- 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
- 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
- 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
- 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
- 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
- STG International (Milledgeville, GA)
- STGi is seeking a LPN/ LVN to provide services at our Georgia War Veterans Home. GWVH will be opening a new unit that will be dedicated to the needs related to ... you! JOB SUMMARY: The primary purpose of the lead LPN/ LVN is to provide direct nursing care to the...and education for self-help as appropriate. + Provide pain management for residents in accordance with established pain … more
- 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
- 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
- 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
- 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
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