- 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 (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