- 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 ... environment + Previous clinical experience + Experience drafting and issuing compliant adverse organization determinations + In-depth knowledge of health plan, DMHC, CMS, HIPPA, and NCQA requirements + Expertise in abstracting and interpreting medical… more
- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/176615/ utilization -review-nurse- lvn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... qualifications: + Possess an active CA Licensed Vocational Nurse ( LVN ) license. + Minimum two years of experience in...Minimum two years of experience in acute hospital case management or equivalent. + Utilization Management… more
- Prime Healthcare (Inglewood, CA)
- …+ Travel to local hospitals is required. + Knowledge in discharge planning/ utilization management /case management terminology and functions, in both ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/182999/discharge-planner lvn -case- management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management … more
- Matrix Providers (Jacksonville, FL)
- …TRICARE directives, coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and obtains additional clinical ... Licensed Practical Nurse (LPN/ LVN ) -Naval Hospital Jacksonville, FL Location: Jacksonville, FL,...Consult, coordinate, and collaborate with MHP team members, referral management team members, specialty care clinics, outside care professionals,… more
- Sharp HealthCare (San Diego, CA)
- …(AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Vocational ... for the position, and employer business practices. **_T_** **_his is an LVN float pool position that services the following Sharp Rees-Stealy locations: San… more
- The Cigna Group (Birmingham, AL)
- …Nursing * Three to Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position (experience can be a ... provider practices * Identifies high-risk/high-cost patients for possible case management intervention. * Interfaces with providers of medical services and… more
- Molina Healthcare (WI)
- …or RN Nurse with previous experience in Concurrent Review/_** **_Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines. COMPACT ... 3-5 years clinical practice with managed care, hospital nursing or utilization management experience. **Preferred License, Certification, Association** Active,… more
- Sharp HealthCare (San Diego, CA)
- …0 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; IV Certification ... Downtown, Chula Vista, Santee, and La Mesa.** **As an LVN in this Float Pool, you would be trained...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- Sharp HealthCare (San Diego, CA)
- …credibility with physicians and non-physician health care practitioners involved in case management + California Licensed Vocational Nurse ( LVN ) - CA Board ... (CCM) - Commission for Case Manager Certification; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Bachelor's… 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: + ... and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain ...a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) is on duty 24 hours a day. +… 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
- Prime Healthcare (Ontario, CA)
- …plan. #LI-AS1 Qualifications Required qualifications: + Knowledge in discharge planning/ utilization management /case management terminology and functions, ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/179145/case- management -discharge-planner- lvn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management… 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 ... regular trainings and other collaborative meetings as appropriate. + Works with management team to achieve operational objectives and financial goals. + Supports… more
- Cedars-Sinai (Culver City, CA)
- …or serves as liaison, for administrative support activities including facilities management , pharmacy, utilization management , quality management ... of standard operating policies and procedures in collaboration with senior management . 3. Oversees and maintains necessary staff certifications and licensing… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Case Manager RN/ LVN Per Diem 8 Hour Day Shift Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization and ... and effective transition/discharge plan + Responds timely to case management consults for patients + Refers patients to SW...+ Bachelor's degree, preferred Licensure/Certifications: + Current RN or LVN license for the state of California. + ACM… 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 ... referrals for psychosocial needs + Participates in Quality Assurance and Utilization Reviewactivities, as directed + Empowers patients in decision-making for care… 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 ...listed below): + RN license upon hire preferred + LVN license upon hire preferred with 5 years of… more
- Sutter Health (Concord, CA)
- …standards of practice Fiscal Responsibility (includes productivity, HHRG rating, supply management , utilization review) * Demonstrates ability to prioritize ... referral sources and community agencies * Demonstrates knowledge and appropriate utilization of internal, community resources to meet patient needs * Demonstrates… more
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... Excellent customer service skills required. **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management … more
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