- 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
- 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
- Sharp HealthCare (Chula Vista, CA)
- …with 0-2 errors; Have the ability to proof work.Knowledge of insurance, utilization review , scheduling requirements and support of front desk ... (AHA BLS Healthcare) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours**… more
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/ LVN to provide services at our Georgia War Veterans Home. GWVH will be opening a new unit that will be dedicated to the needs related to ... could be the job for you! JOB SUMMARY: The primary purpose of the lead LPN/ LVN is to provide direct nursing care to the residents. ESSENTIAL FUNCTIONS: + Ensure the… 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 ... Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians… more
- Dignity Health (Woodland, CA)
- …of Participation requirements as measured by defined evaluation processes (ie UR review , Patient Care, IDT processes etc.) + Documents appropriate management of ... visit utilization and authorization status as measured by a designated...of RN. **Qualifications** **Minimum Requirements:** **Education and Experience:** + LVN Experience within the last 5 years. + 2… more
- Molina Healthcare (San Jose, 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
- UnityPoint Health (Cedar Rapids, IA)
- …+ Is knowledgeable regarding managed care implications - precertifications and utilization review + Maintains competence in performing procedures involved ... with the management of violent or potentially violent patients. Complies with policies for restraint and seclusion per service guidelines. Qualifications + Current licensure in good standing to practice as a licensed practical nurse in the state of Iowa. +… more
- UnityPoint Health (Iowa City, IA)
- …services. * Is knowledgeable regarding managed care implications - precertification and utilization review procedures. * Assists with crisis services placement, ... where applicable. * Provides consultation regarding behavioral health issues as needed to other departments. * Collaborates with interdisciplinary team and other agencies. * Provides consultation regarding behavioral health or medical issues as needed to… more
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