Nurse (LVN) license. Minimum (2) two years of experience in acute hospital case management or equivalent. Utilization...
Required qualifications: * Possess an active CA Licensed Vocational Nurse (LVN) license. Minimum (2) two years of experience in acute... hospital case management or equivalent. Utilization Management experience required. Excellent interpersonal relationship...
issue(s) to the Compliance Officer. EDUCATION / LICENSURE: 1. LVN licensed in the State of TX 2. Coding experience...
issue(s) to the Compliance Officer. EDUCATION / LICENSURE: 1. LVN licensed in the State of TX 2. Coding experience...
development for other roles you may be interested in. Required Qualifications: Licensed Vocational Nurse TX LVN license 2...+ years of utilization review experience at a health plan, ACO, IPA, or provider group Ability to maintain CEU requirements...
development for other roles you may be interested in. Required Qualifications: Licensed Vocational Nurse TX LVN license 2...+ years of utilization review experience at a health plan, ACO, IPA, or provider group Ability to maintain CEU requirements...
. The Utilization Review Specialist (LVN) is responsible for conducting medical reviews, benefit verification, and applying.... The Utilization Review Specialist (LVN) serves as a liaison in reviewing requests for medical and surgical procedures...
between a Utilization Review Nurse and Pre-Clinical Coordinator providing coverage for both teams. The full UR function can be performed...We are looking for a Utilization Review Specialist to join our team! The Utilization Review Specialist bridges...
effective progression of care and appropriate level of care Mentor and monitor work delegated to Utilization Review LVN/LPN...Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the...
but saving them. Together. The Inpatient Review Nurse assists patients through the continuum of care in collaboration with the..., teach and collaborate with others. Excellent critical thinking skills related to nursing utilization review Knowledge...
of an accredited Licensed Vocational Nurse (LVN) program. California Licensed Vocational Nurse (LVN) - CA Board of Vocational Nursing... initially and reviews based on review of care plan. Makes rounds and sees every patient identified per departmental guidelines...
and caregivers. MDS Coordinator (LVN) Must have experience as a MDS Coordinator Cedar Park, Tx Full-Time Benefits Very... and chart review. Interviews and discusses resident care needs with responsible party. Discusses resident care needs with care...
A managed care organization serving California Medi-Cal members is seeking an experienced and compassionate nurse (RN or LVN/LPN...Job Title: Remote Admissions Coordinator – Long-Term Care & Rehabilitation (RN or LVN/LPN) Company: Leading Managed...
required. Active Licensed Vocational Nurse (LVN) license to practice in the state of California required. Active Registered Nurse (RN...Pay range: : $43 - $65/hr Kinetic Personnel Group is currently recruiting a Grievance and Appeals Nurse Specialist...
Kinetic Personnel Group is currently recruiting for a HEDIS Clinical Review Nurse, LVN for a Public Health Plan... activities. The HEDIS Clinical Review Nurse, LVN supports the CQI Supervisor and HEDIS Nurse RN with compliance with DHCS, CMS...
, Business Office and external Case Managers. Gathers information needed for Managed Care Utilization Reviews throughout the... requirements of the Medicare Program are met, such as Physician certification and re-certification. Performs concurrent MDS review...
- Licensed Practical Nurse - State Licensure required or LVN - Licensed Vocational Nurse required or RN - Registered Nurse... by researching the appeal, reviewing applicable criteria, and analyzing the basis for the appeal Ensures timely review, processing...
standards of care as a foundation for utilization review and transition planning activities Maintain in-depth knowledge... Proven knowledge of utilization management and/or insurance review processes as well as current standards of care, a solid...
, utilization review, and performance improvement activities. Attend Interdisciplinary Group meetings and participate in care plan... of accredited nursing program. Current, active, license as an LVN by the California Board of Vocational Nurse and Psychiatric...
standards of care as a foundation for utilization review and transition planning activities Maintain in-depth knowledge... Proven knowledge of utilization management and/or insurance review processes as well as current standards of care, a solid...