- Actalent (Redlands, CA)
- Description: As a part of the Utilization Management team the LVN Case Manager is a member of the Care Coordination team. LVN Case Manager have a ... into this queue after the clinical team authorizes them. Case Manager must know CMS criteria --...within established areas to conduct patient visits. - Conducts inpatient and skilled nursing facility level-of-care review on a… more
- Sharp HealthCare (San Diego, CA)
- …Nursing & Psychiatric Technicians -REQUIRED **Preferred Qualifications** + Experience as a case manager or discharge planner interacting with managed care ... 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **Shift… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **Shift ... services on pre-certification requests, outpatient procedures, outpatient services, elective inpatient admissions, home health services, genetic testing, orthotics, prosthetics… more
- Universal Health Services (Palmdale, CA)
- …plan with company match + SoFi Student Loan Refinancing Program Essential Job Duties: The Case Manager , a Licensed Vocational Nurse, under the Director of C ase ... features 184 licensed acute care beds as well as inpatient and outpatient surgery (https://www.palmdaleregional.com/services/surgery) , an Advanced Primary Stroke… more
- Centene Corporation (Albuquerque, NM)
- …with gathering of information + Perform follow up with members engaged in case management + Facilitate provider contact as needed to coordinate member's care needs. ... and inputs authorizations as needed for members active in case management. + Support the identification of high-risk members...member cases with complex medical needs to Supervisor or Manager . + Act as liaison and member advocate between… more
- LA Care Health Plan (Los Angeles, CA)
- …to develop and implement a successful discharge plan. Works with the UM Manager and Physician Advisor on case reviews for pre-service, concurrent, post-service ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management...of referral determination. Actively monitors for admissions in any inpatient setting. Performs telephonic and/or on site admission and… more
- Molina Healthcare (Reno, NV)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... **JOB FUNCTION: CASE MANAGEMENT REGISTERED NURSE OR LICENSED SOCIAL WORKER, MANAGER HEALTHCARE SERVICES** **For this role we are seeking a people leader with… more
- Molina Healthcare (Richmond, VA)
- …experience. **Preferred License, Certification, Association** Any of the following: Certified Case Manager (CCM), Certified Professional in Healthcare Management ... the state of VIRGINIA. Manager will support a team of field Nurse Case Managers supporting our Medicaid program We are looking for someone with strong leadership… more
- Veterans Affairs, Veterans Health Administration (Jamaica Plain, MA)
- …member of the Surgical Service Care Line; working autonomously providing leadership, case management and nursing activities for the preoperative patient without the ... of the clinic's technical staff, reporting to the Nurse Manager as needed. As a mid-level provider seeing patients...which the individual is licensed as qualifying for full LPN/ LVN licensure will be accepted as meeting the education… more
- Tenet Healthcare (Detroit, MI)
- … management experience preferred. Active and valid RN license required. Accredited Case Manager (ACM) preferred. Skills Required Analytical ability, critical ... that may require negotiation with a payor on a case -by- case basis. This position integrates national standards...with the attending status changes, order clarifications, observation to inpatient changes for all payors Reviews the OR, IR… more
- Molina Healthcare (Bothell, WA)
- …and assigns cases appropriately regarding complexity of medical or psychosocial needs and case manager experience (RN, LSW, other allied fields). + Oversees the ... term care is a plus** **Preferred License, Certification, Association** Certified Case Manager (CCM), Certified Professional in Healthcare Management… more
- Prime Healthcare (National City, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... fully equipped and modern cardiac catheterization lab, and comprehensive inpatient and outpatient surgical services, and 24-hour emergency services....+ Assists with case management referrals and authorizations. + Maintains and coordinates… more
- Prime Healthcare (Encino, CA)
- …the Case Management Department under the direction of the assigned Case Manager /Social Worker assist with development and implementations of discharge plans. ... a caring environment. It offers a wide array of inpatient and outpatient services. The hospital is consistently at...Assists with case management referrals and authorizations. Maintains and coordinates Medicaid… more