- 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
- STG International (Milledgeville, GA)
- …a day/7 day a week and a Licensed Practical Nurse (LPN) or Licensed Vocational Nurse ( LVN ) is on duty 24 hours a day. + Ensure that services provided or ... an accredited college or university, or be a graduate of an approved Licensed Practical Nurse (LPN)/Licensed Vocational Nurse ( LVN ) program. + Must have, as… 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
- ERP International (Camp Lejeune, NC)
- …providers for 90% of all referrals. + Provides timely, descriptive feedback regarding utilization review issues. + Reviews and enters first right of refusal ... ERP International is seeking full-time **Licensed Practical** **/Vocational Nurses (LPN/ LVN )** in support of Referral Management Center at theNaval Medical… 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)
- …Day **FTE** 1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; ... + Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program + 3 Years experience...contracted health plan requirements for documentation of concurrent SNF review and utilization management activities performed in… 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 ... (NPTA Sterile Product Certification) - Various-Employee provides certificate; California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing &… 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