PRIOR AUTHORIZATION NURSE, LVN/RN

3 weeks ago


Covina CA USA, United States Lakeside Medical Full time
As one of the fastest growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

We currently have an opening for a Prior Authorization Case Manager:

The role of the Prior Authorization Nurse Case Manager (PACM) is to promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior authorization specialty referral requests. The PACM will review for appropriate care and setting, and following guidelines/policies, will approve services when indicated. If not indicated, PACM will forward requests to the appropriate physician or medical director with recommendations for other determinations, ensuring that the member is receiving the appropriate quality care in a preferred setting, while making sure regulatory guidelines are followed.

We offer a full benefits package which includes employer paid medical, pharmacy and dental benefits. We offer a generous PTO package, 401k Retirement Savings, Life Insurance, Flexible Spending Account (FSA), Tuition Reimbursement & Licensed Renewal Fees for our clinical staff.

  • Chatsworth, CA 91311, USA, United States Medix Full time

    Title: Prior Authorization LVN OR RNSchedule: Monday through Friday 8am-5pmPay: $33-50/hr (depending on experience)Location: Remote after training (approx. 2-4 weeks) Training is located in Chatsworth, CA Please note this position is 100% remote, but training must be onsite in Chatsworth, CA, there are no exceptions for remote training. (training typically...


  • Chatsworth, CA 91311, USA, United States Medix Full time

    Medix is Hiring a direct hire Prior Authorization LVN or RN with a great Healthplan in Los Angeles! Please note this position is 100% remote, but training must be onsite in Chatsworth, CA, there are no exceptions for remote training. (training typically is 2-3 weeks) Location: Chatsworth California 91311 United States Schedule: Monday-Friday 8:30am-5p...


  • Los Angeles, CA, United States Medix™ Full time

    Medix is hiring a direct hire Prior Authorization LVN or RN with a great Healthplan in Chatsworth, CAPlease note this position is 100% remote, but training must be onsite in Chatsworth, CA, there are no exceptions for remote training. (training typically is 2-3 weeks) Location: Chatsworth California 91311 United StatesSchedule: Monday-Friday 8:30am-5pAverage...


  • , CA, United States Medix™ Full time

    Job Title: Prior Authorizations Registered Nurse (RN)Summary:The UM Prior Authorization Nurse is responsible for evaluating referrals for medical services to determine medical necessity and appropriate course of action. Utilizing independent judgment, extensive medical knowledge, and adherence to clinical guidelines, the Prior Authorization Nurse...

  • Registered Nurse

    3 weeks ago


    West Covina, United States JO-MI ICFDD-N Full time

    Job DescriptionJob DescriptionBenefits/PerksFlexible SchedulingCompetitive CompensationCareers Advancement Job SummaryWe are seeking a Registered Nurse/Licensed Vocational Nurse to join our team. In this role, you will primarily be creating and managing a plan of care for individual patients. You are a Registered Nurse (RN)/Licensed Vocational Nurse (LVN)...

  • Registered Nurse

    3 weeks ago


    West Covina, United States JO-MI ICFDD-N Full time

    Job DescriptionJob DescriptionBenefits:Bonus based on performanceCompetitive salaryFlexible scheduleOpportunity for advancementBenefits/PerksFlexible SchedulingCompetitive CompensationCareers AdvancementJob SummaryWe are seeking a Registered Nurse/Licensed Vocational Nurse to join our team. In this role, you will primarily be creating and managing a plan of...

  • RN/LVN

    1 week ago


    Healdsburg, CA 95448, USA, United States Alliance Medical Center Full time

    Alliance Medical Center is currently seeking full time RN/LVN What you will do at AMC: Responsible for the direct and indirect medical care management of our patients, ensures optimum access for walk in and telephone triage patients seeking medical care or advice, participates in patient visits as instructed by the provider to improve patient flow, quality...

  • LVN CLINIC NURSE

    1 week ago


    Gatesville, TX 76528, USA, United States Coryell Health Full time

    DescriptionAbout Coryell: Coryell Health is a community-owned healthcare organization serving local patients and their families since 1940. On one central campus, patients have access to a wide range of health services including, but not limited to a 25-bed licensed hospital, a Level IV Trauma Center emergency room with primary and specialty care providers,...


  • West Covina, United States JO-MI ICFDD-N Full time

    Benefits: Bonus based on performance Competitive salary Flexible schedule Opportunity for advancement Benefits/Perks Flexible Scheduling Competitive Compensation Careers Advancement Job Summary We are seeking a Registered Nurse/Licensed Vocational Nurse to join our team. In this role, you will primarily be creating and managing a plan of care for individual...


