- Molina Healthcare (Bronx, NY)
- …eligible for Medicaid and Medicare.** **We are looking for a LPN or LVN Care Review Clinician with Prior Authorization experience. Experience with Utilization ... Management ( UM ) is...) is highly preferred. Additional experience with appeals, quality review , MLTC/LTC experience, and experience with data collection/reports.** **_Bilingual… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:** ... and employer business practices. **What You Will Do** The UM Resource Coord-SCMG serves as a resource to the...and authorizes medical services that meet medical criteria. The review of care is region specific and consists of… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Other **Hours** ... Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program + 3 Years experience in the acute...Informs quality department of any quality issues. + Chart review Performs a comprehensive review of medical… more
- LA Care Health Plan (Los Angeles, CA)
- …UM or CM. Licenses/Certifications Required Licensed Vocational Nurse ( LVN ) - Active, current and unrestricted California License Licenses/Certifications Preferred ... Utilization Management Nurse Specialist LVN II Job Category: Clinical Department: Utilization Management Location: Los Angeles, CA, US, 90017 Position Type: Full… more
- Sharp HealthCare (San Diego, CA)
- …1 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians **Hours** **:** ... and authorizes medical services that meet medical criteria. The review of care is region specific and consists of...SNF, medical clinic etc.) + California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric… more
- Sharp HealthCare (San Diego, CA)
- …0 **Shift Start Time** **Shift End Time** California Licensed Vocational Nurse ( LVN ) - CA Board of Vocational Nursing & Psychiatric Technicians; Other **Hours** ... Other : Graduate of an accredited Licensed Vocational Nurse ( LVN ) program. + California Licensed Vocational Nurse ( LVN...patient under assigned workload initially and reviews based on review of care plan.Makes rounds and sees every patient… more
- ERP International (Cherry Point, NC)
- **Overview** ERP International is seeking a full-time **Licensed Practical/Vocational Nurses (LPN/ LVN )** in support of the **Mental Health Department** at theNaval ... Collaborate with multidisciplinary team to coordinate specialty care referrals. * Review behavioral health specialty care referrals for completeness. * Make… more