LPN - Utilization Review & Case Management (Travel)
Integrated Resources
A leading healthcare solutions company seeks an LPN Case Manager to join its Utilization Management team in Columbus, OH. This role involves performing utilization review activities and conducting member visits to ensure they receive appropriate care while adhering to regulations. Candidates must hold an active LPN license in Ohio and have substantial nursing experience, particularly in home care. #J-18808-Ljbffr
$30.89 per hour
...operate in the field, traveling to client sites or... ...for the member's case. As required by... ...coordination and management of member's needs,... ...effective and efficient utilization of health benefits... ...Requires an LPN/LVN, LSW, LCSW, or... ...Florida law should review the education and...TravelHourly payContract workWork at officeLocal area- ...Care Review Clinician Integrated Resources, Inc... ...solutions that help you manage your talent and... ...Description Works with the Utilization Management team... ...guidelines. Duties: Review cases for in patients/in hospital... ...agent will not be traveling and will be reviewing...TravelWork at office
- ## PRN LPN/RNApplylocations: Central Ohio Hospice: Columbus, Ohio: Dublin, Ohio: Westerville... ...for providing nursing care services and case management to clients and families by implementing... ...in nursing as an LPN preferred.**Travel:** Continuous, necessary on a daily basis...TravelReliefLocal area
- ...Dove Recovery is seeking a Utilization Review Specialist responsible for managing authorization and review activities for clients. The position requires collaboration with clinical and billing teams to ensure compliance with documentation standards for timely authorizations...SuggestedFull timeRemote work
- ...is seeking an experienced Medical Director to conduct clinical reviews and guide decision-making in inpatient care. The role... ...of clinical experience, with a focus on hospital medicine and utilization review. Join a distinguished team to impact patient outcomes while...SuggestedRemote work
$116.26k - $177.5k
...SummaryThe Regulatory Project Manager plays a central role in... ...state-regulated utility filings with public utility... ...requirements. The Case Manager serves as a hub... ...execution.Coordinate the review of direct and rebuttal... ...filing dates.Occasional travel required for hearings,...TravelWork experience placementWork at officeWeekend work- ...Drug Utilization Review Pharmacist - Ensure Safe and Effective Use of Medications A confidential managed care organization is seeking a skilled Drug Utilization Review (DUR) Pharmacist to support quality prescribing and improve patient outcomes. This role...Remote work
- ...Illness Recovery Hospital (LTACH) Case Manager (PRN) Requires a current licensure in... ...The Case Manager is responsible for utilization reviews and resource management, discharge planning... ...discipline either as a Nurse (RN /LPN/ LVN)or a Respiratory Therapist OR current...Daily paidFull timePart timeReliefShift workWeekday work
- ...Utilization Review (UR) Specialist Position Title: Utilization Review Specialist Department: Clinical... ...(UR) Specialist is responsible for managing all aspects of authorization, continued... ...with the Clinical Director, therapists, case management, and billing teams to ensure...Full timeRemote work
- ...Humana. The Chief Medical Officer, Utilization Management (UM) will serve as the clinical strategist... ..., vendor management, and UM dental review. • Ensure the clinician’s... ...and champion clinical perspectives. Travel: While this is a remote position, occasional...TravelApprenticeshipRemote work
- ...development of resident care plans, utilizing all knowledge of restorative... ...to practice nursing in Ohio (LPN). Valid CPR At least six (6)... ...are valued and celebrated! No travel required, all within the... ...For further information, please review the Know Your Rights notice from...TravelImmediate startShift workNight shift
$28 per hour
...Licensed Practical Nurse | LPN | Home Care Visits | Part-time Contract Details Location: Zanesville, OH 43702 Employment Type... ...$28.00 per hour Mileage Reimbursement: Provided for eligible travel between visits Start Date: ASAP Employment Status: W2 Employee...TravelHourly payWeekly payDaily paidContract workPart timeReliefImmediate startFlexible hours$2,170 per week
...We are looking for a Travel PCU RN for a great Travel nursing job in Columbus, OH.... ...PCU RN Travel Progressive Care Unit LPN Registered Nurse : Columbus, OH Travel... ...ICU care. Progressive Care Unit RNs will utilize computer equipment to monitor cardiac and...TravelImmediate startShift workNight shift- ...Provide clinical oversight to LPN/LVNs and other non-nursing staff... ...team meetings, care reviews, and service planning Coordinate... ...verbally and in writing. Ability to manage competing priorities and... ...living (ADLs). 10% Driving/Travel Required when providing services...TravelWork at officeImmediate startShift work
$61.25k - $84.2k
...Registered Nurse (RN) Care Manager or Licensed Social... ...member’s plan of care and review on an ongoing basis •... ...to drive effective utilization of established best practices... ...• Ability to travel throughout the state of... ...insurance. • Experience in case management, care planning...TravelRemote workFlexible hoursNight shift$104k - $143k
