• Utilization Management LVN

    Actalent (Redlands, CA)
    Job Title: Case Manager - Utilization ManagementJob Description Join our dynamic Utilization Management team as a Case Manager, where you will play a pivotal ... + Knowledge of Medicare, MediCal, and Milliman Criteria Guidelines. + Experience in utilization management and working with provider offices. + Proficiency in… more
    Actalent (07/19/25)
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  • PreService UM LVN

    Dignity Health (Bakersfield, CA)
    …expected as part of the regular schedule for this position.** **Position Summary:** The Utilization Management LVN is responsible for ensuring the integrity ... The position partners with both the Pre-Service and In-Patient Utilization Management teams. Ensures to monitor and...recent clinical experience required. - Graduate of an accredited LVN Program. - Clear and current CA Licensed Vocational… more
    Dignity Health (07/13/25)
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  • Discharge Planner II ( LVN )…

    Prime Healthcare (San Dimas, CA)
    …EDUCATION, EXPERIENCE, TRAINING Required qualifications. 1. Knowledge in discharge planning/ utilization management /case management terminology and functions, ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/214912/discharge-planner-ii-%28lvn%29 utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilitySan… more
    Prime Healthcare (07/15/25)
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  • LVN - Quality Assurance/ Utilization…

    Emanate Health (Covina, CA)
    …Education Requirement:** **Minimum Experience Requirement:** Minimum of three years of utilization management experience. Experience in quality- related job ... States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical necessity by… more
    Emanate Health (04/23/25)
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  • LVN Phys Pract

    Banner Health (Susanville, CA)
    … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... general surgeries and orthopedics. **As a Licensed Vocational Nurse, LVN , at Banner Lassen Health Center, you will perform...assessments, prepping patients for the provider and more. This LVN is a full time Monday - Friday with… more
    Banner Health (06/29/25)
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  • LVN - Neurology - SRS La Mesa (Medical…

    Sharp HealthCare (La Mesa, CA)
    …Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians ... designated patient population. **Required Qualifications** + California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians… more
    Sharp HealthCare (07/11/25)
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  • LVN

    Dignity Health (Woodland, CA)
    …processes (ie UR review, Patient Care, IDT processes etc.) + Documents appropriate management of visit utilization and authorization status as measured by a ... of RN. **Qualifications** **Minimum Requirements:** **Education and Experience:** + LVN Experience within the last 5 years. + 2...5 years. + 2 years recent experience as a LVN in a Home Health or Hospice Agency. **Licensure:**… more
    Dignity Health (06/06/25)
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  • LVN Case Manager - Per Diem - Days - 8hr…

    Emanate Health (Covina, CA)
    …Two years recent acute clinical experience. Experience with discharge. Planning, utilization management and critical pathways preferred. Effective written, ... Excellent customer service skills required. **Minimum License Requirement:** Current California LVN License. BLS. Other certification in Case Management … more
    Emanate Health (07/09/25)
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  • UM LVN Delegation Oversight Nurse Remote…

    Molina Healthcare (Oakland, CA)
    …**Required 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...+ Certified Case Manager (CCM) + Certified Professional Healthcare Management (CPHM) Certified Professional in Health Care Quality (CPHQ)… more
    Molina Healthcare (07/09/25)
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  • Discharge Planner - Utilization…

    Prime Healthcare (Montclair, CA)
    …EDUCATION, EXPERIENCE, TRAINING Required qualifications 1. Knowledge of Discharge Planning/ Utilization Management / Case Management terminology and ... Connect With Us! (https://careers-primehealthcare.icims.com/jobs/210112/discharge-planner utilization - management /job?mode=apply&apply=yes&in\_iframe=1&hashed=-336024306) FacilityMontclair… more
    Prime Healthcare (06/25/25)
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