- Dignity Health (Rancho Cordova, CA)
- …position is work from home** **within driving distance of Sacramento, CA** **.** As a Utilization Review (UR) LVN , you will use clinical judgement in ... all work activities. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. 5 years LVN experience. -… more
- Dignity Health (Rancho Cordova, CA)
- …within driving distance of the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review (UR) LVN uses clinical judgement in providing ... outcomes of patients. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. - 5 years LVN experience. -… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …mental health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN /LPT $35.00-44.19 Per ... Hour RN/LCSW/LMFT/LPCC $54.00-68.18 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as...Current license as an LCSW, ASW, AMFT, LMFT, RN, LVN , LPT, or LPCC. + Preferred; Master's degree in… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity… more
- WelbeHealth (Los Angeles, CA)
- ** Utilization Management LVN ** At WelbeHealth, we...care to our participants. The Utilization Management LVN is accountable for the review and ... team plays a critical role in our participants' journeys, and our Utilization Management team ensures that we provide timely, quality, compliant, and cost-effective… 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** **:** ... Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program. + California Licensed Vocational Nurse ( LVN...patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …geriatric patients at the Eureka VA Clinic. Duties and responsibilities of the LVN /LPN include: Performs retrospective medical review of non-VA health care ... of a Allied Health Professional The Intermittent Licensed Vocational Nurse/Practical Nurse ( LVN /LPN) has a broad degree of practical nursing knowledge and skills.… 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
- Sharp HealthCare (La Mesa, 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
- 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
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …education necessary to meet licensure requirements. One year experience in Utilization Review or Case Management discharge planning, current knowledge/use ... plays a vital role within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case Managers, support staff,… more
- University of Southern California (Arcadia, CA)
- …outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and maintains ... of competency, and/or regulation. TheRN will direct care provided by the LVN , CNA, nursing student, and/or logistics technician.* Responsible for understanding and… more
- ERP International (Camp Pendleton, CA)
- …education of patients and their families and employee satisfaction. **Additional LPN/ LVN - Duties** . + Provide care coordination for the beneficiaries assigned ... manuals, reports and actively engages patients in their health care. + Review details and expectations regarding referrals with patients. + Provide support to… more
- Evolent (Sacramento, CA)
- …the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks are ... performed within the **RN/ LVN /LPN** scope of practice, under the Medical Director's direction,...medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as a member advocate, expediting care… more
- Datavant (Sacramento, CA)
- …healthcare. The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- Insight Global (Los Angeles, CA)
- …Director. The RN Supervisor will manage on average 5 employees between MA's, LVN 's, RNs and administrative staff. 75% of responsibilities are geared toward staff ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/. Skills and… more
- VNA Health (Santa Barbara, CA)
- …inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and reports in ... and other team members in providing continuity of cared. + Supervise LVN 's, Home Health Aides and Volunteers. + Ensure that arrangements for equipment… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of Joint ... Foreign trained MDs will be considered License/Certifications: Registered Nurse, LVN , Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD… more