• Outpatient LPN Clinical Supervisor, Primary…

    OhioHealth (Marengo, OH)
    …of nursing staff. **Minimum Qualifications:** Associate's Degree: Nursing (Required) LPN - Licensed Practical Nurse - National Council of State Boards ... the ordering, receiving and storage of supplies/equipment. 4. Write, review and update policies and procedures on a regular...of Nursing **Additional Job Description:** LPN licensed in the State of Ohio,… more
    OhioHealth (07/19/25)
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  • Temporary- Managed Care Pharmacy Technician

    CDPHP (Albany, NY)
    …clear understanding of prescription and medical benefits as it applies to the utilization review process. + Must demonstrate proficient experience with the ... be a part of that experience. Under the direct supervision of a licensed pharmacist, the Managed Care Pharmacy Technician (Pharmacy Tech) is responsible for… more
    CDPHP (07/29/25)
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  • Care Navigator - Select Health

    Intermountain Health (Murray, UT)
    …SelectHealth members by working collaboratively with the care management and utilization review team, patients, family caregivers, significant others, healthcare ... services. **Essential Functions** + With support and oversight from a licensed Care Manager, Reviewer or Supervisor, works directly with Select Health… more
    Intermountain Health (08/09/25)
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  • Medical Management Clinician Associate

    Elevance Health (Tampa, FL)
    …or equivalent. + Requires a minimum of 2 years of clinical experience and/or utilization review experience. + Current active, valid and unrestricted LPN /LVN ... of Elevance Health's family of brands. We are a licensed health maintenance organization with health plans for people...not require the training or skill of a registered nurse . **How you will make an impact** Primary duties… more
    Elevance Health (08/08/25)
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  • Clinical Appeals Coordinator

    Centene Corporation (Salem, OR)
    …5+ years of clinical nursing or case management experience. Managed care or utilization review experience preferred. **License/Certification:** LPN or Oregon ... Purpose:** Act as the liaison for all statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible for ensuring that all… more
    Centene Corporation (07/16/25)
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  • Clinical Reviewer, Nurse - 9am -6pm PST

    Evolent (Lansing, MI)
    …+ Performs other duties as assigned. **The Experience You'll Need (Required):** + Registered Nurse or Licensed Practical /Vocational Nurse with a current, ... quality and cost effective care delivery. **What You'll Be Doing:** + Performs utilization review of outpatient procedures and ancillary services. + Fulfills on… more
    Evolent (08/01/25)
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  • Ukiah LVN/ LPN

    Veterans Affairs, Veterans Health Administration (Ukiah, CA)
    Summary The Licensed Vocational Nurse / Practical Nurse (LVN/ LPN ) have a broad degree of practical nursing knowledge and skills. The LVN/ LPN ... LPN / LVN. Licensure - Active, full, current and unrestricted licensure as a Graduate Licensed Practical or Vocational Nurse in a State, Territory, or… more
    Veterans Affairs, Veterans Health Administration (07/23/25)
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  • Registered Nurse - OASAS

    Catholic Charities Family Community Services (Newark, NY)
    …record keeping as necessary for program accountability + Participates in monthly Utilization Review , quality assurance and program evaluation activities as ... **Registered Nurse - OASAS** **Job Details** **Level** Experienced **Job...general supervision, provides comprehensive health services and supervision for LPN program staff if applicable. Works collaboratively with other… more
    Catholic Charities Family Community Services (08/09/25)
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  • External Marketer/ Liaison (DirectorPost Acute…

    Genesis Healthcare (Las Cruces, NM)
    …experience. 5. Experience in business/development preferred. 6. Prior experience in utilization review or discharge planning preferred. 7. Certifications: CCM, ... we serve. Responsibilities Join the Genesis team as a Clinical Liaison -- LPN where your marketing/sales and clinical skills will be fully engaged.to establish a… more
    Genesis Healthcare (08/01/25)
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  • Managed Care Coordinator

    Elderwood (Cheektowaga, NY)
    …Companies + Knowledge of Medicare and Medicaid Managed Care Policies and Utilization Review . Managed Care Coordinator Skills and Competencies + Demonstrated ... Care Coordinator Overview The Managed Care Coordinator assists and supports the LPN /RN MDS Coordinator with case management responsibilities. The candidate is the… more
    Elderwood (07/04/25)
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