Utilization Management LVN: Hybrid Care Reviewer
Anacalifornia
AltaMed Health Services Corp. in Montebello, CA, is seeking a Licensed Vocational Nurse (UM Nurse) to perform routine review of authorization requests and assess medical necessity using guidelines. The role focuses on utilization management for inpatient and outpatient services, ensuring medical appropriateness within coverage rules, with a hybrid work arrangement to support growth and patient care excellence. #J-18808-Ljbffr Anacalifornia
- ...Licensed Vocational Nurse to perform Utilization Management, reviewing authorization requests and... ...appropriateness and optimal coverage. A valid LVN license, 2 years of managed care UM experience, and BLS certification are required. Hybrid work and strong compensation...Suggested
- Astrana Health is seeking a Supervisor - Care Management (Model of Care) to oversee daily... ...Manager, Care Management and requires RN/LVN licensure with 3+ years in care management... ...cross-functional collaboration skills. Hybrid work arrangement in California is supported...Suggested
- ...Opportunity We are recruiting for an RN or LVN Case Management with strong UM skills. Utilization Management. shift is 0800-1700 Strong UM Review nurses, LVN or RN Candidate MUST have UM... ...1 year or more of UM/UR experience Care Navigators On Demand is an Equal...SuggestedDaily paidContract workFlexible hoursShift work
$31.05 - $38.82 per hour
...AltaMed LVN Utilization Management Nurse If you are as passionate about helping those in need as you... ...we demonstrate our belief that quality care is for everyone. Our commitment to... ...Nurse (UM Nurse) will provide routine review of authorization requests from all lines...SuggestedHourly payFlexible hours$31 - $45 per hour
...to apply for the Case Manager (LVN or RN) role at Astrana... ...Entrepreneurial Provider and Care Teams Operate with... ...100% compliance with Utilization Management health plan... ...and concurrent reviews based on the review of... ...organization follows a hybrid work structure where the...SuggestedHourly payFull timeWork at office$65.8k - $130.8k
Description The UM Denial Nurse Reviewer supports high-quality, cost-effective care by applying clinical knowledge, policies... ...leader with: Current CA LVN licensure required Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA, or...- Vynca Inc. in Los Angeles County, CA, is seeking an exceptional LVN Case Manager to join our Enhanced Care Management team. This hybrid role offices and field visits, coordinating care among doctors, social services, and families to promote wellness and independence. You...
- Vynca Inc. in Los Angeles County, CA is seeking a hybrid LVN Case Manager to join our Enhanced Care Management team. You will coordinate with doctors, social services, and family caregivers to align care plans and ensure timely access to benefits. The role requires CA LVN...Remote work
$30 - $34 per hour
...Health Services (HS - UM) Job Title Utilization Management Review Nurse About the Role Astrana Health is... ...our Health Services Department. This hybrid position requires availability Monday-... ...Qualifications Active, unrestricted LVN license in California. Experience with...Hourly payWork at officeMonday to FridayShift work$65.8k - $130.8k
...Job Title Work Location: Los Angeles, CA, USA Onsite or Remote Flexible Hybrid Work Schedule Monday - Friday, 8:00am - 5:00pm PST Salary Range: $65,800 - $130,800/Annually Employment Type 2 - Staff: Career Duration indefinite Primary Duties And Responsibilities...Remote workMonday to FridayFlexible hours$83.2k - $93.94k
...Full-Time Case Manager(LPN/LVN) Are You Ready to lead in Healthcare? We are currently seeking... ...about providing high-quality care and fostering a compassionate, family-oriented... ...receive appropriate care coordination and utilization of services to ensure the highest...Hourly payFull timeLocal area- Clever Care Health Plan in Arcadia, CA is seeking a Case Manager II - LVN to provide advanced care coordination for a defined caseload under RN supervision. You will contribute to care plan execution, quality improvement initiatives, and collaborative care across disciplines...
