- Dignity Health (Bakersfield, CA)
- …the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse determination ... criteria used for decision-making. - Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to validate the… more
- Pomona Valley Hospital Medical Center (Pomona, CA)
- …Nurse plays a vital role within the Case Management Department. The LVN within the Utilization Management team collaborates closely with Case Managers, support ... skills. Preferred Qualifications: Microsoft computer applications; Acute care experience as an LVN . Salary range: $34.57 - $48.65 hourly. Salary will be commensurate… more
- Dignity Health (Rancho Cordova, CA)
- …Review (UR) LVN uses clinical judgement in providing utilization management ( UM )services. The focus is to provide high quality, cost-effective care which will ... patients. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/Utilization Management ( UM ) experience. - 5 years LVN experience. - Clear and… more
- Molina Healthcare (GA)
- JOB DESCRIPTION **Job Summary** The Supervisor, Healthcare Services UM leads and supervises a multidisciplinary team of healthcare services professionals in some or ... with a Georgia RN licensure and at least 3 years of UM experience. The candidate must have strong organization, communication, technologically proficient and… more
- Molina Healthcare (Dayton, OH)
- …teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. **Required Qualifications** * At least 2 years health care ... skills. *Microsoft Office suite/applicable software program(s) proficiency. **LPN / LVN licensure required** **Preferred Experience** Previous experience in Hospital… more
- Molina Healthcare (Albuquerque, NM)
- …our New Mexico Medicaid recipients. Preference will be given to those whose UM experience is within another MCO like Molina; experience with Interqual/MCG guidelines ... teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other...of an accredited Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) Program OR a… more
- Molina Healthcare (Layton, UT)
- …Collaborates with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other Molina offices or ... 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
- US Tech Solutions (May, OK)
- **Duration: 06 months contract** **Position Summary** + The UM Nurse Associate I is responsible for reviewing and completing criteria-based prior authorizations in ... management or prior authorization processes preferred. **Licensure** + Active, unrestricted LPN/ LVN license (screenshot of license must be included at the top… more
- Molina Healthcare (Los Angeles, CA)
- …California licensure must be current and in good standing. **Preferred Qualifications** * LVN (Licensed vocational nurse) or RN (Registered Nurse) . License must be ... Prior experience with InterQual, MCG guidelines, PEGA and managed care UM processes. * Medicaid/Medicare population experience. * Clinical experience. *… more