- Tenet Healthcare (Detroit, MI)
- RN Utilization Review Full Time...level of care Mentor and monitor work delegated to Utilization Review LVN /LPN and/or Authorization Coordinator ... to help patients achieve optimal health, access to care and appropriate utilization of resources, balanced with the patient's resources and right to… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …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 member of multi-disciplinary...+ Current license as an LCSW, ASW, AMFT, LMFT, RN , LVN , LPT, or LPCC. + Preferred;… more
- VNA Health (Santa Barbara, CA)
- …Differentials + Schedule: Monday - Friday; 8 Hour Shifts Job Description: The Inpatient Registered Nurse provides hospice care and is skilled at assessing pain ... services, treatments, diagnostic and preventive procedures requiring the skills of a registered nurse according to in-patient facility protocols. + Attend and… more
- Cedars-Sinai (Los Angeles, CA)
- …health care field preferred Foreign trained MDs will be considered License/Certifications: Registered Nurse , LVN , Occupational Therapist, Physical Therapist, ... of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required...for Hiring. **Req ID** : 10457 **Working Title** : Registered Nurse - Clinical Documentation Specialist -… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- Summary The Community Living Center (CLC) Registered Nurse ( RN ) is responsible for providing competent, evidence-based care to assigned residents and ... equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion… 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
- STG International (Milledgeville, GA)
- …regulations and guidelines that govern the facility. + Coordinate with the scheduler to ensure a Registered Nurse ( RN ) is on duty at least 8 hours a day/7 ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) is on duty 24 hours… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- Summary The Licensed Vocational Nurse /Practical Nurse ( LVN /LPN) have a broad degree of practical nursing knowledge and skills. The LVN /LPN will care for ... Coordinator for questions/assistance. Learn more Duties and responsibilities of the LVN /LPN include: Incumbent performs retrospective medical review of non-VA… more
- Molina Healthcare (Oakland, CA)
- …Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse ( RN ) Program or a bachelor's degree in Nursing. ... Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable state… more
- Dignity Health (Woodland, CA)
- …of RN . **Qualifications** **Minimum Requirements:** **Education and Experience:** + LVN Experience within the last 5 years. + 2 years recent experience ... + Physician orders are written according to policy and reviewed/co-signed by RN . + Documents follow-up of identified problems as clinically supervised by … more
- UnityPoint Health (Cedar Rapids, IA)
- …of patient care on the behavioral health units under the direction of a registered nurse . Responsible for the delivery of patient care through a ... Is knowledgeable regarding managed care implications - precertifications and utilization review + Maintains competence in performing...in good standing to practice as a licensed practical nurse in the state of Iowa. + Must possess… more
- UnityPoint Health (Iowa City, IA)
- …services. * Is knowledgeable regarding managed care implications - precertification and utilization review procedures. * Assists with crisis services placement, ... work-related reasons. . Current licensure in good standing to practice as a Registered Nurse in Iowa. . Must possess and maintain current Basic Life Support… more
- ChenMed (St. Louis, MO)
- … RN with Bachelor Degree in a related clinical field preferred + A valid, active Registered Nurse ( RN ) license in State of employment required + A minimum ... DUTIES/RESPONSIBILITIES:** The ACN role may be performed by an RN or LPN/ LVN with each performing within...discharge planning. **KNOWLEDGE, SKILLS AND ABILITIES:** + Knowledge of Utilization Review (UR) and discharge planning +… more
- Molina Healthcare (Midvale, UT)
- **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
- Veterans Affairs, Veterans Health Administration (Butler, PA)
- …patient information. Completed work should need only a general review by a registered nurse ( RN ) or physician (MD/DO) for appropriateness and conformity ... care, self- administration of medication and additional procedures as directed by the registered nurse . Performs such diagnostic procedures as TPR, B/P, pain… more
- Molina Healthcare (Bellevue, WA)
- …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
- Guardian Life (Bethlehem, PA)
- As the **Clinical Specialist LPN/ RN , Disability Claims** you will perform necessary outreaches to claimants or treating providers to obtain certification dates, ... individual may also be required to help with coordinating and overseeing vendor utilization and assist in determining overall function as needed in order to… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …patient information. Completed work [should need] only a general review by a registered nurse [( RN ) or physician (MD/DO)] for [ ] appropriateness and ... Community Care LVN is responsible professionally and administratively to the Nurse Manager, Care in the Community and//or designee. They also ensure that care… more
- Banner Health (Casper, WY)
- …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
- 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