Remote LVN: Utilization & Care Coordination Specialist
SHPCA SCAN Health Plan
- Remote job
SHPCA SCAN Health Plan is seeking a Medical Management Specialist‑LVN to promote the quality and effectiveness of care based on regulatory guidelines. This role is remote and requires a California Licensed Vocational Nurse. The ideal candidate will have a strong background in medical/surgical nursing and utilization management, with proficiency in maintaining documentation and managing complex cases. Benefits include a competitive salary range, remote work options, and a robust wellness program. #J-18808-Ljbffr SHPCA SCAN Health Plan
- ...Ampcus, Inc is seeking a Utilization Management Coordinator in Reston, VA. This role involves supporting clinical teams with administrative tasks related to utilization review and care coordination. Candidates should have a High School Diploma and three years’ experience...Suggested
$107.95k
Hackensack Meridian Health is seeking a Care Coordinator in Edison, NJ to manage patient care and coordinate treatment plans. Your role will involve collaborating with healthcare teams, performing utilization reviews, and ensuring compliance with regulations. This position...Suggested- The Pavilion at Williamsburg Place is seeking a Utilization Specialist to review admissions and stays, coordinate authorizations, and support discharge planning. The role focuses on utilizing approved criteria to ensure timely authorizations and efficient processes within...Suggested
$22.4 - $48.67 per hour
Mass Digital Health in Quincy, Massachusetts, seeks a Licensed Practical Nurse to coordinate, document, and communicate medical services effectively. The role requires a strong ability to navigate diverse clinical settings and manage sensitive information responsibly....Remote jobHourly pay- Integrated Home Care Acquisition in New York is seeking a Clinical Care Coordination professional for a full-time, on-site position. The ideal candidate will have... ...state licensure as a LPN or RN and experience in Utilization Management. The responsibilities include...SuggestedFull time
- Auw in Omaha, Nebraska is seeking a qualified Registered Nurse for utilization management activities. The role involves reviewing clinical information for medical necessity, coordinating care, and interacting with various stakeholders throughout the process. Successful...
- ...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 workLocal areaMonday to FridayShift work
$26.35 - $39.53 per hour
NeueHealth is seeking a Concurrent Utilization Review Nurse responsible for real-time clinical reviews to ensure the medical necessity... ...healthcare services. The role includes conducting assessments, coordinating with providers, and collaborating with the Medical Director...Remote jobHourly pay- ...seeks a Medical Management Specialist-LVN to ensure quality care for members. The role involves... ...medical cases and applying utilization management principles to support care coordination. To be successful,... ...communication skills. This remote position provides competitive...Remote job
- ...Intermountain Health McKay-Dee Hospital in Ogden, Utah seeks a Care Management Assistant to coordinate patient care, communicate with doctors and families,... ...full-time, with a 40-hour work week, Monday through Friday, 8:00–16:30, and is partially remote. #J-18808-Ljbffr...Remote workFull timeMonday to Friday
- ...Molina Healthcare is seeking a remote field-based Care Coordinator to support LTSS care management. You will conduct member assessments, develop and monitor care plans, and collaborate with interdisciplinary teams to coordinate services and improve outcomes for high-need...Remote workWork at office
- ...A company is looking for a Remote Care Coordination Representative. Key Responsibilities Process tasks related to Care Coordination services with a focus on accuracy and compliance Evaluate and electronically file medical documents into patient charts Provide exemplary...Remote workWork at office
- ...Community Care of North Carolina is seeking a Care Management Support Coordinator to assist the Care Management Team. This non-clinical role involves scheduling, gathering documents, and supporting members in health care navigation. The ideal candidate should have a high...Remote work
$26.35 - $39.53 per hour
...are entitled to high-quality, coordinated care. By uniquely aligning the... ...Job Summary The Concurrent Utilization Review (UR) Nurse is responsible... ...Vocational/Practical Nurse (LVN/LPN) with an active,... ...Corporate office preferred / remote may be considered. Collaborative...Remote workHourly payWork at office- ...NeighborHealth Center, Inc. is hiring a Care Coordinator to assist in managing patient care plans while advocating for their needs. This full... ...determinants affecting health. The position allows for remote work and requires strong communication and organizational skills...Remote workFull time
- ...THPP Tufts Health Public Plans Inc in Massachusetts seeks a Care Management Care Coordinator to support day-to-day functions of a complex medical network. This role involves outreach, case assignments, and coordination of care services while serving as the primary contact...Remote work
- ...Summary This role is responsible for managing the care coordination process surrounding specialist referrals for patients, ensuring that appropriate... ...Working conditions This job operates in a remote location from your home location. This role requires...Remote workWork at office
- Hong Kong Study Skills Research Institute is seeking a Care Coordinator in San Diego, California. In this role, you will prepare referral requests, manage prior authorizations, and coordinate retrospective claims review while ensuring compliance with regulatory requirements...
