- 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 ... + Knowledge of Medicare, MediCal, and Milliman Criteria Guidelines. + Experience in utilization management and working with provider offices. + Proficiency in… more
- Dignity Health (Bakersfield, CA)
- …expected as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity ... The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and...recent clinical experience required. - Graduate of an accredited LVN Program. - Clear and current CA Licensed Vocational… more
- Prime Healthcare (San Dimas, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management /case management terminology and functions, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214906/discharge-planner-ii-%28lvn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySan… more
- Emanate Health (Covina, CA)
- …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality- related job ... States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… 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 ... you! JOB SUMMARY: The primary purpose of the lead LPN/ LVN is to provide direct nursing care to the...and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain … more
- Actalent (Dallas, TX)
- …handle performance metrics, quality reviews, and operational tracking + Knowledge of utilization management , case management , and specialty pharmacy ... a director-level role, we're seeking a capable and compassionate LVN /LPN to take on the day-to-day management ...compassionate LVN /LPN to take on the day-to-day management of a nursing team, encompassing 5-6 remote staff.… more
- Sharp HealthCare (San Diego, CA)
- …(AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; IV ... designated patient population. **Required Qualifications** + California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Actalent (Dallas, TX)
- …handle performance metrics, quality reviews, and operational tracking + Knowledge of utilization management , case management , and specialty pharmacy ... Now Hiring: Remote LVN /LPN Manager Schedule: Monday-Friday 6:30am -4pm Type: Full-Time...leadership and clinical excellence to take on the day-to-day management of a nursing team, encompassing 5-6 remote staff.… more
- Dignity Health (Woodland, CA)
- …processes (ie UR review, Patient Care, IDT processes etc.) + Documents appropriate management of visit utilization and authorization status as measured by a ... of RN. **Qualifications** **Minimum Requirements:** **Education and Experience:** + LVN Experience within the last 5 years. + 2...5 years. + 2 years recent experience as a LVN in a Home Health or Hospice Agency. **Licensure:**… 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
- Emanate Health (Covina, CA)
- …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... Excellent customer service skills required. **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management … more
- Prime Healthcare (La Palma, CA)
- …Discharge Plan. Qualifications EDUCATION, EXPERIENCE, TRAINING 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Responsible for the coordination of the various activities of the Case Management Department under the direction of the assigned Case Manager/Social Worker assist… more
- Molina Healthcare (Oakland, CA)
- …**Required Education** Completion of an accredited Licensed Vocational Nurse ( LVN ), or Licensed Practical Nurse (LPN) Program **Required Experience** + ... Minimum two years Utilization Review experience. + Knowledge of audit processes and...+ Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ)… more
- UnityPoint Health (Iowa City, IA)
- …consisting of patient staffing's and special care conferences. Assist with designated management duties in a leadership role. The patients served are patients of ... unit policy. * Maintains competence in performing procedures involved with the management of aggressive or potentially aggressive patients. * Leads by coaching,… more
- UnityPoint Health (Cedar Rapids, IA)
- …the progress towards goals per unit policy. + Maintains competence in the management of the patient undergoing ECT where applicable. + Is knowledgeable regarding ... managed care implications - precertifications and utilization review + Maintains competence in performing procedures involved with the management of violent or… more
- STG International (Temple, TX)
- …balancing cost to care in pharmacy ordering, alternative substitutions and off formulary utilization . 25. Participates as a team member in the results of Survey ... workforce solutions company providing comprehensive healthcare delivery, Head Start and management consulting services and human capital solutions help our clients.… more
- Tenet Healthcare (Detroit, MI)
- …national standards for case management scope of services including: Utilization Management services supporting medical necessity and denial prevention ... potentially avoidable days Other duties as assigned. POSITION SPECIFIC RESPONSIBILITIES: Utilization Management Balances clinical and financial requirements and… more
- Prime Healthcare (National City, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/217510/discharge-planner utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityParadise… more
- Prime Healthcare (Montclair, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210112/discharge-planner utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more