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Utilization Review Lvn Job offers

1 - 15 of 120
1 - 15 of 120
MemorialCare Health System - Laguna Hills - Utilization Review
Bachelor's degree in Social Work or related Health Sciences, or licensure as an LVN preferred. - Minimum...
resume-library.com -
in the state of California - 1+ year of utilization review experience as an LVN - Knowledge of Medical...Utilization Management LVN - APPLECARE- La Palma, CA (857907) Position Description AppleCare...
unitedhealthgroup.com -
Prime Healthcare Services - Victorville - Utilization Review
LVN Coordinator - Utilization Review - DVMG Managed Care in Victorville, CA at Desert Valley... review of the medical record for the medical necessity, intensity of service and severity of illness...
jobleads.com -
Jordan Health Services - Addison (TX) - Utilization Review
Job Description Elara Caring is looking for an experienced LPN/LVN for the Home Health Utilization Review department. This full-time position is located at our corporate office in Addison, Texas...
resume-library.com -
DaVita Medical Group - El Segundo - Utilization Management
care management, utilization review or discharge planning experience. * Managed care experience... participating regulatory agencies, health plan clinical review criteria and HMO benefits. * Contributes...
bebee.com -
Concurrent Review Nurse I Position Purpose: - Perform onsite review of emergent/urgent... using clinical judgment and refer to Medical Directors for review depending on case findings...
resume-library.com -
1 similar jobs: Indianapolis
Centene - Chico (CA)
LVN Transition Coordinator Position Purpose: The Transition Coordinator is responsible for coordinating and supporting activities related to inpatient concurrent review process for both inpatient...
resume-library.com -
Overview: The CRS Group is currently looking for a Medical Review Nurse for one of our clients... Description: -This position is responsible for performing discharge care coordination and review activities...
smartsearchonline.com -
Centene Coproration - Chico (CA)
and supporting activities related to inpatient concurrent review process for both inpatient and post discharge....) that support concurrent review while interacting with customers. Acts as liaison between the member, provider...
resume-library.com -
Centene - Carolina (RI) - Nurse
to prior authorization requests. - Perform telephonic review of prior authorization requests... Directors for review depending on case findings - Collaborate with various staff within provider networks...
resume-library.com -
Centene - Little Rock - Nurse
to prior authorization requests. - Perform telephonic review of prior authorization requests... Directors for review depending on case findings - Collaborate with various staff within provider networks...
resume-library.com -
1 similar jobs: San Antonio
working knowledge of regulatory guidelines surrounding Utilization Management appeals per CMS, DHCS... of responses. 5. Review Provider and Member appeals and/or complaints based on dissatisfaction and make...
tiptopjob.com -
Health Net, Inc. - Columbia - Nurse
of policies and guidelines to prior authorization requests. - Perform telephonic review of prior... judgment and refer to Medical Directors for review depending on case findings - Collaborate with various...
centene.com -
Cenpatico - Lenexa - Clinical
of clinical nursing or case management experience. Managed care or utilization review experience preferred... statewide appeals, fair hearings, review organizations, and other external type appeals. Responsible...
resume-library.com -
Centene - Independence - Nurse
Concurrent Review Nurse I Position Purpose: - Perform onsite review of emergent/urgent... using clinical judgment and refer to Medical Directors for review depending on case findings...
resume-library.com -
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