- Scripps Health (San Diego, CA)
- …experience is preferred. **Job:** **Pt Care Technical* **Organization:** **Scripps Health Corp* **Title:** * LVN - Utilization Review - Remote within San ... Health for over 10 years *As a Licensed Vocational Nurse , you will be:* * Responsible for review...agency time frames required. * Graduate of an accredited LVN or RN Program *Preferred Qualifications:* *… more
- The Arora Group (Bethesda, MD)
- …+ The Contractor shall frequently collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN ) and pre-certification clerk. + The ... Currently recruiting a Licensed Practical Nurse (LPN/ LVN ) - Utilization Review in...or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as… more
- Fresenius Medical Center (Garner, NC)
- **POSITION FEATURES:** Area Float **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the ... Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from...be made. **SUPERVISION:** + Assigned oversight of Patient Care Technicians// LVN /LPNs/RNs as a Team Leader or designated Nurse… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position ... to support the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and… 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 ... hypertension, stroke prevention and heart failure. Job Description: The RN Case Manager is responsible to facilitate care along...management experience preferred. 3. License to practice as a Registered Nurse in the State of Michigan.… more
- The Cigna Group (Harlingen, TX)
- …skills * Typing and computer knowledge- able to type 35WPM * Knowledge of utilization review requirements and procedures * Knowledge of current health care ... Duties as assigned. **Experience:** * Current Licensure as a LPN/ LVN or RN , in the state of...years recent experience in an acute-care environment, case-management or utilization management position (experience can be a combination of… more
- Fresenius Medical Center (Evergreen Park, IL)
- …based at the Evergreen Park clinic._ _Monday-Friday, day hours._ **PURPOSE AND SCOPE:** The professional registered nurse Home Therapies RN CAP 2 may be an ... Advancement Program (CAP) for new employees who meet the RN CAP 2 criteria or attained through advancement from...from the Educator, Preceptor or in collaboration with another Registered Nurse . + Performs ongoing, systematic collection… more
- The Cigna Group (El Paso, TX)
- …ability . Typing and computer knowledge- able to type 35WPM . Knowledge of utilization review requirements and procedures . Knowledge of current health care ... **Ideal candidate must reside in El Paso, Texas area.** **Experience:** .Current unrestricted LPN/ LVN or RN licensure in the state of Texas. Associates degree,… 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 (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...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… 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
- Hospice Of San Joaquin (Stockton, CA)
- …needs of the patient and family. + Follows treatment plan established by the Registered Nurse /Case Manager. + Follows scope of practice when providing nursing ... of everything we do. We seek a Dynamic, self-motivated LVN - PM Float who thrives in a fast-paced...the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program… 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 ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
- HCA Healthcare (Campbell, CA)
- …personal growth, we encourage you to apply for our Utilization Management RN opening. We promptly review all applications. Highly qualified candidates will ... research clinical and non-clinical issues required . Current California RN or LVN license required . Minimum...years of experience in Managed Care, Provider Office, or Utilization Review organization required Physician Services Group… more
- CVS Health (Atlanta, GA)
- …visit, inpatient, skilled nursing, or rehabilitative stay. Under the direction of a Registered /Licensed RN , the TOC Coach ensures the member experiences a ... or changes in condition to be transitioned back to RN . + Complete post discharge call and required assessments...who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current… 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 ... Recognize urgent or emergent patient care situations, seek assistance of the RN and/or MD/DO, and initiate appropriate emergency interventions as directed. + Perform… more
- Elevance Health (Tampa, FL)
- **Licensed Utilization Review II** **Location** : KS,...Current active unrestricted license or certification as a LPN, LVN , or RN to practice as a ... **Hours** **: Monday through Friday,10:30 - 7:00 Eastern time** The **Licensed Utilization Review II** responsible for working primarily with healthcare… 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
- Banner Health (Phoenix, 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...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Centene Corporation (Olympia, WA)
- …Managed care or utilization review experience preferred. **License/Certification:** LPN, LVN , or RN license. Pay Range: $32.41 - $58.31 per hour Centene ... Purpose:** Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all… more
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