Remote LVN: Inpatient Utilization & Care Transitions
Blue Zones Health
- Remote job
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 Blue Zones Health
- ...Blue Zones Health is seeking an LVN for Utilization Management & Inpatient Case Management in a fully remote role. The ideal candidate will perform concurrent reviews... ...inpatient utilization, and coordinate transitions of care while collaborating with hospital teams and...Remote work
$65k - $85k
...Jobs Licensed Vocational Nurse (LVN) - Utilization Management & Inpatient Case Management Licensed Vocational... ...Inpatient Case Management Fully Remote Remote Worker - N/A Full-time... ...management, and coordination of transitions of care , while also providing support for...Remote workFull timeWork at office- ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. You will assist patients through the continuum of care in collaboration with the patient’s PCP, facility case manager, discharge planner and contracted providers to ensure...Remote work
- ...Health is seeking an experienced inpatient review nurse to join the remote utilization management team. You will review inpatients... ...medical needs and coordinate care across physicians, facilities, and... ...experience and an active LVN license. #J-18808-Ljbffr Alignment...Remote job
- ...Alignment Health is seeking an inpatient review nurse to join the remote utilization management team. As an inpatient review... ...patients through the continuum of care in collaboration with the patient’... ...- 5:00 PM Pacific Time. Requires LVN or RN license (CA or willing to...Remote workMonday to Friday
- ...benefit determinations, the full-time LVN Utilization Review Nurse will conduct first-... ...pre-certification requests and inpatient hospital stays to assess medical necessity... ...facilitate patient discharge and transition to the next level of care Required qualifications Current...Remote workFull timeWork at officeMonday to Friday
$27.61 - $53.83 per hour
...Transition of Care Coach Remote (Must have CA LVN/LPN) CA, United States and 1 more Trending Job Description... ...Nursing Facility (SNF) Placement, Inpatient Rehabilitation / Long-Term Acute... ...LTAC), Community Resource Linkage / Utilization, Transportation & Follow-up...Remote workHourly payFull timeContract workWork experience placementWork at officeLocal areaMonday to Friday$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 workImmediate startMonday to Friday- ...To ensure timely and accurate care decisions, the full-time Utilization Review Nurse LVN/LPN will perform clinical reviews... ...and maintaining compliance in a remote work environment. Key responsibilities... ..., including outpatient and inpatient requests Document decisions and...Remote workFull time
$26.34 - $40.82 per hour
...CareLocation: UCHealth Anschutz Inpatient Pavilion, Aurora - CODepartment: UCHA Transition Specialties UnitWork... ...not offer a hybrid or remote optionWork nights, earn... ...) or Vocational Nurse (LVN).BLS through the... ...practice in direct patient care utilizing the nursing...Remote workFull timeTemporary workLocal areaFlexible hoursShift workNight shift- ...Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA... ...to high-quality in-home care management across a national network... ...years UM experience in managed care. Remote opportunities are available. #J...Remote work
- ...seeking a Licensed Vocational Nurse to join the Utilization Management team within Case Management. The LVN will collaborate with case managers, staff,... ...post-discharge vendors to ensure safe, timely transitions of care and appropriate hospital reimbursement. Strong...
- ...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 workWeekend work
- ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program. You... ...experience, and 2+ years UM experience in managed care. Remote opportunities are available. #J-18808-LjbffrRemote work
- ...Integra Partners seeks an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA-compliant UM program... ...experience, with 2 years in UM within managed care. Colorado-based remote-friendly position with comprehensive benefits....Remote work
- ...Integra Partners seeks a licensed LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals. You will collaborate with... ..., 3+ years of nursing, and 2+ years in UM. Remote opportunities are available across the United...Remote work
- ...Integra Partners is seeking an LPN/LVN experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to review benefit and medical necessity within an...Remote work
$60k
...Integra Partners seeks an LPN/LVN experienced in managed care UM to perform pre- and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director on benefit and medical necessity reviews within an NCQA-compliant UM program....Remote work- ...Integra Partners is seeking a licensed practical nurse (LPN/LVN) experienced in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. The role collaborates with the Medical Director on benefit and medical...Remote work
- ...Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to ensure benefits and medical necessity decisions meet NCQA standards...Remote work
- ...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... ...holidays ~ Health and wellness programs ~ Remote Opportunities Founded in 2005,...Remote workTemporary workLocal area
- ...Integra Partners is seeking an LPN/LVN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to conduct benefit and medical necessity reviews within an NCQA-compliant...Remote work
- ...Molina Healthcare of California is seeking a Transition of Care Coach LVN/LPN to support members remotely from the CA region. The role requires an active California LVN/LPN license and work hours Monday through Friday, 8am–5pm Pacific Time. You will coordinate discharge...Remote workMonday to Friday
- ...Molina Healthcare of California is seeking a Transition of Care Coach LVN/LPN to support members through hospital discharge and post-discharge transitions. This is a remote role requiring a valid California LVN/LPN license and availability for Pacific Time hours, Monday...Remote workMonday to Friday
- ...Integra Partners is seeking an LPN/LVN with experience in the managed care payor environment to perform pre-service and post-service utilization reviews and appeals for DMEPOS. You will collaborate with our Medical Director to ensure NCQA-compliant UM program operations...Remote work
$63.9k - $83.08k
...Reporting to the Supervisor, Integrated Transitional Care, the Claims Review Nurse, LVN is responsible for conducting... ...and Claims team meetingsReview inpatient and outpatient claims that... ...experience with inpatient and outpatient utilization and case management...Remote workTemporary work- ...Partners is seeking an experienced LPN/LVN to perform pre-service and post-service utilization reviews and appeals within a NCQA... ...compensation with benefits, remote opportunities across multiple... ...professionals with UM experience in managed care are encouraged to apply. #J-1880...Remote job
- Integra Partners seeks an experienced LPN/LVN to support utilization review in a managed care UM program. You will perform pre/post service reviews, determine... ...appeals within NCQA-aligned guidelines. Remote opportunities across the US are available. #J-18808...Remote job
- Integra Partners seeks a licensed LVN/LPN with managed care UM experience to perform pre-service and post-service utilization reviews and appeals for DMEPOS, collaborating with the Medical Director within an NCQA-compliant UM program. Responsibilities include evaluating...Remote job
$65k - $75k
...Care Transitions Utilization Nurse (LPN)Compensation: $65,000 - $75,000Job Type: Full TimeAbout Vitae Health Systems:Founded in 2018, Vitae Health Systems is one of the largest providers of behavioral health, internal medicine, and podiatry services to residents of Skilled...Work at office1 day per week
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