• Case Manager RN or LPN - Population Health

    St. Bernard's Medical Center (Jonesboro, AR)
    …care and cost effectiveness through the integration and functions of case management and utilization review . The person in this position is self-directed, has a ... REQUIREMENTS + Education + Current Arkansas State RN or LPN license. + Experience + RN or LPN... LPN license. + Experience + RN or LPN with previous case management experience preferred, but not… more
    St. Bernard's Medical Center (08/08/25)
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  • LPN Clinical Coordinator Home Health

    Elara Caring (Chicopee, MA)
    …+ Assists staff in maintaining current and accurate medical records and utilization review . + Assists clinical supervisor with non-clinical phone inquiries. ... the Right Time, in the Right Place. **Job Description:** ** LPN Clinical Coordinator** At Elara Caring, we care where...in a hospice or home health care setting + LPN License + Proficiency with Medical Terminology + Experience… more
    Elara Caring (08/02/25)
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  • LPN /LVN - Pain Management

    Matrix Providers (Jacksonville, FL)
    …- Pain Management must have and meet the following: + Degree: Be a graduate from a Licensed Practical Nurse ( LPN ) or Licensed Vocational Nurse ... LPN /LVN - Pain Management Location: Jacksonville, FL, United...and fair, reliable schedules. Matrix Providers is hiring a Licensed Practical Nurse / Licensed more
    Matrix Providers (07/31/25)
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  • Care Management Assistant

    Intermountain Health (St. George, UT)
    **Job Description:** The Utilization Review Care Management Assistant provides clerical and administrative support to enhance integrated care management for ... authorization of services based on contractual requirements. + Promptly communicates utilization review needs, days authorized, denials, and other communication… more
    Intermountain Health (07/25/25)
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  • Patient Therapy Access Specialist

    Abbott (Plano, TX)
    …required clinical information for authorizations. + Work with respective carrier's utilization review department to obtain appropriate authorizations. + Assist ... insurance, Worker's Compensation and Medicare guidelines pertaining toProspective and Retrospective Utilization Review . Some experience in medical deviceor DME… more
    Abbott (07/18/25)
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  • Medical Management Clinician Senior 100% Virtual

    Elevance Health (CA)
    …diploma or equivalent. Requires a minimum of 6 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN ... not require the training or skill of a registered nurse . Acts as a resource for more junior clinicians....initiatives to improve the efficiency and effectiveness of the utilization reviews within the medical management processes. + Assesses… more
    Elevance Health (06/06/25)
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  • UM LVN Delegation Oversight Nurse Remote…

    Molina Healthcare (Oakland, CA)
    …Education** Completion of an accredited Licensed Vocational Nurse (LVN), or Licensed Practical Nurse ( LPN ) Program **Required Experience** + ... Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable...State Licensed Vocational Nurse or Licensed Practical Nurse in good… more
    Molina Healthcare (07/09/25)
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  • Manager, Healthcare Services (Remote…

    Molina Healthcare (Worcester, MA)
    Nurse or equivalent combination of Licensed Vocational Nurse (LVN) or Licensed Practical Nurse ( LPN ) with experience in lieu of RN license. ... performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.),… more
    Molina Healthcare (06/01/25)
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  • Intake Level of Care Coordinator

    Seafield Center, Inc. (Westhampton Beach, NY)
    …+ Knowledge of inpatient/outpatient services and 12 Step programs EDUCATION AND QUALIFICATIONS + NYS Licensed Practical Nurse ( LPN ) required + Minimum 1 ... including EMR entries, PAS forms, and consent forms + Liaise with Utilization Review , Medical, and Transportation departments + Maintain accurate bed board and… more
    Seafield Center, Inc. (06/19/25)
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  • Associate Clinical Manager LPN

    Penn Medicine (Radnor, PA)
    …day. Are you living your life's work? **Job Title:** Associate Clinical Manager Licensed Practical Nurse **Department:** MSKR and Neuroscience Shared ... review and approval, reviews and manages all overtime utilization . + Assists with the implementation of change management...3+ years practical nursing experience (Required) + Licensed Practical Nurse (Required) +… more
    Penn Medicine (08/07/25)
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