  • Artesia, CA 90703, USA, United States The Oncology Institute Full time

    Founded in 2007, The Oncology Institute of Hope and Innovation (TOI) is advancing oncology by delivering highly specialized, value-based cancer care in the community setting. TOI is dedicated to offering cutting edge, evidence-based cancer care to a population of more than 1.7 million patients including clinical trials, stem cell transplants, transfusions,...


  • Glendale, CA, United States Golden Haven Full time

    Golden Haven - Golden Haven is looking for a Licensed Vocational Nurse (LVN) for our Skilled Nursing Facvilty in Glendale (99 beds) to assume responsibility and accountability for the application of the nursing process and the delivery of patient care, under the supervision of a Registered Nurse (RN). AVAILABLE SHIFTS: PM SHIFT 3-11pm & NOC 11pm-7am   The...


  • Escondido, CA 92025, USA, United States Escondido Union High School District Full time

    NURSE - SITE NURSE SUBSTITUTE: LVN/ RN (POOL) - EUHSD at Escondido Union High School District Application Deadline Until Filled Date Posted 2/27/2024 Contact Jocelyn Perez Number of Openings 5 Salary Single Rate $32.06 Per Hour Length of Work Year Su Nurse, RN, LVN, Substitute, High School, Healthcare, Education


  • Placerville, CA 95667, USA, United States Marshall Medical Center Full time

    Department:MMF UrologyShift:Primarily Days (United States of America)Employee Type:Regular - Per DiemPer Diem Type (if applicable):Non-RN Per Diem 1Minimum Pay Range:$31.54 - $39.42Job Description:POSITION SUMMARYThe Licensed Vocational Nurse (LVN) of Marshall Medical Center's (MMC) outpatient clinics works with medical caregivers to ensure effective medical...

  • STAFF NURSE

    1 week ago


    Selma, CA 93662, USA, United States Rolling Hills Care Center Full time

    Rolling Hills Care Center - Healthcare, Dental, VisionPaid-Time OffExcellent CompensationJob Summary (We have PRN, Part-time and full-time available!) Come for the job but stay for the challenge! The Licensed Vocational Nurse (LVN or RN) will provide nursing care within scope of practice to ensure patient’s needs are met in accordance with standards of...


  • Anaheim, CA 92808, USA, United States Providence Health & Services Full time

    Associate Patient Authorization Representative LVN- Anaheim, CASchedule: Full Time/ DaysThe Associate Clinical Authorization Specialist is responsible for obtaining insurance authorizations and processing requests for services within a timely manner. The Associate Clinical Authorization Specialist communicates authorizations to the clinical supervisor,...

  • LVN, NURSE

    1 week ago


    West Covina, CA 91793, USA, United States AltaMed Full time

    Work Boldly. Live Brilliantly.At AltaMed, we don't just serve our communities, we are part of them. We have raised the expectations of what a community clinic can deliver because we think quality care is for everyone. And, we are determined to provide it no matter the challenges because this is more than a job. It's the calling of our lives and it compels us...

  • LVN STAFF NURSE

    1 week ago


    Lancaster, CA 93534, USA, United States Apollo Surgery Center Full time

    Benefits: 401(k) Competitive salary Paid time off Job descriptionApollo Surgery Center is seeking a Licensed Vocational Nurse to join our team that offers an excellent opportunity for personal and professional growth. The LVN will provide nursing care, under the direct supervision of a registered nurse (RN) or physician, in accordance...

  • LVN or RN

    3 weeks ago


    Ukiah, CA, United States Hospice Of Ukiah, Inc Full time

    Hospice of Ukiah Seeking an LVN or RN, with a current license, to coordinate care for clients in the Willits area. This is a great job for a P/T nurse who likes to work w/o direct supervision, set own hours, and join our team. Salary DOE, send inquiries and resume to hospiceofukiah@pacific.net.

  • SUBSTITUTE NURSE

    1 week ago


    Bandera, TX 78003, USA, United States Bandera Independent School District Full time

    Position Type: Student Support Services/School NurseDate Posted: 6/15/2023Location: Central OfficeDate Available: IMMEDIATEClosing Date: Open Until FilledBandera ISD is looking Substitute Nurses for the 2023-24 school year. Open to RN's and LVN's. Position is listed as an As-Needed position. Start Date: 1st day of school is August 10, 2023 Requirements:...


  • Placerville, CA, United States Marshall Medical Center Full time

    Department: MMF Urology Shift: Primarily Days (United States of America) Employee Type: Regular - Per Diem Per Diem Type (if applicable): Non-RN Per Diem 1 Minimum Pay Range: $31.54 - $39.42 Job Description: POSITION SUMMARY The Licensed Vocational Nurse (LVN) of Marshall Medical Center's (MMC) outpatient clinics works with medical caregivers to...