- Dignity Health (Woodland, CA)
- …of Woodland, CA, with occasional onsite meetings in Woodland.** **Position Summary:** The Utilization Review LVN uses clinical judgement in providing ... maximum medical improvement while receiving care deemed medically necessary. The LVN assists in determining appropriateness, quality and medical necessity of… more
- Actalent (Sacramento, CA)
- Utilization Review Nurse ( LVN ) - InpatientPrimary Responsibilities + Perform timely utilization reviews for Medicare inpatient admissions, continued ... ICU). + At least 1 year of experience in utilization review , case management, or hospital discharge...of an accredited school of nursing. + MUST have LVN or RN ACTIVE CA License + Active and… 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)
- …with internal staff to ensure seamless care coordination. Essential Skills + Utilization review and management experience. + Familiarity with Medicare, MediCal, ... Job Title: Remote LVN Case Manager - Utilization Management Job Description Join our dynamic Utilization Management team as an LVN Case Manager where you… more
- Veterans Affairs, Veterans Health Administration (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
- 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
- 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
- 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 ... Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… 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
- Hospice Of San Joaquin (Stockton, CA)
- …about the Hospice philosophy and Hospice's services. QUALITY ASSESSMENT/IMPROVEMENT AND UTILIZATION REVIEW : Ensures compliance with the program plan, assuring ... we do. We are seeking a Dynamic, skilled, self-motivated LVN Nurse who thrives in a fast-paced environment to... of resources. + Participates in Quality Assessment/Improvement and Utilization Review activities as requested by administration.… more