Remote LVN: Inpatient Utilization & Care Transitions
Blue Zones Health
Blue Zones Health seeks a Licensed Vocational Nurse (LVN) for Utilization Management & Inpatient Case Management in a fully remote role based in California. You will monitor inpatient services, perform concurrent reviews, and coordinate transitions of care while collaborating with hospital teams and health plans.
The ideal candidate has strong managed care knowledge, California LVN licensure, and 3+ years of nursing with 1–2 years in utilization management. Remote work flexibility is required.
#J-18808-Ljbffr$77.91k - $116.86k
...breaking the mold in conventional health care, committed to serving seniors and... ....Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient... ...active, valid, and unrestricted LVN or RN license in California (Non-Compact...Remote workFull timeImmediate startMonday to Friday$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This individual... ...Career development opportunities Remote Opportunities We are actively seeking...Remote workFull timeTemporary workLocal area- ...Integra Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals in a managed care UM program. You will collaborate with the Medical Director to review benefit language, medical necessity, and appeals within NCQA...Remote work
- Integra Partners is looking for an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. This role collaborates with our Medical Director to conduct benefit and medical necessity reviews...Remote job
- CVS Health is seeking an experienced radi-? nurse for a 100% remote Concurrent Review RN position. The role supports inpatient reviews, discharge planning, and care transitions across the continuum. Required is an active Louisiana RN license (or Compact), with 5+ years...Remote jobWeekend work
$101.72k - $198.36k
...California - Ability to work remote, but selected candidate... ...of the following functions: utilization management, care management, behavioral health... ...management, care transitions, long-term supports and services... ...Licensed Vocational Nurse (LVN), Licensed Practical Nurse...Remote workContract workWork experience placementWork at officeLocal area$95k - $100k
Job Summary A Transitional Care Nurse oversees the care of a patient as... ...discharge planning with the inpatient member's clinical team at admission... .... Coordinates with our utilization management team to review... ...HYBRID - Mondays & Fridays Remote Tuesdays through Thursdays...Remote workWork at officeImmediate startRelocationMonday to FridayFlexible hours$40k
...is proud to offer a full time Inpatient Licensed Practical Nurse (LPN... ...enrollment into our LPN Transition to Practice Program – occurs... ...capabilities ~24 new intensive care unit (ICU) beds ~6 new operating... ...-making regarding the utilization of evidence based practice....Full timeTemporary workPart timeRelocation packageFlexible hoursShift workNight shiftWeekend workAfternoon shift$63.1k - $90k
Utilization Review Registered Nurse (RN) - Remote Salary: $63,100-$90,000 annually + Bonus + Shift Differentials... ...Department, Operating Room, or inpatient care management. Prior utilization review... ...-care nurses interested in transitioning into this specialty are also...Remote workCasual workWork from homeMonday to Friday10 hours per weekShift workRotating shiftAfternoon shift$30 - $35 per hour
...DescriptionDepartment: Enhanced Care Management (ECM)... ...Vocational Nurse (LVN) serves as a vital member... ...medication reconciliation, transitions of care, chronic... ...requires a combination of remote work, field-based member... ...leadership.Pacific Health Group utilizes AI-assisted tools to...Remote workHourly payTemporary workWork at officeLocal areaMonday to FridayFlexible hoursAfternoon shift- Integra Partners is seeking an LPN/LVN with managed care experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate... ...guidelines. The role supports a nationwide remote workforce with competitive compensation, benefits...Remote job
$29.1 - $62.32 per hour
...by passionate colleagues who care deeply, innovate with purpose... ...and one community at a time. Utilization Management Nurse Consultant... ...Precertification RN (Medicare Home Care) Remote | Full-Time | Weekday... ...teams to coordinate a smooth transition of care from a hospital and/...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work$29.1 - $62.32 per hour
...by passionate colleagues who care deeply, innovate with purpose... ...and one community at a time. Utilization Management Nurse Consultant... ...Precertification RN (Medicare) Remote | Full-Time | Weekday... ...preferred Why Join Us? Transition your clinical skills into a collaborative...Remote workHourly payFull timeTemporary workWork at officeLocal areaWork from homeMonday to FridayAfternoon shiftWeekday work- Under the direction of the primary care operations team, the Primary Care Nurse works directly with Mercy Primary Care Providers... ...a minimum of three months of on-site training prior to transitioning to a hybrid work-from-home schedule. After training, this role...Remote workFull timeWork from homeMonday to FridayWeekend work
