Remote UM LVN Utilization & Care Coordination

Santa Barbara Cottage Hospital

A healthcare organization is seeking a dedicated Utilization Management LVN to ensure timely access to care. This remote role involves coordinating authorization workflows, reviewing clinical documents for CPT verification, and supporting high-needs members. Required qualifications include a current LVN license and 2-3 years clinical experience. Join a dynamic team committed to improving healthcare delivery with competitive pay and comprehensive benefits. #J-18808-Ljbffr

Apply

Vacancy posted 3 days ago

Similar jobs that could be interesting for youBased on the Remote UM LVN Utilization & Care Coordination in United States vacancy

Remote Care Management LPN
...A healthcare organization is seeking a dedicated Utilization Management LVN to ensure timely access to care. This remote role involves coordinating authorization workflows, reviewing clinical documents for CPT verification, and supporting high-needs members. Required...
Remote work
Santa Barbara Cottage Hospital
New York, NY
3 days ago
Utilization Management Nurse, LVN/LPN (Work from Home)
$27.1 - $40.65 per hour
...Utilization Management Nurse, LVN/LPN (Work from Home) California, United States NeueHealth is a value... ...are entitled to high-quality, coordinated care. By uniquely aligning the interests... ...Summary The Utilization Management (UM) Prior Authorization (PA) Nurse is a...
Remote work
Hourly pay
Full time
Contract work
Work at office
Work from home
NeueHealth
United States
5 days ago
Remote LVN: Utilization Review & Care Coordination
...TryApplyNow is seeking a Licensed Vocational Nurse (LVN) for a full-time remote position in Utilization Review within San Diego County. This role involves reviewing... ...of recent clinical experience, and have managed care experience. Comprehensive health and wellness...
Remote work
Full time
TryApplyNow
San Diego, CA
3 days ago
Remote Care Management LPN
...that connects comprehensive care with a modern payment... ...Health is seeking a dedicated Utilization Management (UM) LVN. The UM LVN supports prior... ...authorization processes, coordinate clinical information, support... ...This position is fully remote Monday-Friday 8am - 5pm with...
Remote work
Local area
Monday to Friday
Shift work
Harbor Health Services
Austin, TX
5 days ago
LPN-Health Coordinator Full time
...UM Denials Coordinator - LPN BRIGHTON HEALTH PLAN SOLUTIONS Remote – 100% Full Time About The Role BHPS provides Utilization Review services to its clients. The UM Denials Coordinator supports the... ...plan experience – how health care is accessed and delivered – by bringing...
Remote work
Full time
Work at office
Flexible hours
Brighton Health Plan Solutions
New York, NY
9 hours ago
Remote UM Nurse (Indiana) - Utilization & Care Coordination
UnitedHealthcare is seeking a UM Nurse to evaluate clinical requests for Home and Community... ...plays a critical role in ensuring care provided meets medical necessity and state... ...experience. The role offers flexibility for remote work and requires occasional travel within...
Remote job
Work from home
UnitedHealthcare
Indianapolis, IN
3 days ago
Remote UM Nurse - Pre-Service (RN/LVN)
$77.91k - $116.86k
...Healthcare USA, LLC is hiring for a remote Utilization Management (UM) Nurse position focused on pre-service... ...This role requires active California LVN or RN licensure and involves reviewing... ...requests to ensure quality care. Candidates should have at least three...
Remote work
Alignment Healthcare USA, LLC
Orange, CA
17 hours ago
UM Coordinator (Work from home)
$19.27 - $28.91 per hour
...that all health consumers are entitled to high-quality, coordinated care. By uniquely aligning the interests of health consumers,... ...creating a better care experience for all. Position The Utilization Management (UM) Coordinator supports the coordination, processing, and...
Remote work
Hourly pay
Work at office
Work from home
NeueHealth
United States
4 days ago
Remote UM Nurse (LPN/LVN) - DMEPOS & Medical Necessity
...A leading managed care organization is seeking an experienced LPN/LVN to conduct pre-service and post-service utilization reviews for durable medical equipment. This position requires... ...skills. Responsibilities include performing UM reviews, communicating outcomes, and...
Remote work
Santa Barbara Cottage Hospital
New York, NY
3 days ago
Licensed Practical Nurse (LPN) - Clinic Remote
$20.38 - $36.44 per hour
