- Spectraforce Technologies (Columbia, SC)
- …Responsibilities: 80% May provide any of the following in support of medical claims review and utilization review practices: Performs medical claim reviews ... indicated protocol sets or clinical guidelines. Provides support and review of medical claims and utilization practices....Social Work, OR, Graduate of an Accredited School of Licensed Practical Nursing or Licensed … more
- The Arora Group (Bethesda, MD)
- Licensed Practical Nurse ( LPN ) - Utilization Review Nurse Currently recruiting a Licensed Practical Nurse ( LPN /LVN) - ... LICENSED PRACTICAL NURSE ( LPN /LVN) - UTILIZATION REVIEW : +...collaborate with managers of the UBO, Utilization Review Registered Nurse ( RN… more
- The Arora Group (Fort Belvoir, VA)
- Licensed Practical Nurse ( LPN ) -...Participate in all mandatory training. QUALIFICATIONS OF THE REGISTERED NURSE ( RN ) - PATIENT ... Medical Home (PCMH) Nurse Currently recruiting a Licensed Practical Nurse ( LPN...minimum of one year of nursing experience as, an LPN or RN , within the past three… 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 ... 8 hours a day/7 day a week and a Licensed Practical Nurse ( LPN )...active license to practice as a Registered Nurse ( RN ) or LPN /LVN in the… more
- Banner Health (Tucson, AZ)
- …to provide the highest level of specialized care to our pediatric population. As a ** Licensed Practical Nurse ** in our ED, you will have the opportunity ... nursing care under the direction and supervision of a registered nurse and/or licensed physician,...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Baystate Health (Springfield, MA)
- …+ Monday - Friday + No weekends no holidays **LOCATION** : + Springfield, MA The Licensed Practical Nurse ( LPN ) functions under the supervision and ... **Position** Licensed Practical Nurse **SCHEDULE:**...regarding patients' utilization management needs. The Clinical Utilization Reviewer - LPN is responsible… more
- Banner Health (Mesa, AZ)
- …SUMMARY This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Greeley, CO)
- …SUMMARY This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Tucson, AZ)
- …SUMMARY This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Tucson, AZ)
- …SUMMARY This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Madison County (Virginia City, MT)
- …Position Overview Work Unit Overview: A Registered Nurse ( RN ) or Licensed Practical Nurse ( LPN ) provides nursing and nursing related services ... Registered / Licensed Practical Nurse Night Shift...position Night Shift. State Date Mid/ Late March. Wages: LPN $ 31.97 RN $ 38.58 Apply Now… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Date: Apr 22, 2024 Location: LAND O' LAKES, FL, US, 34639 The State Personnel System is an E-Verify employer. ... . Requisition No: 819687 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000086 1 Pay… more
- WellLife Network (South Richmond Hill, NY)
- Licensed Practical Nurse -DDA050 - Mon 7AM - Fri 3PM Job Details Job Location Ann Mittasch ICF - South Richmond Hill, NY Education Level Not Specified Salary ... all work is reviewed and cosigned by an agency Registered Nurse (to be scheduled by clinical...schedules are subject to change. + Attend certification inspections, utilization review and independent professional reviews as… more
- Banner Health (Ogallala, NE)
- …SUMMARY This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Commonwealth Care Alliance (Boston, MA)
- …clinical and service authorization review for medical necessity and decision-making. The Nurse Utilization Management Reviewer has a key role in ensuring ... **Why This Role is Important to Us:** The Nurse Utilization Management (UM) Reviewer... review for medical necessity and decision-making. The Utilization Management Reviewer has a key role… more
- DOCTORS HEALTHCARE PLANS, INC. (Coral Gables, FL)
- …through departmental committee assignments. Qualifications: + Registered Nurse or Licensed Practical Nurse . + Current and valid license to practice ... healthcare needs of the patients using the functions of Utilization Resource Management, Transition of Care, Discharge Planning, and...as a Registered Nurse or Licensed Practical Nurse in the… more
- Magellan Health Services (Evanston, WY)
- …- Required LPC - Licensed Professional Counselor - Care Mgmt, LPN - Licensed Practical Nurse - Care Mgmt, LSW - Licensed Social Worker ... to ensure accurate documentation and reporting. + May process utilization review requests received by phone, fax...- Care Mgmt, RN - Registered Nurse , State and/or Compact State Licensure… more
- Kepro (Indianapolis, IN)
- …assignment. Required Qualifications/Experience: + Active Registered Nurse ( RN ) or Licensed Practical Nurse ( LPN ) license to practice in the ... currently looking for a Utilization Management Appeals Nurse - LPN / RN to join...requirements, including timelines. + Presents recommendations based on clinical review , criteria, and organizational policies to physician reviewers for… more
- MyFlorida (Orlando, FL)
- …status, and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ( LPN ), Certified Nursing Assistant (CNA) and ... that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect...telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN… more
- MyFlorida (Orlando, FL)
- …status and providing supervision and guidance to the Registered ( RN ), Licensed Practical Nurse ( LPN ), Certified Nursing Assistant (CNA) and ... that the residents are receiving total nursing care. + Review shift assignments and ensure that the assignments reflect...telephone orders from attending physicians, are reviewed by a registered nurse . + If no RN… more