- Datavant (Austin, TX)
- …of care, along with clinical knowledge and expertise successfully. Ideal candidate should be a Licensed Practical Nurse or Registered Nurse well versed ... of the Denial Prevention Specialist is to effectively defend utilization of available health services, review of...as delegated by management Ideal candidate should be a Licensed Practical Nurse or Registered… more
- Veterans Affairs, Veterans Health Administration (Amarillo, TX)
- …Rewards of a Allied Health Professional The primary purpose of the Licensed Practical /License Vocational Nurse ( LPN / LVN ) 6 is to perform assigned ... Licensure: Full, active, current & unrestricted licensure as a licensed practical or vocational nurse ...body in the jurisdiction in which the individual is licensed as qualifying for full LPN / LVN… more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review ...with 2-4 years of related experience + Required Licensure: LPN / LVN or RN - Compact State License + ... Medicaid About the Role We are seeking a Clinical Review Nurse to perform concurrent reviews for...providers to approve determinations or provide recommendations based on review findings + Educate providers on utilization … more
- Actalent (Austin, TX)
- Clinical Review Nurse - Concurrent Review ...with 2-4 years of related experience + Required Licensure: LPN / LVN or RN - Compact State License + ... with providers to approve or recommend determinations based on review findings + Educate providers on utilization ...on review findings + Educate providers on utilization processes to ensure high-quality care + Support denial… 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 ... Associates Degree ( +/- 13 years) In Nursing/Home Health ( LVN / LPN ) or related field required or an...Compensation and Medicare guidelines pertaining to Prospective and Retrospective Utilization Review . + Experience in medical device… more
- Evolent (Austin, TX)
- …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification...precertification and prior approvals. Tasks are performed within the **RN/ LVN / LPN ** scope of practice, under the Medical… more