- Zenex Partners (Beverly Hills, CA)
- Description Job Opportunity: LVN / LPN - Utilization Review Facility: CSMN - 1101017 Nursing Clinical Support Location: Beverly Hills, CA Employment Type: ... Shift: 0800-1700 Required: * 2+ Years of Ambulatory Care experience * CA LVN license * Driver's License and Auto Insurance (Collision/Casualty) * Epic experience *… more
- Molina Healthcare (Long Beach, CA)
- …or Licensed Practical Nurse (LPN) Program Required Experience Minimum two years Utilization Review experience. Knowledge of audit processes and applicable state ... and federal regulations. Required License, Certification, Association Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. Preferred Education Completion of an accredited Registered Nurse (RN) Program or a… more
- San Francisco VA Medical Center (Ukiah, CA)
- …EDRP Coordinator for questions/assistance. Learn more Duties and responsibilities of the LVN /LPN include: Performs retrospective medical review of non-VA health ... Summary The Intermittent Licensed Vocational Nurse/Practical Nurse ( LVN /LPN) has a broad degree of practical nursing knowledge and skills. The LVN /LPN will care… more
- Regency Integrated Health Services (Austin, TX)
- …Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the resident's stay and communicates this with the ... are met, such as Physician certification and re-certification. Performs concurrent MDS review to assure appropriate RUGs category is achieved through the capture of… more
- Team Select Home Care (Dallas, TX)
- …skills according to established procedures before performing new skills Participates in peer review , utilization review and QAPI activities as assigned ... *Weekly Pay Are you a compassionate Licensed Vocational Nurse ( LVN ) ready to make a real difference in the...on safety, comfort, and continuity What You Bring: *Active LVN license *New graduates welcome! We offer a structured… more
- PACS (Florissant, MO)
- …needs in area(s) of responsibility. Complete documentation as required. Performs utilization review activities to provide resident appropriate, timely and ... in Nursing or Social Work. Registered Nurse (RN) license preferred. Licensed ( LVN or LPN) nurse acceptable. Two (2) year clinical nursing experience preferred.… more
- Banner Health (Phoenix, AZ)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... MINIMUM QUALIFICATIONS Must possess a current, valid LPN or LVN license in state of practice, temporary LPN or... license in state of practice, temporary LPN or LVN license in state of practice, or compact LPN… more
- Sacramento Behavioral Healthcare Hospital (Santa Rosa, CA)
- …mental health and co-occurring psychiatric and substance abuse conditions. POSITION TITLE: Utilization Review Clinician PAY RANGE: LVN /LPT $31.50-37.50 Per ... Hour RN/LCSW/LMFT/LPCC $54.00-64.00 Per Hour REPORTS TO: Director of Utilization Review DESCRIPTION OF POSITION: Work as...Current license as an LCSW, ASW, AMFT, LMFT, RN, LVN , LPT, or LPCC. + Preferred; Master's degree in… more
- Emanate Health (Covina, CA)
- …States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity ... using indicated protocol sets, or clinical guidelines and provide support and review of medical claims and utilization practices. Complete medical necessity… more
- Actalent (Redlands, CA)
- Job Title: Case Manager - Utilization ManagementJob Description Join our dynamic Utilization Management team as a Case Manager, where you will play a pivotal ... role in Care Coordination. You will review healthcare service requests to ensure they meet medical...Medicare, MediCal, and Milliman Criteria Guidelines. + Experience in utilization management and working with provider offices. + Proficiency… more
- Banner Health (Susanville, CA)
- …management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission process ... general surgeries and orthopedics. **As a Licensed Vocational Nurse, LVN , at Banner Lassen Health Center, you will perform...assessments, prepping patients for the provider and more. This LVN is a full time Monday - Friday with… more
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/ LVN to provide services at our Georgia War Veterans Home. GWVH will be opening a new unit that will be dedicated to the needs related to ... could be the job for you! JOB SUMMARY: The primary purpose of the lead LPN/ LVN is to provide direct nursing care to the residents. ESSENTIAL FUNCTIONS: + Ensure the… more
- Dignity Health (Bakersfield, CA)
- …as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the ... of defined levels of hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases for physician … more
- Actalent (Dallas, TX)
- Now Hiring: Remote LVN /LPN Manager Location: Fully Remote Schedule: Monday-Friday 6:30am -4pm Type: Full-Time | Leadership Role About Us Our company is a national ... care. We're expanding our team with a Remote Nurse Team Manager-an LVN or LPN with leadership experience-who will guide staff in executing high-impact… more
- Sharp HealthCare (San Diego, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; IV… more
- Actalent (Dallas, TX)
- Now Hiring: Remote LVN /LPN Manager Schedule: Monday-Friday 6:30am -4pm Type: Full-Time We're a national specialty pharmacy redefining patient care through ... we're looking for a Remote Nurse Team Manager-a licensed LVN or LPN with a passion for leadership and...events, including suicide risk protocols for sensitive medications + Review time-off requests, resolve team challenges, and manage daily… more
- Dignity Health (Woodland, CA)
- …of Participation requirements as measured by defined evaluation processes (ie UR review , Patient Care, IDT processes etc.) + Documents appropriate management of ... visit utilization and authorization status as measured by a designated...of RN. **Qualifications** **Minimum Requirements:** **Education and Experience:** + LVN Experience within the last 5 years. + 2… more
- Guardian Life (Bethlehem, PA)
- As the **Clinical Specialist II, LPN/ LVN ** you will be a licensed Practical or Vocational Nurse who is knowledgeable in a variety of medical and behavioral health ... You may also be required to help with coordinating and overseeing vendor utilization and assist in determining overall function as needed in order to facilitate… more
- Molina Healthcare (Oakland, CA)
- …Licensed Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable ... state and federal regulations. **Required License, Certification, Association** Active, unrestricted State Licensed Vocational Nurse or Licensed Practical Nurse in good standing. **Preferred Education** Completion of an accredited Registered Nurse (RN) Program… more
- UnityPoint Health (Cedar Rapids, IA)
- …+ Is knowledgeable regarding managed care implications - precertifications and utilization review + Maintains competence in performing procedures involved ... with the management of violent or potentially violent patients. Complies with policies for restraint and seclusion per service guidelines. Qualifications + Current licensure in good standing to practice as a licensed practical nurse in the state of Iowa. +… more
