• UM LVN Delegation Oversight Nurse Remote…

    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
    Molina Healthcare (07/09/25)
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  • Telehealth Vocational Nurse

    Veterans Affairs, Veterans Health Administration (Eureka, CA)
    …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... be considered as vacancies become available.** Duties and responsibilities of the Telehealth LVN /LPN include: Serves as a role model and mentor to other nursing… more
    Veterans Affairs, Veterans Health Administration (07/23/25)
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  • Field Based Psychiatric Technician - Behavioral…

    Ventura County (Ventura, CA)
    …that establish, expand, and maintain the pool of eligible service providers. + Utilization review : + Uses professional skills in quality management activities ... as a licensed Psychiatric Technician or Licensed Vocational Nurse ( LVN ) in the state of California. This is an...such as utilization review , monitoring and evaluation procedures, and… more
    Ventura County (08/07/25)
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  • Medical Management Clinician Senior 100% Virtual

    Elevance Health (CA)
    …or equivalent. Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN/ LVN ... improvement initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses and applies… more
    Elevance Health (06/06/25)
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  • Nurse

    Actalent (Sacramento, CA)
    …+ Utilization management knowledge + Discharge planning skills + Utilization review capability + Prior authorization proficiency Additional Skills & ... Qualifications + GED or High School Diploma + CA LVN License Work Environment The position operates within an office setting at the corporate location with dual… more
    Actalent (08/13/25)
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  • Registered Nurse, Inpatient

    VNA Health (Santa Barbara, CA)
    …inservice and nursing staff meetings. + Participate in Quality Management and Utilization Review Activities. + Maintain necessary records and reports in ... and other team members in providing continuity of cared. + Supervise LVN 's, Home Health Aides and Volunteers. + Ensure that arrangements for equipment… more
    VNA Health (08/14/25)
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  • Registered Nurse - Clinical Documentation…

    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 ... Foreign trained MDs will be considered License/Certifications: Registered Nurse, LVN , Occupational Therapist, Physical Therapist, Physician Assistant, foreign MD… more
    Cedars-Sinai (06/19/25)
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