• Pre - Service UM LVN

    Dignity Health (Bakersfield, CA)
    …physician review based on medical necessity. The position partners with both the Pre - Service and In-Patient Utilization Management teams. Ensures to monitor and ... the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse determination… more
    Dignity Health (05/15/25)
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  • Delegation Oversight Nurse

    Dignity Health (Bakersfield, CA)
    …communication and interpretation of regulatory requirements. - Lead and support pre -delegation audits, annual audits, and ongoing reporting for delegated services. - ... years managed care experience - 1 year minimum of UM Delegation Oversight audit experience with Health Plan or...Nursing - Clear and current CA Licensed Vocational Nurse ( LVN ) - Knowledge in NCQA standards, DHCS, CMS, and… more
    Dignity Health (04/11/25)
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