...a part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical... ...and comprehensive medication reviews for prescriptions requiring pre-authorization... ...overtime during peak season Travel: While this is a remote position, occasional...TravelDaily paidFull timeContract workApprenticeshipRemote workMonday to FridayFlexible hoursShift workWeekend work- ...administration when needed; and patient education. Includes case management. Maintains communication with patients concerning treatment... ...politeness to customers, vendors, and patients. Occasional travel required. Other duties or special projects as assigned....Travel
- ...multi-system needs. Care Management Entities (CMEs) are... ...program. The Village Network utilizes Collaborative Problem... ...monthly utilization review for the team; Review monthly... ...for clients in cases of staff absences.... ...insurance. Willingness to travel for various reasons, mainly...TravelPermanent employmentFull timeWork at officeRemote workHome officeFlexible hoursNight shift
- ...liliProvide clinical oversight to LPN/LVNs and other non-nursing... ...interdisciplinary team meetings, care reviews, and service planning/... ...verbally and in writing. Ability to manage competing priorities and... ...living (ADLs). 10%/liliDriving/Travel Required when providing...TravelWork at officeImmediate startShift work
$86.4k
...JOB SUMMARY The Product Manager, Behavioral Health & Wellness... ...wellness products within the Utilization Management function. This role... ...during sprint and milestone reviews to ensure successful execution... ...Other than English): None Travel Requirement: 0% - 25%...TravelFor contractorsWork at officeLocal areaRemote work3 days per week$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing... ...in utilization management/utilization review for a health plan or acute care... ...protect member PHI / HIPAA information. Travel While this is a remote position, occasional...TravelBi-weekly payFull timeTemporary workApprenticeshipRemote workHome office$71.1k - $97.8k
...A leading health services company is looking for a Utilization Management Registered Nurse based in Ohio. The role involves using clinical skills... .... This position allows for remote work with occasional travel to company offices. Competitive salary range is $71,100 - $9...TravelRemote work- ...Practical Nurse Works with the Utilization Management team primarily responsible... ...necessity/utilization review and other utilization management... ...face visits with members in case management and as directed... ...State of Ohio. ~5+years of LPN with home care experience....
- ...solutions that help you manage your talent and... ...Description Works with the Utilization Management team, primarily... ...necessity/utilization review and other utilization management... ...visits with members in case management and as... ...for Ohio. 5+ years of LPN experience, including...
- ...Clinical Appeals Reviewer (Licensed Healthcare Professional... ...medical records/case files, writes reconsideration... ...in workgroups at management's direction.... ...managed care appeals or utilization management activities,... ...operate a motor vehicle and travel by motor vehicle and commercial...TravelFull timeContract workPart timeFor contractorsWork at officeLocal areaRemote workNight shift
$60k - $80k
...Medication Access Coordinator - LPN (Columbus) Columbus -... ....00 Salary/year Job Shift Day Travel Percentage None Description... ...documentation position the coordinator manages the medication access cycle... ...in the LAI database Review clinic schedule for the following...TravelWork at officeImmediate startShift work$160 per hour
...Salesforce Solutions Architect for a contract position. The role is remote, requiring travel to Columbus, OH once or twice a month for sessions. This architect will advise on the Energy & Utilities project by designing Salesforce solutions, leading technical discussions, and...TravelContract workRemote work$24 - $28 per hour
...searching for an experienced and motivated LPN to join our new Caregiving division as a... ...Schedule Work Setting: In-Office, Traveling in the Field, In-Home Visits, and Occasional... ..., coverage coordination, and caregiver utilization. Maintain accurate client and caregiver...TravelWork at officeMonday to FridayFlexible hoursWeekend workAfternoon shift$223.8k - $313.1k
...medical background and reviews health claims. The... ...physicians who excel in case analysis, structured decision... ...those experienced in Utilization Review are encouraged... ...-reasoned utilization management determinations.... .../ HIPAA information. Travel: While this is a remote...TravelBi-weekly payFull timeTemporary workApprenticeshipWork at officeLocal areaRemote workWork from homeHome officeMonday to FridayWeekend work- ...'s license & reliable transportation to travel locally to our satellite offices around... ...accurately and timely Collecting and reviewing patient health history Medication reconciliation... ...federal, state or local laws. Our management team is dedicated to this policy with...TravelFull timeLocal areaMonday to FridayShift workWeekend workEarly shift
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