• UM LVN

    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
    Dignity Health (09/11/25)
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  • Managed Long Term Services and Supports Nurse…

    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
    LA Care Health Plan (08/26/25)
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  • LPN Care Review Clinician, Prior Authorization…

    Molina Healthcare (Everett, WA)
    …a WA state LPN licensure. Candidates with case management, Utilization Management ( UM ), and direct managed care experience are highly preferred. Further details to ... teams to promote Molina Care Model + Adheres to UM policies and procedures. + Occasional travel to other...of an accredited Registered Nurse (RN), Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) Program OR a… more
    Molina Healthcare (08/24/25)
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  • Care Review Clinician, Prior Authorization

    Molina Healthcare (Buffalo, NY)
    …with multidisciplinary teams to promote Molina Care Model + Adheres to UM policies and procedures. **JOB QUALIFICATIONS** **Required Education** Any of the ... following: Completion of an accredited Licensed Vocational Nurse ( LVN ) or Licensed Practical Nurse (LPN) Program OR a bachelor's or master's degree in a healthcare… more
    Molina Healthcare (08/31/25)
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  • Licensed Vocational Nurse - LPN

    US Tech Solutions (May, OK)
    **Duration: 06 months contract** **Position Summary** + The UM Nurse Associate I is responsible for reviewing and completing criteria-based prior authorizations in ... management or prior authorization processes preferred. **Licensure** + Active, unrestricted LPN/ LVN license (screenshot of license must be included at the top… more
    US Tech Solutions (09/10/25)
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