- Dignity Health (Bakersfield, CA)
- …the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity of the adverse determination ... criteria used for decision-making. - Ensures that there is evidence that the UM nurse reviewer documented communications with the requesting provider to validate the… more
- LA Care Health Plan (Los Angeles, CA)
- …direct patient care that may include at least 2 years of relevant Licensed Vocational Nurse ( LVN ) experience in a UM or CM capacity substituted for 1 year of RN ... and must adhere to regulatory mandates that apply to Utilization Management ( UM ) and Care Management (CM). This position is responsible for assessing, planning,… more