- 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 Full Time Days - 2506001796 Description : The Detroit Medical Center (DMC) is a nationally recognized health care system that serves… 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 $31.50-37.50 Per ... Hour RN/LCSW/LMFT/LPCC $54.00-64.00 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
- Actalent (Redlands, CA)
- Job Title: Case Manager - Utilization ManagementJob Description Join our dynamic Utilization Management team as a Case Manager, where you will play a pivotal ... role in Care Coordination. You will review healthcare service requests to ensure they meet medical...Medicare, MediCal, and Milliman Criteria Guidelines. + Experience in utilization management and working with provider offices. + Proficiency… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- …Coordinator for questions/assistance. Learn more Duties and responsibilities of the LVN /LPN include: Incumbent performs retrospective medical review of non-VA ... Summary The Licensed Vocational Nurse/Practical Nurse ( LVN /LPN) have a broad degree of practical nursing...the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible… more
- Matrix Providers (Jacksonville, FL)
- LPN/ LVN - Pain Management Location: Jacksonville, FL, United States Healthcare Provider Type : Ancillary Services (MQS) START YOUR APPLICATION ... Paid Holidays (Outlined in Handbook) + 401(k) Plan The LPN/ LVN - Pain Management must have and meet the...coordinating with the local Medical Home Port (MHP) clinic, utilization and Referral Management policies, and obtains additional clinical… more
- Banner Health (Susanville, CA)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... general surgeries and orthopedics. **As a Licensed Vocational Nurse, LVN , at Banner Lassen Health Center, you will perform...assessments, prepping patients for the provider and more. This LVN is a full time Monday - Friday with… more
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/ LVN to provide services at our Georgia War Veterans Home. GWVH will be opening a new unit that will be dedicated to the needs related to ... 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… more
- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... of defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for physician … more
- Actalent (Dallas, TX)
- Now Hiring: Remote LVN /LPN Manager Location: Fully Remote Schedule: Monday-Friday 6:30am -4pm Type: Full-Time | Leadership Role About Us Our company is a national ... care. We're expanding our team with a Remote Nurse Team Manager-an LVN or LPN with leadership experience-who will guide staff in executing high-impact… 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 ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; IV… more
- Actalent (Dallas, TX)
- Now Hiring: Remote LVN /LPN Manager Schedule: Monday-Friday 6:30am -4pm Type: Full-Time We're a national specialty pharmacy redefining patient care through ... we're looking for a Remote Nurse Team Manager-a licensed LVN or LPN with a passion for leadership and...events, including suicide risk protocols for sensitive medications + Review time-off requests, resolve team challenges, and manage daily… more
- Dignity Health (Woodland, CA)
- …of Participation requirements as measured by defined evaluation processes (ie UR review , Patient Care, IDT processes etc.) + Documents appropriate management of ... visit utilization and authorization status as measured by a designated...of RN. **Qualifications** **Minimum Requirements:** **Education and Experience:** + LVN Experience within the last 5 years. + 2… more
- Guardian Life (Bethlehem, PA)
- As the **Clinical Specialist II, LPN/ LVN ** you will be a licensed Practical or Vocational Nurse who is knowledgeable in a variety of medical and behavioral health ... You may also be required to help with coordinating and overseeing vendor utilization and assist in determining overall function as needed in order to facilitate… more
- Molina Healthcare (Oakland, CA)
- …Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable ... state and federal regulations. **Required License, Certification, Association** Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program… more
- STG International (Temple, TX)
- …not on the formulary 4. Comply with all VA reporting per VLB timelines 5. Review RX policy and procedures annually 6. Represent community with agencies as needed 7. ... balancing cost to care in pharmacy ordering, alternative substitutions and off formulary utilization . 25. Participates as a team member in the results of Survey… 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
- UnityPoint Health (Iowa City, IA)
- …services. * Is knowledgeable regarding managed care implications - precertification and utilization review procedures. * Assists with crisis services placement, ... where applicable. * Provides consultation regarding behavioral health issues as needed to other departments. * Collaborates with interdisciplinary team and other agencies. * Provides consultation regarding behavioral health or medical issues as needed to… more
- Molina Healthcare (Bellevue, WA)
- …candidate with a WA state LPN licensure. Candidates with case management, Utilization Management (UM), and direct managed care experience are highly preferred. ... 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
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The scope of service provided by the LVN / LPN for the Care in the Community Service is based on identified patient needs, consistent with the VHA Office of ... Community Care. The Community Care LVN is responsible professionally and administratively to the Nurse Manager, Care in the Community and//or designee. They also… more