- LA Care Health Plan (Los Angeles, CA)
- …UM or CM. Licenses/Certifications Required Licensed Vocational Nurse ( LVN ) - Active, current and unrestricted California License Licenses/Certifications Preferred ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- Molina Healthcare (Los Angeles, CA)
- For this position we are seeking a LVN (Licensed Vocational Nurse) with experience in Prior Authorizations, Utilization Review / Utilization Management and ... 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
- LA Care Health Plan (Los Angeles, CA)
- …and must adhere to regulatory mandates that apply to Utilization Management ( UM ) and Care Management (CM). Collaborate with Skilled Nursing Facilities (SNF), ... physical health, behavioral health, social services, and MLTSS. Responsible for UM authorization functions for services requiring prior auths. Provides direction to… more