- WelbeHealth (Los Angeles, CA)
- ** Utilization Management LVN ** At WelbeHealth, we are transforming the reality of senior care by providing an all-inclusive healthcare option to the most ... we provide timely, quality, compliant, and cost-effective care to our participants. The Utilization Management LVN is accountable for the review and audit of… more
- Integra Partners (Troy, MI)
- Integra is looking for a LPN/ LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for ... and adaptability, we help deliver better health outcomes and more efficient management of complex healthcare benefits. Integra Partners is a wholly owned subsidiary… more
- Dignity Health (Rancho Cordova, CA)
- … Review (UR) LVN , you will use clinical judgement in providing utilization management (UM) services. The focus is to provide high quality, cost-effective ... **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. 5 years LVN experience. - Clear and current CA LVN … more
- Dignity Health (Rancho Cordova, CA)
- … Utilization Review (UR) LVN uses clinical judgement in providing utilization management (UM )services. The focus is to provide high quality, ... patients. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. - 5 years LVN experience. - Clear… more
- Sharp HealthCare (San Diego, CA)
- …**Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:** ... **Required Qualifications** + Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program. + California Licensed Vocational Nurse ( LVN ) - CA Board… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …Vocational Nurse plays a vital role within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case ... education necessary to meet licensure requirements. One year experience in Utilization Review or Case Management discharge planning, current knowledge/use… more
- Emanate Health (Covina, CA)
- …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality- related job ... States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… more
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/ LVN to provide services at our Georgia War Veterans Home. If you have compassion and a passion to care for Veterans, this could be the job for ... you! JOB SUMMARY: The primary purpose of the lead LPN/ LVN is to provide direct nursing care to the...and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain … 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 ... designated patient population. **Required Qualifications** + California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Sharp HealthCare (La Mesa, CA)
- …1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; IV Certification ... designated patient population. **Required Qualifications** + California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- University of Southern California (Pasadena, CA)
- The Licensed Vocational Nurse ( LVN ) is an individual with specific knowledge and technical skills to assist the Registered Nurse in providing care for a designated ... group of patients. The LVN utilizes the Nursing Process to provide therapeutic care...Primary job duty surrounds all aspects of medication refill management . Attends to prescription refill phone line. Proposes refill… more
- University of Southern California (Pasadena, CA)
- The Licensed Vocational Nurse ( LVN ) is an individual with specific knowledge and technical skills to assist the Registered Nurse in providing care for a designated ... group of patients. The LVN utilizes the Nursing Process to provide therapeutic care...chart with pertinent medical information, administers medication, and prescription management as directed by physician. Schedules diagnostic tests and… more
- Molina Healthcare (TX)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... Corporate Compliance business. The candidate must have an unrestricted LVN licensure. Candidates must be technologically proficient, self-directed, autonomous and… more
- Actalent (Sacramento, CA)
- …(eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review, case management , or hospital discharge planning + Familiarity with ... Remote Licensed Vocational Nurse ( LVN ) Fully remote but MUST reside within 50...of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and… more
- ERP International (Camp Lejeune, NC)
- **Overview** ERP International is seeking full-time **Licensed Practical** **/Vocational Nurses (LPN/ LVN )** in support of Referral Management Center at theNaval ... sectors. We provide comprehensive enterprise information technology, strategic sourcing, and management solutions to DoD and federal civilian agencies in 40 states.… more
- Hartford HealthCare (Mansfield Center, CT)
- …including implementation, follow-through, and competency validation- in collaboration with Care Management and Quality teams. Oversees hospice care aide staffing to ... ensure appropriate resource utilization and meet client needs; manages hiring, scheduling, training,...supervisory home visits and development planning. Collaborates with Care Management and Quality teams to develop annual in-service programs;… more
- UnityPoint Health (Cedar Rapids, IA)
- …the progress towards goals per unit policy. + Maintains competence in the management of the patient undergoing ECT where applicable. + Is knowledgeable regarding ... managed care implications - precertifications and utilization review + Maintains competence in performing procedures involved with the management of violent or… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- Prime Healthcare (Montclair, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/221097/discharge-planner utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
- Baylor Scott & White Health (Dallas, TX)
- …and evaluation of innovative, multidisciplinary clinical programs driving improvement in quality, utilization management , systems management and outcomes ... (eg, provider performance) by analyzing and interpreting quality and utilization management issues, reviewing clinical documentation, identifying trends,… more