- Prime Healthcare (Ontario, CA)
- …Connect With Us! (https://careers-primehealthcare.icims.com/jobs/236094/ utilization - review - nurse ... Self-Funded Plan. Qualifications Required qualifications: + Possess an active CA Licensed Vocational Nurse ( LVN ) license. + Minimum (2) two years of experience… more
- Dignity Health (Rancho Cordova, CA)
- …is work from home within the Greater Sacramento, CA region.** **Position Summary:** The Utilization Review (UR) LVN uses clinical judgement in providing ... patients. **Job Requirements** **Minimum Qualifications:** - 3 years Managed Care/ Utilization Management (UM) experience. - 5 years LVN... experience. - Clear and current CA Licensed Vocational Nurse ( LVN ) license. - Knowledge of health… 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
- 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...of the Sacramento area Job Duties + Perform timely utilization reviews for Medicare inpatient admissions, continued stays, and… more
- Veterans Affairs, Veterans Health Administration (Eureka, CA)
- …Total Rewards of a Allied Health Professional The Intermittent Licensed Vocational Nurse /Practical Nurse ( LVN /LPN) has a broad degree of ... geriatric patients at the Eureka VA Clinic. Duties and responsibilities of the LVN /LPN include: Performs retrospective medical review of non-VA health care… 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 ... BLS Healthcare) - 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
- 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 ... BLS Healthcare) - 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
- TEKsystems (Canoga Park, CA)
- …experienced RN or LVN with an active license to join our team as a Utilization Review Nurse . In this role, you will conduct retrospective reviews of ... LVN license. + 3-5 years of experience in utilization management or managed care authorization. + Strong attention...desirable). + Strong written communication and analytical skills. Position: Utilization Review Nurse Work Environment:… more
- TEKsystems (Canoga Park, CA)
- …is ideal for a Licensed Vocational Nurse ( LVN ) or Registered Nurse (RN) with hands-on experience in Utilization Management (UM) and a strong ... JobTitle: Retro Claims Reviewer Location: West Hills/Canoga Park 91304 Compensation: LVN $38-$40 hourly RN $45-$50 hourly Overview: The Retro Claims Reviewer is… more
- TEKsystems (Canoga Park, CA)
- Position: Utilization Review Nurse Work Enviroment:...We are seeking to hire an experienced RN or LVN with an active license to help address claims retro ... review . This role focuses on reviewing inpatient and outpatient...a managed care environment. Key Responsibilities: + Perform detailed utilization reviews for inpatient and outpatient claims. + Prepare… more