Srs – Lvn Utilization Management –virtual – Variable – Part Time

Sharp Chula Vista Medical Center

Remote, California, USA
$34.170 - $49.370 ph
Fully remote
Utilization management
Care coordination
Managed care referrals
Sharp Chula Vista Medical Center is seeking a part-time, remote Licensed Vocational Nurse (LVN) for Utilization Management, responsible for coordinating care and processing managed care referrals efficiently. The position requires a California LVN license, with preferred experience in case management or utilization review in a healthcare setting

Job Summary

  • Provide comprehensive utilization management and coordination of care for SRS Members.
  • Ensure timely and appropriate processing of managed care referrals to meet specific healthcare criteria in a cost-effective manner utilizing available resources.
  • Demonstrates knowledge of Health Plan contracts and Health Plan benefits and collaborates with referring physicians, providers or vendors.

Matching Summary

Match Score: 85

Sharp Chula Vista Medical Center is seeking a part-time, remote Licensed Vocational Nurse (LVN) for Utilization Management, responsible for coordinating care and processing managed care referrals efficiently. The position requires a California LVN license, with preferred experience in case management or utilization review in a healthcare setting.

Salary

$34.170 - $49.370

Skills & Requirements

Must-have

  • Utilization management
  • Care coordination
  • Managed care referrals
  • Healthcare criteria
  • Cost-effective manner

Nice-to-have

  • Advocates for client and payer
  • Educate healthcare members
  • Problem-solving skills

Key Requirements

  • California Licensed Vocational Nurse (LVN)
  • Unrestricted LVN License
  • 3 Years experience as an LVN
  • 2 Years utilization/Case Management experience

Work Rights

Not specified

Tailored Resume

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