, CT)
- …Responsibilities:** + Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and outpatient ... when services do not meet criteria or require additional review . + Participation in staff meetings, regular trainings and...Current Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN . + Active unrestricted license in state where you… more
- Molina Healthcare (Los Angeles, CA)
- …Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable ... state and federal regulations. **Required License, Certification, Association** Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program… more
- Elevance Health (KY)
- **Title** : Licensed Utilization Review II **Location** : Candidates must reside within 50 miles or 1-hour commute each way of an Elevance Health location. ... **Build the Possibilities. Make an Extraordinary Impact.** The **Licensed Utilization Review II** is responsible for working...Current active unrestricted license or certification as a LPN, LVN , or RN to practice as a health professional… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- POSITION TITLE: Utilization Review Clinician REPORTS TO (TITLE): Director of Utilization Review DESCRIPTION OF POSITION: Work as member of ... party payers. + Recordkeeping: Maintains appropriate records of the Utilization Review Department. + Training: Provide staff...license as an LCSW, ASW, MFT, LMFT, RN, LPT, LVN or LPC + Preferred; Master's degree in Social… more
- Elevance Health (Louisville, KY)
- The **Licensed Utilization Review I** is responsible for working with healthcare providers to help ensure appropriate and consistent administration of plan ... and a minimum of 2 years of clinical or utilization review experience; or any combination of...Current active unrestricted license or certification as a LPN, LVN , or RN to practice as a health professional… more