- Prime Healthcare (Ontario, CA)
- …credentials and licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/176615/ utilization - review - nurse - lvn ... Self-Funded Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse ( LVN ) license. + Minimum two years of experience in… more
- Amergis (Orange, CA)
- …experience, 1+ year in utilization management, prior authorization, or clinical nurse review + Preferred: LVN degree, Case Management Certification ... Salary: $20 / Hour LVN Medical Case Manager - Pre-Authorization Nurse Reviewer Amergis Healthcare is seeking an experienced LVN Medical Case Manager to… more
- Emanate Health (Covina, CA)
- …the United States, and the #19 ranked company in the country. **Job Summary** The Utilization Review Nurse will evaluate medical records to determine medical ... 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)
- …**FTE** 1 **Shift Start Time** **Shift End Time** Other; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians ... + Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program. + California Licensed Vocational...patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient… more
- Molina Healthcare (Long Beach, CA)
- …Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable state ... **JOB DESCRIPTION** **Job Summary** The **Delegation Oversight Nurse ** is responsible for ensuring that Molina Healthcare's...additional duties of the team. We are looking for LVN 's with at least 4 years of UM experience,… more
- UCLA Health (Los Angeles, CA)
- …patient records + Familiarity with the laws, rules, and regulations regarding utilization review and discharge planning of government programs such Medicare, ... care plans + Utilize evidence-based tools for risk stratification + Perform utilization reviews, including authorization reviews + Ensure delivery of concurrent and… more
- Veterans Affairs, Veterans Health Administration (Ukiah, CA)
- Summary The Intermittent Licensed Vocational Nurse /Practical Nurse ( LVN /LPN) has a broad degree of practical nursing knowledge and skills. The LVN /LPN ... EDRP Coordinator for questions/assistance. Learn more Duties and responsibilities of the LVN /LPN include: Performs retrospective medical review of non-VA health… 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 hierarchy and composition of compliant denial notices to review medical records, authorize requested services and prepare cases... Program. - Clear and current CA Licensed Vocational Nurse ( LVN ). - Knowledge of nursing theory… 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 ... Life Support) - American Heart Association; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational...Follows policy and procedure for entering of OCM and utilization of IDX. Completes work within assigned hours.Able to… more
- Veterans Affairs, Veterans Health Administration (San Francisco, CA)
- …Community Care LVN is responsible professionally and administratively to the Nurse Manager, Care in the Community and//or designee. They also ensure that care ... Summary The scope of service provided by the LVN / LPN for the Care in the...patient information. Completed work [should need] only a general review by a registered nurse [(RN) or… more