- 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
- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236094/ utilization - review -nurse- lvn ... Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse ( LVN ) license. + Minimum (2) two years of experience in acute hospital… more
- Tenet Healthcare (Detroit, MI)
- …of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN /LPN and/or Authorization Coordinator as needed. (5% daily, ... RN Utilization Review - Case Management - 2506004107 Description : Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse… 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
- 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
- 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 residents. ESSENTIAL FUNCTIONS: + Ensure the facility meets the… more
- Sharp HealthCare (Chula Vista, 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 (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 ... Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians;… 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
- 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)
- …providers for 90% of all referrals. + Provides timely, descriptive feedback regarding utilization review issues. + Reviews and enters first right of refusal ... ERP International is seeking full-time **Licensed Practical** **/Vocational Nurses (LPN/ LVN )** in support of Referral Management Center at theNaval Medical… more
- UnityPoint Health (Cedar Rapids, IA)
- …+ Is knowledgeable regarding managed care implications - precertifications and utilization review + Maintains competence in performing procedures involved ... with the management of violent or potentially violent patients. Complies with policies for restraint and seclusion per service guidelines. Qualifications + Current licensure in good standing to practice as a licensed practical nurse in the state of Iowa. +… more
- Centene Corporation (Little Rock, AR)
- …nursing or case management experience. Managed care or utilization review experience preferred. **License/Certification:** LPN, LVN , or RN license. Pay ... Purpose:** Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all… more
- Molina Healthcare (NM)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN (preferred) or LPN with a compact license who resides in New Mexico or Texas. This team ... following: Completion of an accredited Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's… more
- Tenet Healthcare (Detroit, MI)
- …to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patients resources and right to ... national standards for case management scope of services including: Utilization Management supporting medical necessity and denial prevention. Transition Management… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …by the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities This vacancy will remain open until ... The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/ LVN ) 6 is to perform assigned duties in a...understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... nursing experience or case management experience. + 3 Years case management, utilization review , care coordination experience. + California Registered Nurse (RN)… more
- Veterans Affairs, Veterans Health Administration (Billings, MT)
- Summary The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/ LVN ) is to perform assigned duties in a manner that promotes quality health care, ... and record relevant patient information. Completed work should need only a general review by a registered nurse or physician for appropriateness and conformity with… more
- Banner Health (Greeley, CO)
- …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