- Universal Health Services (Temecula, CA)
- …Summary: The Southwest Healthcare Regional office in Temecula, CA is seeking Two (2) LVN Full-Time Central Utilization Review Nurses who will be responsible ... correct payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory… more
- Providence (Anaheim, CA)
- …Degree in Healthcare related field. + 3 years' Experience in utilization management or case management. **Why Join Providence?** Our best-in-class benefits ... a full spectrum of care with leading-edge diagnostics and treatment, outpatient health centers, physician groups and clinics, numerous outreach programs, and… more
- The Arora Group (Jacksonville, FL)
- Licensed Practical Nurse (LPN/ LVN ) Nurse Currently recruiting a Licensed Practical Nurse (LPN/ LVN ) in Jacksonville, Florida, to provide care for active duty ... site of service shall be Pain Medicine Clinic. The Licensed Practical Nurse (LPN/ LVN ) may be assigned to other clinic locations within the primary assigned Military… more
- Universal Health Services (Laredo, TX)
- …to promote optimal health benefits and outcomes (both clinical and financial). The ACO LVN Navigator will provide onsite review at the local primary care ... enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The ACO LVN Navigator is a licensed clinical LVN who functions as a… more
- ERP International (San Diego, CA)
- …is seeking full-time **Licensed Practical / Vocational Nurses (LPN/ LVN )** supporting **Naval Medical Center San Diego, CA ... that of other individuals performing similar services. Participate in peer review and performance improvement activities. Practice aseptic techniques as necessary.… more
- Universal Health Services (Palmdale, CA)
- …patient and his family. This person is the expert on issues related to utilization review and discharge planning. Qualifications Requirements: + Ability to read, ... clinical experience and minimum of three years C linical C ase Management/ Utilization Review experience (preferred). Motivation for self-direction. + Minimum of… more
- ERP International (Camp Lejeune, NC)
- **Overview** ERP International is seeking full-time **Licensed Practical** **/Vocational Nurses (LPN/ LVN )** in support of various clinics and departments at theNaval ... Clinics: + Participate in MHP/MCMH Team huddles/meetings each day to review scheduled appointments, identify MHP/MCMH Team requirements (ie, supplies and equipment… more
- The Cigna Group (Nashville, TN)
- …and sufficient support of all Utilization Management activities to include review of inpatient and outpatient medical services for medical necessity and ... when services do not meet criteria or require additional review . + Participation in staff meetings, regular trainings and...Current Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN . + _Compact License Required._ + Minimum 2-3 years… more
- The Arora Group (Bethesda, MD)
- …- Utilization Review Nurse Currently recruiting a Licensed Practical Nurse (LPN/ LVN ) - Utilization Review in Bethesda, Maryland to provide care to ... on Federal holidays. DUTIES OF THE LICENSED PRACTICAL NURSE (LPN/ LVN ) - UTILIZATION REVIEW : +...assess medical necessity of broad range of inpatient and outpatient services while maintaining compliance with all governmental and… more
- Fresenius Medical Center (Hyattsville, MD)
- **PURPOSE AND SCOPE:** The professional registered nurse Outpatient RN CAP 2 may be an entry level designation into the Clinical Advancement Program (CAP) for new ... appropriate tasks to direct patient care staff including but not limited to RNs, LVN /LPNs, and Patient Care Technicians. As a member of the End Stage Kidney Disease… more
- Veterans Affairs, Veterans Health Administration (Fargo, ND)
- …provide daily nursing support and assistance in all Surgery ICC Outpatient Clinics. Responsibilities Initiates, performs and completes assigned duties in providing ... with the RN and/or provider to appropriately orientate/train less experienced LPN/ LVN and/or Nursing Assistants (NAs)/Health Technicians (HTs) in relation to… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …the VHA Education Loan Repayment Services program office after complete review of the EDRP application. Responsibilities Duties and responsibilities Incumbent ... performs retrospective medical review of non-VA health care records to determine medical...involving others in improving care. Identifies and assesses resource utilization and safety issues, taking appropriate action. Acquires knowledge… more
- Banner Health (Phoenix, AZ)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... **Primary City/State:** Phoenix, Arizona **Department Name:** Outpatient Observation Unit **Work Shift:** Day **Job Category:**...MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of practice, temporary LPN or… more
- Molina Healthcare (Milwaukee, WI)
- …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/ outpatient medical ... Collates and reports on Care Access and Monitoring statistics including plan utilization , staff productivity, cost effective utilization of services, management… more
- Symetria Recovery (Chicago, IL)
- …and development on procedures related to nursing duties + Partner with Utilization Review and psychiatry providers to process medication prior authorizations ... Who we are: Symetria Recovery is the #1 outpatient rehab in Illinois and Texas. It started...at each clinic assigned to region while optimizing resource utilization . DON is eligible for mileage reimbursement per company… more
- Universal Health Services (Denton, TX)
- …Position Summary Mayhill Hospital is seeking a dynamic and talented Utilization Review Coordinator. The UR Coordinator is responsible for ... in patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities License: LVN , RN, LMSW… more
- Universal Health Services (Desoto, TX)
- …Hickory Trail Hospital, please visit our website at https://www.hickorytrail.com/ The Utilization Review Coordinator (UR Coordinator) is responsible for managing ... patient assessment, family motivation, treatment planning and communication with external review organizations or comparable entities. Licensure: LVN , RN, LMSW… more
- Fresenius Medical Center (Garden City, NY)
- …appropriate tasks to direct patient care staff including but not limited to RNs, LVN /LPNs and Patient Care Technicians. As a member of the kidney disease health care ... contractually. + May be assigned to assist in an Outpatient facility on an as needed basis. + May...their daily processes. + Ensures documentation in eQUIP and utilization of data, benchmarking, and graphical representations in performance… more
- Insight Global (Los Angeles, CA)
- …manage on average 8 employees between MA's, HIV/STD counselors, phlebotomists, LVN 's, additional clinical staff and administrative staff. 75% of responsibilities are ... we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy: https://insightglobal.com/workforce-privacy-policy/ . Skills… more