- Lifepoint Health® is seeking a Utilization Review Specialist at Copper Springs East in Gilbert, AZ, to facilitate patient admissions and ongoing care. This role is essential in advocating for patients and ensuring appropriate treatment coverage. The ideal candidate holds...
- ...personalized managed health care, focused on what's important... ...Overview: Responsible for utilizing medical knowledge to assess... ...care planning, implementation, coordination, monitoring, evaluation and... ...Holidays ~ Work-life balance. ~ Remote/hybrid setting (once trained)...Remote workFull timeTemporary workWork at officeWork from homeMonday to FridayFlexible hours
- Bracane Company, located in Dallas, Texas, is seeking a Client Care Coordination Specialist. This role is essential for coordinating patient intake... ...clinical staff. Work may include both office-based and remote tasks, with a focus on timely communication with patients...Remote workWork at office
- ...seeking an ALF Case Manager located in California to oversee care coordination for clients. The role involves conducting eligibility checks... ...and excellent organizational skills. This position entails a remote/field arrangement with significant driving responsibilities....Remote job
- Libertana is seeking an ALF Case Manager to coordinate care for clients under the California Assisted Living Waiver Program. This role involves checking Medi-Cal eligibility, scheduling visits, and ensuring compliance with Medicaid requirements. The ideal candidate will...Remote job
- A health services company is seeking a Remote Care Coordination Representative to manage tasks related to Care Coordination services, ensuring accuracy and compliance with HIPAA guidelines. The ideal candidate will have a high school diploma or equivalent, experience in...Remote jobWork at office
- Case Management Society of America (CMSA) ® is looking for a Scheduling Coordinator who will facilitate appointment scheduling services primarily for patients and physician offices. Preferred candidates should live within 60 miles of Danville, PA or Pittston, PA. Responsibilities...Remote jobRotating shiftAfternoon shift
- SuperCare Health in California is looking for a Hospital Care Coordinator to manage durable medical equipment and respiratory services. The... ...paced environment. Benefits include medical, dental, vision, and opportunities for remote work. #J-18808-Ljbffr SuperCare HealthRemote work
$18 - $24 per hour
A healthcare company is seeking a Remote Care Coordinator to assist clients with their healthcare and community needs. This role involves developing care plans, advocating for clients, and ensuring necessary resources are accessible. The ideal candidate will have a Bachelor...Remote workHourly payFlexible hours- Elevance Health is seeking an Outreach Care Specialist II to support virtual member care programs... .... The role emphasizes flexible, remote work with required in-person training,... ...quality metrics. Responsibilities include coordinating follow-up care, assessing compliance via...Remote jobFlexible hours
$18 - $21 per hour
A community health organization in New York is seeking a Clinical Call Center Care Coordinator to support patients in value-based care programs like Chronic Care Management and Remote Patient Monitoring. The role involves conducting patient outreach, care coordination,...Remote workHourly pay$26 - $30 per hour
Tandemcare is seeking a Care Coordinator for their Continuous Care division in Los Angeles. This full-time remote position offers $26-$30 per hour with full benefits. The role involves managing caregiver schedules, responding to urgent coverage needs, and ensuring a positive...Remote jobHourly payFull time
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote LVN: Utilization & Care Coordination Specialist. Be the first to apply!
- lpn health care Long Beach, NY
- home health care jobs for lpn Long Beach, NY
- lpn nursing home Long Beach, NY
- nurse lpn Long Beach, NY
- lpn labor and delivery Long Beach, NY
- lpn assisted living Long Beach, NY
- lvn Long Beach, NY
- licensed vocational nurse Long Beach, NY
- hospice lpn Long Beach, NY
- lpn dermatology Long Beach, NY