...Utilization Review Specialist (LVN) Explore opportunities with Kelsey-Seybold Clinic... ...the nation's leading health care organizations and build... ...recognized for delivering coordinated and accountable care. As a... ...have the flexibility to work remotely as you take on some tough...
Remote work
Hourly pay
Minimum wage
Full time
Work experience placement
Local area
Flexible hours
Reliant Medical Group
United States
4 days ago
Full-time RN / LPN Home Health Care
$34 - $47 per hour
...UM Review Nurse - LVN Department: HS - UM Employment Type: Full Time... ...is looking for a CA-licensed Utilization Review Nurse to assist our Health... ...shifts per week. This is a remote position for CA-licensed... ...Entrepreneurial Provider and Care Teams Operate with Integrity...
Remote work
Hourly pay
Full time
Live in
Work at office
Monday to Friday
Shift work
Astrana Health, Inc.
Monterey Park, CA
3 days ago
LVN - Clinic-Virtual Care
$20.38 - $36.44 per hour
...Patient Navigator - LVN Explore opportunities with Kelsey-... ...the nation's leading health care organizations and build your... ...nationally recognized for delivering coordinated and accountable care. As a... ...This role works closely with Utilization Management, Hospitalist...
Remote work
Hourly pay
Minimum wage
Full time
Work experience placement
Local area
UMR
United States
16 hours ago
Nurse Care Management LPN (Virtual)
$60k
...Integra is looking for a LPN/LVN experienced in the managed care payor environment to... ...-service and post-service utilization reviews and appeals for DMEPOS... ...within an NCQA-compliant UM program. Salary: $60,000.0... ...development opportunities Remote Opportunities We are actively...
Remote work
Temporary work
Local area
Santa Barbara Cottage Hospital
Richmond, VA
3 days ago
Utilization Management Nurse, LVN/LPN
$26.35 - $39.53 per hour
...Utilization Management Nurse, LVN/LPN California, United States NeueHealth is a value-driven healthcare... ...are entitled to high-quality, coordinated care. By uniquely aligning the interests... ...Corporate office preferred / remote may be considered Collaborative...
Remote work
Hourly pay
Work at office
NeueHealth
Encino, CA
10 days ago
Remote Care Management LPN
$18 - $20 per hour
...companies in the U.S.? If so, keep reading! Title of Job: Remote Utilization Management LPN/LVN Location: REMOTE (anywhere in the US) CSI... ...audit requirements to ensure compliance Assist with care coordination activities, including benefit explanations and redirection...
Remote work
Hourly pay
Weekly pay
Full time
Temporary work
Live in
Immediate start
Home office
Monday to Friday
The CSI Companies
United States
2 days ago
Remote LPN: Utilization Management Coordinator I
...BlueCross BlueShield of South Carolina is seeking a Utilization Management Coordinator I to perform medical reviews and manage services within the LPN/LBSW scope. This is a remote position with scheduled on-site requirements. Candidates need a Bachelor's degree and LPN...
Remote work
Santa Barbara Cottage Hospital
New York, NY
3 days ago
UM Administration Coordinator - Healthcare
$40k - $52.3k
...Become a part of our caring community The UM Administration Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 performs varied... ...Location: Ohio Work Style: Remote Travel Requirements: Minimal travel...
Remote work
Bi-weekly pay
Full time
Temporary work
Apprenticeship
Work from home
Home office
Monday to Friday
Weekend work
Humana
Jefferson City, MO
2 days ago
REMOTE UM Appeals Care Manager (RN or LPN)
...Utilization Management Nurse (RN/LPN) – Managed Care / Appeals & Authorization (Remote) Overview We are seeking an experienced and detail-oriented... ..., processing appeals, coordinating with providers and external... ...ready documentation within UM and Appeals platforms. Document...
Remote work
Medix
Bronx, NY
3 days ago
Remote UM Nurse: Clinical Utilization & Care Coordination
...healthcare solutions provider is seeking a Utilization Management Nurse to perform clinical... ...ensuring compliance with national standards remotely. The ideal candidate will hold an active... ...two years of experience in a managed care environment. Responsibilities include communicating...
Remote work
Work at office
MagnaCare
Chapel Hill, NC
9 hours ago
Outpatient Utilization UM Clinician (RN/LVN)
MedPOINT Management is hiring a UM Outpatient Licensed Clinician in Los Angeles... ...members to promote improved quality of care and continuity of services. A current California RN or LVN license and 2+ years of experience in utilization management are required. Proficiency...
