- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236094/ utilization - review -nurse- lvn ... Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse ( LVN ) license. + Minimum (2) two years of experience in acute hospital… more
- 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
- Sharp HealthCare (San Diego, CA)
- …**Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:** ... Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program. + California Licensed Vocational Nurse ( LVN...patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient… 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 ... Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians;… 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 ... Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… more
- Actalent (Sacramento, CA)
- …(eg, med-surg, telemetry, ICU) + At least 1 year of experience in utilization review , case management, or hospital discharge planning + Familiarity with ... Remote Licensed Vocational Nurse ( LVN ) Fully remote but MUST reside within 50...of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and… more
- TEKsystems (Los Angeles, CA)
- Job Title: Retro Claims Reviewer Location: West Hills/Canoga Park 91305 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is ... This role is ideal for a Licensed Vocational Nurse ( LVN ) or Registered Nurse (RN) with hands-on experience in...) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong understanding of HMO/Medicare… more
- Sharp HealthCare (San Diego, CA)
- …position requires the ability to combine clinical/quality considerations with regulatory/financial/ utilization review demands to assure patients are receiving ... nursing experience or case management experience. + 3 Years case management, utilization review , care coordination experience. + California Registered Nurse (RN)… more
- University of Southern California (Arcadia, CA)
- …outside referring physicians andmedical groups.* Communicates with insurance company utilization review and authorization personnel.* Gathers and maintains ... of competency, and/or regulation. TheRN will direct care provided by the LVN , CNA, nursing student, and/or logistics technician.* Responsible for understanding and… more
- ERP International (Camp Pendleton, CA)
- …education of patients and their families and employee satisfaction. **Additional LPN/ LVN - Duties** . + Provide care coordination for the beneficiaries assigned ... manuals, reports and actively engages patients in their health care. + Review details and expectations regarding referrals with patients. + Provide support to… more
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