- Molina Healthcare (TX)
- **_JOB TITLE: RN ( REGISTERED NURSE ) Program...years in one or more of the following areas: utilization management , case management , care ... and other related documentations. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed... Nurse ( LVN ) or Licensed Practical Nurse (LPN) with experience in lieu of RN… more
- Molina Healthcare (WI)
- …Education** Any of the following: Completion of an accredited Registered Nurse ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ... **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ), Licensed Vocational Nurse ( LVN ) or Licensed… more
- Pipeline Health System, LLC (East Los Angeles, CA)
- Case Manager RN / LVN Per Diem 8 Hour Day...Under the general supervision of the CM Director the nurse case manager manages clinical resource utilization ... setting. + Consideration on a case-by-case basis for a RN without Case Management experience. + Critical...care. Education: + Bachelor's degree, preferred Licensure/Certifications: + Current RN or LVN license for the state… 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
- Banner Health (Tucson, AZ)
- …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
- The Cigna Group (Birmingham, AL)
- …reside in Jefferson, Tuscalossa, Walker or Fayette County **Experience:** * Current Licensure as a Registered Nurse or LVN /LPN, in the state of Alabama in ... Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position...management position (experience can be a combination of LVN / RN licensure) * Previous HEDIS and/or CMS… more
- Molina Healthcare (Los Angeles, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... needed. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Vocational Nurse ( LVN ), or Licensed Practical Nurse (LPN) Program… more
- Sutter Health (Concord, CA)
- …Care at Home - Bay **Position Overview:** Under the general direction of a qualified registered nurse , the Licensed Vocational Nurse assists in the nursing ... standards of practice Fiscal Responsibility (includes productivity, HHRG rating, supply management , utilization review) * Demonstrates ability to prioritize… 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 (KY)
- …an equivalent background. + Current active unrestricted license or certification as a LPN, LVN , or RN to practice as a health professional within the scope ... **Title** : Licensed Utilization Review II **Location** : Candidates must reside...medically appropriate, quality, cost effective care throughout the medical management process. + Educates the member about plan benefits… more
- Molina Healthcare (Waltham, MA)
- …or equivalent combination of Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) with experience in lieu of RN license. + OR Bachelor's or ... performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- Molina Healthcare (New York, NY)
- …or equivalent combination of Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) with experience in lieu of RN license. + OR Bachelor's or ... **We are looking for a candidate with a NY RN , NY LMSW or NY LCSW licensure with strong...performing one or more of the following activities: care review/ utilization management (prior authorizations, inpatient/outpatient medical necessity,… more
- Elevance Health (Louisville, KY)
- …an equivalent background. + Current active unrestricted license or certification as a LPN, LVN , or RN to practice as a health professional within the scope ... The **Licensed Utilization Review I** is responsible for working with...medically appropriate, quality, cost effective care throughout the medical management process. + Educates the member about plan benefits… more
- The Cigna Group (Bloomfield, CT)
- …, or utilization management position (experience can be a combination of LVN / RN licensure) + Previous HEDIS and/or CMS STARs experience a plus. If you ... requires working onsite at providers office. **Experience** : + Current Licensure as a registered nurse , in the state of residence in good standing. + Associates… more
- Elevance Health (Brazil, IN)
- …patients, members or providers 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, as required by the IN PathWays for Aging program;… more
- Elevance Health (FL)
- …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
- Elevance Health (Grand Prairie, TX)
- …reside in Lubbock, or WRSA service delivery area. The **LTSS Service Coordinator - RN Lead Clinician (US)** is responsible for leading a team and assisting ... with day to day activities, such as workforce management and monitoring and prioritizing workflow. **How you will...the scope of licensure; provides supervision and direction to non- RN clinicians participating in the member's case in accordance… more
- Select Medical (San Diego, CA)
- …Sign On Bonus** _Requires a current licensure in a clinical discipline either as a Nurse ( RN /LPN/ LVN ) or a Respiratory Therapist (RT) OR Medical Social Work ... 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
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