- Actalent (Sunrise, FL)
- Job Title: Behavioral Health Utilization Review NurseJob Description The Utilization Management Nurse (UMN) plays a crucial role in reviewing requests ... review processes. + Current unrestricted Florida RN or LPN License. + Minimum one year of utilization review experience. + Minimum one year of experience… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator- LPN Date Posted: Oct...to practice nursing in the State of Indiana as a Licensed Practical Nurse . + Must hold ... a Psychiatric Medicare/Medicaid Hospital. Role Overview: This position serves as the Utilization Review Coordinator within a psychiatric hospital setting. They… more
- Northeast Alabama Regional Medical Center (Anniston, AL)
- …years of clinical experience required. Leadership experience preferred. CM or Utilization Review experience preferred. Extensive knowledge and understanding of ... to assure hospitalizations meet payor requirements. Maintains records of review information and outcomes for billing purposes and for...the presence of history and Physical Exam. Must be licensed in the State of Alabama, or MSL, as… more
- Access Dubuque (Dubuque, IA)
- …reviewing the group specific requirements and will also triage the call to determine if a Utilization Review Nurse is needed to complete the call. You will ... you! The Utilization Management Assistant answers first level calls in Utilization Review for member participants. They will evaluate certification requests… more
- Banner Health (Scottsdale, 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 of ... staff to create a great patient experience. As a ** LPN ** on our team, we offer a customer-focused and...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Greeley, CO)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality of ... Banner North Colorado Medical Center is looking for an LPN to join the Medical Oncology Telemetry team. This...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Torrington, 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 of ... makes for a very welcoming and comfortable environment. **WY LPN License and BLS Required** **Schedule: During Clinic Hours...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… 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 of ... that you helped make a difference in! As a LPN on the Medical Unit, you will be joining...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- STG International (Milledgeville, GA)
- …Registered Nurse (RN) is on duty at least 8 hours a day/7 day a week and a Licensed Practical Nurse ( LPN ) or Licensed Vocational Nurse (LVN) ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...or university, or be a graduate of an approved Licensed Practical Nurse ( LPN… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform ... guidelines. In this role, you will provide support and review of medical claims and utilization practices....as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license… more
- WellLife Network (South Richmond Hill, NY)
- Licensed Practical Nurse Relief -DDA106 - On-Call Job Details Job Location Ann Mittasch ICF - South Richmond Hill, NY Education Level Not Specified Salary ... location and schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as needed. + Attend… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Date: Oct 1, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay… more
- Molina Healthcare (Dayton, OH)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Bon Secours Mercy Health (Cincinnati, OH)
- …duties as required by their supervisor, subject to reasonable accommodation. **Licensing/Certification** Licensed Practical or Vocational Nurse with active ... (preferred) **Education** Required Minimum Education- High School Diploma Specialty/Major- Licensed Practical Nursing **Work Experience** 2 years experience… more
- CVS Health (PA)
- …in Microsoft Word, Excel, and Outlook + Candidate must have an active and unrestricted Licensed Practical Nurse ( LPN ) in West Virginia, Pennsylvania, or ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...and/or Bachelor's Degree (PREFERRED) **License** + Active and unrestricted Licensed Practical Nurse ( LPN… more
- WellSpan Health (Lancaster, PA)
- …program. Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...Licensed Practical Nurse Multi State License Upon Hire… more
- WellSpan Health (York, PA)
- …program. Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...Licensed Practical Nurse Multi State License Upon Hire… more
- WellSpan Health (Waynesboro, PA)
- …program. Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...Licensed Practical Nurse Multi State License Upon Hire… more
- WellSpan Health (Lewisburg, PA)
- …program. Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...Licensed Practical Nurse Multi State License Upon Hire… more
- WellSpan Health (Lebanon, PA)
- …program. Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results...Licensed Practical Nurse Multi State License Upon Hire… more