• Group Utilization Review Director

    Tenet Healthcare (Detroit, MI)
    …impact of care options May, if licensed RN, oversee work delegated to Utilization Review LVN / LPN and/or Authorization Coordinator. (10% daily, ... Group Utilization Review Director - 2506000536 Description...the CMS Conditions of Participation and Tenet policies If licensed RN, operates within the RN scope of practice… more
    Tenet Healthcare (04/20/25)
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  • Licensed Practical Nurse

    The Arora Group (Bethesda, MD)
    Licensed Practical Nurse ( LPN / LVN ) - Utilization Review... LICENSED PRACTICAL NURSE ( LPN / LVN ) - UTILIZATION REVIEW ... Licensed Practical Nurse ( LPN ) - Utilization Review ... LICENSED PRACTICAL NURSE ( LPN / LVN ) - UTILIZATION REVIEW... LICENSED PRACTICAL NURSE ( LPN / LVN ) - UTILIZATION REVIEW more
    The Arora Group (02/20/25)
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  • Licensed Practical Nurse

    STG International (Milledgeville, GA)
    …or be a graduate of an approved Licensed Practical Nurse ( LPN )/ Licensed Vocational Nurse ( LVN ) program. + Must have, as a minimum, ... reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,...Practical Nurse ( LPN ) or Licensed Vocational Nurse ( LVN ) is… more
    STG International (04/30/25)
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  • Licensed Practical Nurse

    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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (04/27/25)
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  • Licensed Practical Nurse

    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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (04/16/25)
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  • Licensed Practical Nurse

    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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (03/23/25)
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  • Licensed Practical Nurse

    Banner Health (Ogallala, NE)
    …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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (03/06/25)
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  • Licensed Practical Nurse

    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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (03/04/25)
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  • Licensed Practical Nurse

    Banner Health (Sterling, 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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (02/16/25)
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  • Per Diem Licensed Practical

    Banner Health (Brush, 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 ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...personal computer. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (03/28/25)
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  • Nurse Consultant - Licensed

    CVS Health (Portland, OR)
    …requests + Assist with onboarding new facilities to pharmacy processes **Required Qualifications:** + Licensed nurse ( LPN / LVN ) with current license in ... and every day. **Job Purpose and Summary:** The Field Nurse LPN will conduct quality reviews and...Qualifications:** + Long term care clinical experience **Education:** + Licensed Practical Nurse or … more
    CVS Health (04/30/25)
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  • Licensed Practical Nurse

    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 of ... Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the...and physicians. MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of… more
    Banner Health (04/10/25)
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  • Licensed Practical Nurse

    US Tech Solutions (Columbia, SC)
    … practices. + May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews and makes ... and their families/caregivers. Reviews first level appeal and ensures utilization or claim review provides thorough documentation...Social Work, OR, Graduate of an Accredited School of Licensed Practical Nursing or Licensed more
    US Tech Solutions (04/08/25)
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  • Ukiah LVN / LPN

    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 / ... Learn more Duties and responsibilities of the LVN / LPN include: Incumbent performs retrospective medical review ...Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse more
    Veterans Affairs, Veterans Health Administration (04/24/25)
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  • Discharge Planner II ( LVN )…

    Prime Healthcare (Chino, CA)
    …(https://careers-primehealthcare.icims.com/jobs/205767/discharge-planner-ii-%28lvn%29 utilization -management/job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) ... for its quality, including as among the 100 Great Community Hospitals by Becker's Hospital Review in 2018 and as among the 100 Top Hospitals by IBM Watson Health.… more
    Prime Healthcare (04/28/25)
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  • LVN - Urology Float Pool- SRS Frost Street…

    Sharp HealthCare (San Diego, CA)
    …changeBCG (chemotherapy) bladder installation **Knowledge, Skills, and Abilities** + Skills as a Licensed Practical Nurse or Licensed Vocational ... Professional (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) -...errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of… more
    Sharp HealthCare (04/03/25)
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  • Care Review Clinician, Prior Authorization

    Molina Healthcare (Las Cruces, NM)
    …Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ( LPN ) Program OR a bachelor's or master's degree ... Vocational Nurse ( LVN ) or Licensed Practical Nurse ( LPN...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
    Molina Healthcare (04/30/25)
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  • Care Review Clinician, Prior Auth…

    Molina Healthcare (Everett, WA)
    …Completion of an accredited Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse ( LPN ) Program **Required Experience** 1-3 years of ... Vocational Nurse ( LVN ) or Licensed Practical Nurse ( LPN...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management… more
    Molina Healthcare (04/20/25)
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  • RN Clinical Review Clinician - Appeals

    Centene Corporation (Sacramento, CA)
    …processes preferred. **License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required or + LVN - Licensed Vocational ... analyzing the basis for the appeal + Ensures timely review , processing, and response to appeal in accordance with... Nurse required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
    Centene Corporation (04/04/25)
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  • Delegation Oversight Nurse Remote based…

    Molina Healthcare (Albany, NY)
    …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 applicable...State Licensed Vocational Nurse or Licensed Practical Nurse in good… more
    Molina Healthcare (04/20/25)
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