- ERP International (Camp Pendleton, CA)
- …education of patients and their families and employee satisfaction. **Additional LPN/ LVN - Duties** . + Provide care coordination for the beneficiaries assigned ... manuals, reports and actively engages patients in their health care. + Review details and expectations regarding referrals with patients. + Provide support to… more
- TEKsystems (Canoga Park, CA)
- …RN or LVN with an active license to join our team as a Utilization Review Nurse. In this role, you will conduct retrospective reviews of inpatient and ... highly desirable). + Strong written communication and analytical skills. Position: Utilization Review Nurse Work Environment: Hybrid (onsite & remote)… more
- TEKsystems (Canoga Park, CA)
- Position: Utilization Review Nurse Work Enviroment: Hybrid...We are seeking to hire an experienced RN or LVN with an active license to help address claims ... retro review . This role focuses on reviewing inpatient and outpatient...a managed care environment. Key Responsibilities: + Perform detailed utilization reviews for inpatient and outpatient claims. + Prepare… more
- TEKsystems (Canoga Park, CA)
- JobTitle: Retro Claims Reviewer Location: West Hills/Canoga Park 91304 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is ... This role is ideal for a Licensed Vocational Nurse ( LVN ) or Registered Nurse (RN) with hands-on experience in...) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare… more
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/ LVN to provide services at our Georgia War Veterans Home. If you have compassion and a passion to care for Veterans, this 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 facility meets the… more
- Abbott (Plano, TX)
- …insurance, Worker's Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . Some experience in medical device or DME ... currently has an opportunity for a **Patient Therapy Access Specialist ** (PTA). This is an in office 5 days...Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . + Experience in medical device… more
- ManpowerGroup (Plano, TX)
- …Workers Compensation, and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . + Proficient with Microsoft Office (Word & ... and patient care, is seeking a Verification of Benefits Specialist to join their team. As a Verification of...phone. **What's Needed?** + Associate degree in Nursing/Home Health ( LVN /LPN) or related field required. + Minimum of 2+… more
- Datavant (Nashville, TN)
- …The purpose of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of admissions for medical necessity ... author appeal letter Identification of referrals to the medical director for review + Select appropriate preferred and contracted providers + Provide proper… more
- Cedars-Sinai (Los Angeles, CA)
- …Experience: A minimum of 5 years of experience in Acute Clinical Care, Utilization Review , Coding, or Case Management required Working knowledge of Joint ... has named us one of America's Best Hospitals. As our next Clinical Documentation Specialist , you will work under the general direction of the HID CDI/Core Measures… more
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