- ...and Nursing Center in Montebello, CA is seeking a Full-Time Case Manager (LVN/LVN) to oversee care delivery from pre-admission to post-admission. You will ensure care coordination and appropriate utilization of services to deliver high-quality resident care....Full time
- ...Description The ECM Care Manager – Licensed Vocational Nurse (LVN) facilitates patient continuity of care with... ...in care, and reduce unnecessary ER utilization and hospital readmissions. FLSA... ...and Quality Metrics Ability to review clinical data to address care...Full timeContract workWork at office
- ...Chronic Care Management LVN - Remote (California License Required) Title: Chronic Care Management LVN - Remote (California License Required... ...minimum) Demonstrates progressive proficiency with the utilization of available computer technology, including typing skills....Remote jobFull timeWork at office
$29 - $30 per hour
...situated on a beautifully landscaped campus. Managed by Oakmont Management Group, we provide exceptional quality, comfort, and care with five-star services and amenities.... ...to company policy and state regulations. Review and monitor staff use of the Shift Report daily...RelocationShift workAfternoon shift- A skilled nursing facility in Los Angeles is urgently hiring for a hybrid Licensed Vocational Nurse (LVN) position. The role involves providing daily nursing care, monitoring vital signs, and ensuring compliance with health standards. A valid LVN license, CPR/BLS card,...Immediate startDay shiftAfternoon shift
- ...to support filing operations across the firm’s U.S. offices. You will manage electronic filings, coordinate with attorneys and paralegals, and help ensure timely, accurate submissions. This hybrid role requires at least 2 years of electronic filing experience, knowledge...
$30 - $34 per hour
...Job Description Description Job Title: Care Manager Department: Health Services What You’ll... ...Qualifications: Licensed Vocational Nurse (LVN), Licensed Practical Nurse (LPN) required Two (2) years’ utilization management experience applying evidence-based...Hourly payRemote work$80k - $110k
...Description The Care Manager Registered Nurse (RN) serves as a... ...role in reducing avoidable utilization, addressing barriers to care... ...Reports Yes Location Hybrid; LA office Travel Up to... ...environment. Ability to review critical issues, effectively...Part timeWork at officeLocal area- ...Job Description Position Summary: The LVN Case Manager is responsible for the coordination of the patient’s care and services. Promotes quality care using a... ...setting preferred Prior case management, utilization review, and discharge planning experience preferred...Full timeShift work
$38.65 - $80.7 per hour
...Clinical Supervisor Under the general direction of the Practice Manager, Clinical Director and Lead MD, functions as a clinic level... ...administrative duties related to clinical management of practice and patient care. Provides safe, efficient, quality direct patient nursing care...- AltaMed Health Services is hiring an LVN Case Manager to coordinate daily patient care for hospital and SNF populations, including ambulatory care and CCS case identification. The role involves telephonic coordination with an interdisciplinary team and social work, ambulatory...
- AltaMed Health Services Corp. seeks a Licensed Vocational Nurse (LVN) Case Manager to provide daily care coordination for hospital and SNF patients, including telephonic review and ambulatory enrollment. You will collaborate with social work, hospital staff, and physicians...
- ...The Licensed Vocational Nurse (LVN) in the Substance Abuse... ...compassionate, high-quality medical care to individuals. The LVN will address... ...chronic substance abuse management via administration of Medicated... ...professional growth, reviewing and processing the provision of...
- ...Vocational Nurse to perform in-patient case management and care coordination for hospital and SNF... ...Montebello, CA. The role involves concurrent review, CCS case identification, and... ...Qualified candidates will have an accredited LVN program graduation, active LVN license,...
- Rio Hondo Subacute and Nursing Center in California is seeking a Full-Time Case Manager (LVN/LPN) to oversee and manage the delivery of care for residents from pre-admission through post-admission. The role emphasizes care coordination, advocacy, and ensuring high-quality...Full time
$77.13k
...community clinic can deliver, we demonstrate our belief that quality care is for everyone. Our commitment to providing exceptional care,... ..., and budgeting as assigned. Minimum Requirements A current LVN license issued by the State of California is required. Valid driver...Flexible hours$70.3k - $90k
...an alternative application process. LVN Supervisor Full Time Management Figueroa Clinic, Los Angeles, CA, US... ...clinical operations at the Figueroa Care Center. This position supervises clinic... ..., onboarding, probationary reviews, evaluations, and corrective action...Full timeShift workRotating shift- ...Job Type Full time Industry Health Care Work Experience 4-5 years City Los... ...OVERVIEW OF POSITION: Responsible for the management of the daily departmental operations and... ...Assistants, clerical teammates or teammates LVN, and providing direct patient care daily....Full timeWork experience placementMonday to Friday
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