- 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** **Department:** ** Utilization Management ** **Job Type: Full Time** **Salary Range: $54,186 -… 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** **Shift… more
- The Cigna Group (Bloomfield, CT)
- …and Responsibilities:** *Responsible for the effective and sufficient support of all Utilization Management activities to include review of inpatient and ... *Current Licensed Practical Nurse LPN or Licensed Vocational Nurse LVN . Compact license a plus *Minimum 2-3 years clinical...license a plus *Minimum 2-3 years clinical experience. * Utilization Review or Utilization Management … 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)
- …Certification - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; ... 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
- Dignity Health (Redding, CA)
- **Overview** The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric full-service ... management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types 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
- Prime Healthcare (Ontario, CA)
- …EDUCATION, EXPERIENCE, TRAINING Required qualifications: 1. Knowledge in discharge planning/ utilization management /case management terminology and functions, ... education, credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/156240/case- management -discharge-planner- lvn /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityPrime Healthcare Management… more
- The Cigna Group (Mobile, AL)
- …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 and refers to appropriate clinical program. + Interfaces… more