- UNC Health Care (Kinston, NC)
- …REQUIREMENT** + Five (5) years of health care experience as a Registered Nurse . **LICENSURE/REGISTRATION/CERTIFICATION** + Licensed to practice as a Registered ... well-being of the unique communities we serve. **Summary:** This position facilitates utilization management processes to support the right care is provided at the… more
- Dartmouth Health (Lebanon, NH)
- Overview Utilization Review Per Diem - Remote Works with physicians and multidisciplinary team members to develop a plan of care for assigned patients. Ensures ... Strong leadership, communication and computer skills desired. Required Licensure/Certifications - Licensed Registered nurse with NH eligibility * Remote:Fully… more
- Integra Partners (Troy, MI)
- …in a payer or managed care environment. + Strong understanding of utilization review , authorizations, and appeals processes. + Excellent verbal/written ... The Utilization Management (UM) Nurse Supervisor is...workflows in a fast-paced environment. EDUCATION: Active, unrestricted Registered Nurse , Licensed Vocational Nurse , or… more
- Penn State Health (Hershey, PA)
- …or genetic information._ **Union:** SEIU Healthcare Pennsylvania **Position** RN Registered Nurse Utilization Management Specialist - Utilization Management ... required. + 3 years advanced clinical experience in a hospital setting required. + Currently licensed to practice as a Registered Nurse by state of employment or… more
- Centene Corporation (Springfield, IL)
- …and substance abuse preferred. Knowledge of mental health and substance abuse utilization review process preferred. Experience working with providers and ... time zone with experience in mental health settings and utilization management / review . * Department: PHCO...+ LCSW- License Clinical Social Worker required or + LMHC- Licensed Mental Health Counselor required or + LPC- Licensed… more
- Children's Mercy Kansas City (Kansas City, MO)
- …required within 4 years of hire + 1-2 years experience + Experience in Utilization Review + One of the following: Licensed RN - MO, Registered Nurse ... training oversight of programs and services. Responsible for effective utilization review and proper resource management of...Missouri required upon hire + One of the following: Licensed RN - Kansas, Registered Nurse Multistate… more
- Centene Corporation (Tallahassee, FL)
- …assess ABA Treatment Plans required. Knowledge of ABA services and BH utilization review process required. Experience working with providers and healthcare ... behavioral analytics (ABA). Additional Details: * Department: Behavioral Health Utilization Management * Business Unit: Corporate / Florida *...teams to review care services related to Applied Behavior Analysis Services… more
- STG International (Milledgeville, GA)
- … nurse aide trainees are under the direct supervision of a licensed nurse . + Develop positive professional relationships with nursing students, ... STGi is seeking a Licensed Practical Nurse / Licensed Vocational...reports, evaluations, studies, charting, etc., as necessary. + Periodically review the department's policies and procedures manuals, job descriptions,… more
- State of Indiana (Evansville, IN)
- Utilization Review Coordinator-LPN Date Posted: Aug...practice nursing in the State of Indiana as a Licensed Practical Nurse . + Must hold and ... Services certification as a Psychiatric Medicare/Medicaid Hospital. Role Overview: The Utilization Review Coordinator performs duties within a psychiatric… more
- MyFlorida (Land O' Lakes, FL)
- SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Date: Sep 2, 2025 The State Personnel System is an E-Verify employer. For more information click on our E-Verify ... . Requisition No: 857808 Agency: Veterans Affairs Working Title: SENIOR LICENSED PRACTICAL NURSE - 50000083 1 Pay Plan: Career… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …Total Rewards of a Allied Health Professional The primary purpose of the Licensed Practical/License Vocational Nurse (LPN/LVN) 6 is to perform assigned duties ... an environment committed to serving the veteran. Direct Care Licensed Vocational Nurses assist the Registered Nurse ...understanding of the long sheet and importance of daily utilization of the form; Working knowledge of shower/tub room… more
- Avera (Cresco, IA)
- …to join us on our mission, apply today! **Position Highlights** POSITION SUMMARY: The Utilization Review Coordinator is a member of the nursing team and ... oral and written communication skills desired. POSITION QUALIFICATIONS: Registered Nurse from an accredited school of nursing is required....an accredited school of nursing is required. BSN preferred. Licensed for a minimum of one year as a… more
- CVS Health (Tallahassee, FL)
- …readmissions **Required Qualifications** + Candidate must have an active and unrestricted Compact Licensed Practical Nurse (LPN) License in state of residence + ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...3+ years of Licensed Practical Nurse (LPN) nursing experience +… more
- CVS Health (Phoenix, AZ)
- …and support safe transitions. **REQUIRED QUALIFICATIONS** - 2 years Nursing experience - Licensed Vocational Nurse in the state of California - Demonstrated ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...Bachelor's Degree **EDUCATION** High School Diploma or equivalent GED, Licensed Vocational Nurse **Anticipated Weekly Hours** 40… more
- Centene Corporation (Phoenix, AZ)
- …Tempe and/or Tucson offices.** **Position Purpose:** Manages the behavioral health (BH) utilization review clinicians to ensure appropriate care to members. ... within utilization management. + Oversees the behavioral health (BH) utilization review clinicians and ensures compliance with applicable guidelines +… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a ** Licensed Vocational / Practical Nurse ** for a full-time position at the **Naval Branch Health Clinic** at ... * Participate in MHP/MCMH Team huddles/meetings each day to review scheduled appointments, identify MHP/MCMH Team requirements (ie, supplies...: Degree:** Certificate Education:** Be a graduate from a Licensed Practical Nurse or Licensed … more
- STG International (Temple, TX)
- STGi is currently seeking a Pharmacy Nurse - Licensed Vocational Nurse to provide services at The William R. Courtney Texas State Veterans Home. The William R. ... Comply with all VA reporting per VLB timelines 5. Review RX policy and procedures annually 6. Represent community...Must possess, as a minimum, a license as a Licensed Vocational Nurse . Must have, as a… more
- InGenesis (Columbia, SC)
- InGenesis is currently seeking a Licensed Practical Nurse / LPN to work remotely with our client located in Columbia, SC. In this role, you will perform Medical ... guidelines. In this role, you will provide support and review of medical claims and utilization practices....Performed other duties as assigned. Minimum Qualifications * Current Licensed Practical Nurse / LPN license in… more
- CVS Health (Harrisburg, PA)
- …of advanced proficiency in Microsoft Word, Excel, and Outlook - Active and unrestricted Licensed Practical Nurse (LPN) in NY or PA - Hospice/palliative care ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...Degree **EDUCATION** High School Diploma or equivalent GED plus Licensed Practical Nurse **Anticipated Weekly Hours** 40… more
- WellSpan Health (Lancaster, PA)
- …Required **Work Experience:** + 1 year Clinical nursing experience. Required **Licenses:** + Licensed Practical Nurse Upon Hire Required or + Licensed ... patient has been notified. Provides related education, counseling, ongoing review , and monitoring regarding diagnostic tests (ie, INR results... Multi State License Upon Hire Required or + Licensed Registered Nurse Upon Hire Required or… more