- Kelsey-Seybold Clinic (Pearland, TX)
- …clinic, payor and other customers. **Job Title: Licensed Vocational Nurse Utilization Review-** ** Utilization Management ** **Location: Pearland ... **Responsibilities** The Utilization Review LVN nurse will perform...Administrative Office, Main Campus** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: $54,186 -… more
- LA Care Health Plan (Los Angeles, CA)
- Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 ... the safety net required to achieve that purpose. Job Summary The Utilization Management Nurse Specialist LVN II will facilitate, coordinate and approve… more
- Robert Half Office Team (Monterey Park, CA)
- Description The Utilization Management Nurse Specialist LVN promotes the quality and cost effectiveness of medical care by applying clinical acumen and the ... depending on case findings. Functions & Job Responsibilities * The Utilization Management Nurse Specialist LVN will facilitate, coordinate, and approve… more
- Kelsey-Seybold Clinic (Pearland, TX)
- …Review Specialist ( LVN )** **Location: Pearland Administrative Office** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: ... **Responsibilities** The Utilization Review Specialist ( LVN ) is responsible for conducting medical reviews, benefit verification, and applying criteria to… more
- Dignity Health (Bakersfield, CA)
- …The Utilization Review LVN uses clinical judgement in providing utilization management services. The focus is to provide high quality cost-effective care ... position is remote with a clear and current CA LVN license.** The purpose of Dignity Health Management...3-5 years of healthcare experience with general knowledge of Utilization Management and Managed Care. - Graduate… more
- Sharp HealthCare (San Diego, CA)
- …time for routine, urgent and expedited referrals as outlined in SCMG's Utilization Management Plan.Decisions will be communicated to the appropriate persons ... + Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as… more
- UCLA Health (Los Angeles, CA)
- …with: + Current CA LVN licensure required + Two or more years of utilization review/ utilization management experience in an HMO, MSO, IPA, or health plan ... environment + Previous clinical experience + Experience drafting and issuing compliant adverse organization determinations + In-depth knowledge of health plan, DMHC, CMS, HIPPA, and NCQA requirements + Expertise in abstracting and interpreting medical… more
- Universal Health Services (Temecula, CA)
- … Utilization Review Nurses who will be responsible for carrying out utilization management functions by planning, coordinating, and managing patient needs ... payer source for hospitalization and communication. + Ensures compliance of utilization review practices as required by payers, external regulatory agencies, and… more
- Sharp HealthCare (San Diego, CA)
- …+ Knowledge of medical terminology, healthcare finances, alternative care options, utilization management , health plan criteria, established criteria such as ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:**… more
- Providence (Mission Hills, CA)
- …+ Bachelor's Degree in Healthcare related field. + 3 years' Experience in utilization management or case management . **Why Join Providence?** Our ... **Description** Care Management is a collaborative practice model including the...physicians, other practitioners, caregivers and the community. The care management process encompasses excellent communication, both verbal and written,… more
- The Arora Group (Jacksonville, FL)
- …by DOD, BUMED, and TRICARE directives, coordinating with the local MHP clinic, utilization and Referral Management policies, and obtains additional clinical data ... Licensed Practical Nurse (LPN/ LVN ) Nurse Currently recruiting a Licensed Practical Nurse...Naval Hospital Jacksonville as part of the Comprehensive Pain Management Program. The primary site of service shall be… more
- The Cigna Group (Hattiesburg, MS)
- …Nursing + Three to Five (3-5) years recent experience in an acute-care environment, case- management or utilization management position (experience can be a ... provider practices + Identifies high-risk/high-cost patients for possible case management intervention. + Interfaces with providers of medical services and… more
- Universal Health Services (Palmdale, CA)
- …clinical experience and minimum of three years C linical C ase Management / Utilization Review experience (preferred). Motivation for self-direction. + Minimum of ... Case Manager, a Licensed Vocational Nurse, under the Director of C ase Management , serves as an interdisciplinary team member to coordinate the delivery of health… more
- STG International (Washoe County, NV)
- THIS IS FOR A FUTURE OPENING Licensed Practical Nurse/Licensed Vocational Nurse (LPN/ LVN ) JOB SUMMARY: The primary purpose of the lead LPN/ LVN is to provide ... and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain ...a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) is on duty 24 hours a day. +… more
- Sharp HealthCare (San Diego, CA)
- …certificate; HS Diploma or Equivalent; Other; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** ... Diploma or Equivalent + Other - Successful completion of LVN /LPN program. + 1 Year LVN experience...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- Sharp HealthCare (San Diego, CA)
- …(AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; IV ... requirements for the position, and employer business practices. **_This LVN role will work out of our SRS Rancho...related to front desk responsibilities including scheduling and telephone management . Acts as a positive role model and ensures… more
- Baylor Scott & White Health (Belton, TX)
- …Medicine** **Schedule: Full-time, Day Shift** **JOB SUMMARY** The Licensed Vocational Nurse ( LVN ) Charge is a licensed nurse who uses the nursing BSWH professional ... or clinic. Using the nursing process and under appropriate supervision, the LVN performs focused assessments and contributes to care planning, interventions, and… more
- Sharp HealthCare (San Diego, CA)
- …credibility with physicians and non-physician health care practitioners involved in case management + California Licensed Vocational Nurse ( LVN ) - CA Board ... (CCM) - Commission for Case Manager Certification; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Other; HS… more
- Sharp HealthCare (San Diego, CA)
- …position, and employer business practices. **What You Will Do** To provide comprehensive utilization management and coordination of care for members who are ... contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed in a manner consistent with… more
- ERP International (San Diego, CA)
- …BUMED, DHA and TRICARE directives, coordinating with the local MHP clinic, utilization , and Referral Management policies, and obtains additional clinical data ... International is seeking full-time **Licensed Practical / Vocational Nurses (LPN/ LVN )** supporting **Naval Medical Center San Diego, CA (https://www.med.navy.mil/sites/nmcsd/pages/default.aspx)**… more