Work at office
MedPOINT Management
Los Angeles, CA
2 days ago
Remote LVN Care Manager — Care Coordination Expert
Scan-Health-Plan in Sacramento is seeking a Care Manager to coordinate care for members. The role requires strong advocacy skills and the ability... ...CA Licensed Vocational Nurse with relevant clinical and utilization management experience. A commitment to improving care for...
Remote job
Scan-Health-Plan
Sacramento, CA
3 days ago
Remote LPN/ LVN Clinical Care Coordinator
$22 per hour
...Position Summary The Clinical Care Coordinator plays a vital role in supporting patients along... ...License that is clear and active (LPN/ LVN). Must be licensed in the state of... ...assessments. Awareness of resource, utilization, and care management best practices....
Remote work
Full time
Work at office
Monday to Friday
Flexible hours
Wellbox Virtual Care Solutions
Jacksonville, FL
4 days ago
Clinical Quality Assurance Coordinator (RN, LPN, LVN) (31899)
...Are you a Nurse (LPN, LVN or RN) seeking a role that... ...Quality Assurance Coordinator to join our team! In this... ...This Role Rocks 100% Remote - enjoy the flexibility... ...effective and efficient utilization of company resources.... ...carriers, TPAs, or managed care organizations. Must...
Remote work
Local area
Work from home
Monday to Friday
Flexible hours
ExamWorks
Southfield, MI
3 days ago
Care Coordinator/ Licensed Practical Nurse (LPN) for LOCERI/LTSS Waiver - Remote in Virginia
...Overview: Sentara Health Plansis hiring a Care Coordinator/ Licensed Practical Nurse (LPN) for LOCERI/LTSS Waiver - Remote in Virginia Status: Full-time,permanent... ...entry and monitoring of reports to increase utilization of EPSDT services. Maintains tracking system...
Remote work
Permanent employment
Full time
Temporary work
Shift work
Sentara Health
Norfolk, VA
10 hours ago
LVN Managed Care
$19.47 - $38.08 per hour
...invent the future of health care, here's your... ...general direction of the Utilization Management Manager, you... ...nationally recognized UM criteria. If you are... ...with Medical Directors Coordinate health care services with... ...~ Active, unrestricted LVN license in the state of...
Hourly pay
Minimum wage
Work experience placement
Work at office
Local area
Work from home
Optum
San Diego, CA
3 days ago
Inpatient UM Coordinator
...MedPOINT Management as an Inpatient UM Coordinator in Sherman Oaks, CA, where you will... ...vital role in ensuring quality patient care and efficient utilization management. This position offers an... ...environment that fosters professional growth. This is a remote position....
Remote work
MedPOINT Management
Sherman Oaks, CA
9 hours ago
Remote UM LVN Texas (Mon-Fri, 8-5)
...A healthcare company in Texas is seeking a fully remote Utilization Management LVN to manage prior authorization processes and support members’ care. The ideal candidate will have a current LVN license, 2-3 years of clinical experience, and excellent communication skills...
Remote work
Harbor Health Services
Austin, TX
9 hours ago
Licensed Practical Nurse - Case Coordinator
...personalized managed health care, focused on what’s important... ...Overview: Responsible for utilizing medical knowledge to assess patient... ...planning, implementation, coordination, monitoring, evaluation and... ...Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained)...
Remote work
Hourly pay
Full time
Temporary work
Work at office
Work from home
Monday to Friday
Flexible hours
Hines and Associates
Illinois
16 hours ago
Remote Care Management LPN
$21 per hour
...seeking a Licensed Practical Nurse (LPN) to work 100% remote and manage comprehensive patient care. Candidates should have at least 3 years of... ...and a Multi-State/Compact License. The role involves coordinating care, managing patient needs, and providing education...
Remote work
CareHarmony LLC
Brentwood, TN
1 day ago
Utilization Review Coordinator
...outpatient and virtual treatment. We provide care for drug and alcohol addiction, trauma... ...you! Position Summary: As the Utilization Review Coordinator, you will develop and implement... ...types of case activity, coordinate with UM team to ensure all deadlines are met...
Remote work
Local area
Meadows of Wickenburg Inc
United States
2 days ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Remote UM LVN Utilization & Care Coordination. Be the first to apply!