- ...breaking the mold in conventional health care, committed to serving seniors and... .... Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient... ...active, valid, and unrestricted LVN or RN license in California (Non-...Remote workImmediate startMonday to Friday
$40 - $45 per hour
...dignified, high-quality care they deserve but... ...Registered Nurse, Care Transitions, you will be at the forefront... ...discharged from inpatient, observation, or SNF admissions... ...Providing patient remote monitoring support... ...patients with frequent utilization to prevent avoidable inpatient...Remote workLocal areaNight shift- ...patient/family, nursing, utilization review and other members... ...outcomes with appropriate transitions to the next level of care; Responsible for length of... ...responsibility of inpatient or post-hospitalization services... ...weekend rotation, and remote coverage. Physical Demands...Remote workAll shiftsShift workDay shift
- ...Utilization Review Nurse This position has a remote option for those living close and will... ...of care provided to patients... ...Medicaid Services "CMS" Inpatient List). They effectively... ...conditions, a need for transition of care, disease... ...Certifications LVN license in the...Remote workFull time
- SUMMARY OF POSITION:The Utilization Management (UM) Nurse... ...coordinating patient care to ensure patients can... ...standards.Responsible for the inpatient UM process, including... ...Managers and performs transition of care services,... ...be in understaffed/remote areas, in the presence...Remote workWork at office
- ...highest quality patient care to residents... ...Nurse, Behavioral Health Transition of Care Coordinator to... ...effective transitions from inpatient, emergency department,... ...continuity, reducing avoidable utilization (reducing total cost... ...a hybrid model with remote opportunities and...Remote workContract workLocal areaFlexible hours
$26.17 - $30.93 per hour
...The Care Team in partnership with Traditions Health is looking... ...Transportation : This position is a remote role but meeting from time to... ...the POC. Provide care utilizing infection control measures... ...selected for this position will transition to employment with The Care...Remote workTemporary workReliefWork from homeFlexible hours- ...or Licensed Practical Nurse - Care Manager to join our Virtual... ...Principal Care Management, and Transitional Care Management services to... ...organizations inclusive of other inpatient and outpatient care delivery... ...care management Evaluates remote patient monitoring technology...Remote workFull time
- Providence at Home with Compassus in Mission Viejo, CA, seeks a Clinical Care Partner I to coordinate safe, efficient transitions of care for hospitalized patients, evaluating suitability for home-based post-acute services and supporting discharge planning with physicians...Work from home
$25k
...Become a part of our caring community The Transition Coordinator (Care Coach 2) evaluates member's needs... ...outstanding prior authorization decisions, utilization management data, and clinical... ...information. Travel: While this is a remote position, occasional travel to...Remote workFull timeContract workTemporary workFor contractorsApprenticeshipWork at officeWork from homeHome office- ...a top place to work in health care, Baptist Health cares for more... ...currently hiring for a Full-time Inpatient Hospital Coder to join our... ...basic computer skills and able to utilize a computerized encoder and EHR... ...setting Required This is a remote opportunity, candidate must...Remote workFull timeCurrently hiring
- ...Case Manager - Utilization Review Specialist - Remote Full-Time Position You must reside in one of these... ...in areas such as InterQual Level of Care Criteria and Milliman & Robertson Criteria... ...admission standards. Compares inpatient medical records to established...Remote workFull time
$23 - $33 per hour
...LPN/LVN Career Opportunity Full and part time positions available for day and night... ...providing individualized, compassionate care that guides patients along their path to... ...aligning with a rapidly growing national inpatient rehabilitation leader. We take pride in the...Remote workFull timePart timeFlexible hoursShift workNight shiftDay shift- SCAN Health Plan seeks an experienced LVN/LPN to deliver direct, onsite and remote care to Embrace members in assisted living and community-based settings... ..., families and community staff to ensure high-quality care and smooth transitions. #J-18808-Ljbffr SCAN Health PlanRemote work
- ...TeleMate Health Transition Specialist At TeleMate Health, we are... ...individualized holistic patient care while connecting in a way... ...Communicate functionality and expected utilization of monitoring equipment... ...manage time effectively in a remote environment. High speed...Remote work
- ...patient/family, physicians, and the interdisciplinary team, the Transitional Care Nurse Navigator facilitates the patient's progress through... ...along with patient/family and providers for transition from inpatient setting to post-acute setting. Initiates evidence based...Daily paid
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