LVN, Lead Medication Referral Nurse
6 days ago
DescriptionThe lead Medication Referral Nurse, Utilization Management & Quality Monitoring Specialist is responsible for assisting with the oversight of daily operations and providing training and support to Medication Referral Coordinators. This role will provide high level, complex referral support and coordination to the manager; will serve as a liaison between the Referral Department, the requesting providers, and the Medication Referral team. Will serve as a subject matter expert to staff, assist with providing clinical staff development, and assist with health plan audits and quality improvement reports as necessary..Professional DutiesFacilitate open communication during team meetings and model collaborative problem-solving.Provide guidance and serve as a resource to Referral Coordinators. Assist with coverage and training as needed to support the daily operations of the departments.Support leadership by guiding referral staff in daily operations, coordinating staffing coverage within assigned areas, and offering input for timely and accurate performance reviews.Act as the primary resource for infusion/injection related questions pertaining to medication referral process, contracts, and benefits provider/member questions.Assist in the development of education material and training of all new employees.Participate in continuous quality improvement activities and audit evaluations.Assist in tracking, prioritizing, and responding to daily departmental requests to ensure timely resolution of UM/health plan audits.Assists management with the development of policy and procedures as required.Serve as a liaison with other departments to troubleshoot and resolve referral issues, escalating complex matters to management as needed.Support management by tracking referral turnaround times and accuracy by providing oversight of daily workflow to minimize processing errors in accordance with all regulations and protocols.Support leadership in maintaining a positive work environment by assisting with employee concerns, facilitating resolution of minor conflicts, and collaborating with management to address conflict resolution and referral-related issues.Perform other duties assigned.Be knowledgeable about your job so that you can serve others effectivelyBe accountable for your workDemonstrate appropriate body language and tone of voiceQualificationsCurrent California LVN license required.Minimum of 3 years of healthcare experience required.Minimum of 2 years of experience in Quality, Utilization Review or Utilization Management departments with knowledge of Medicare and Managed Care rules required.Basic computer skills. Knowledge of Microsoft Word and Excel. Experience with EZ- Cap, Q Auth, and Next Gen is preferred.Exceptional communication, detail-oriented, critical thinking and problem-solving skills. Excellent customer service and telephone etiquette.Bilingual, preferred but not required.Ability to manage time effectively and reprioritize tasks in order to meet deadlines.At the discretion of DOHC/FHC management, this position has the potential to be a full or hybrid telecommuting position.Physical DemandsTypeDescriptionSittingApproximately 70% of dayStandingApproximately 15% of dayWalkingApproximately 15% of dayLifting0 - 20 lbs (charts, supplies) - approximately 10% of dayBendingApproximately >10% of day. Kneeling
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Licensed Vocational Nurse LVN
4 days ago
Palm Springs, California, United States Main Template Full time"They made it easier for me to live, breathe, eat, and stay clean. Without them, I'd be waiting somewhere, waiting for someone to give me a chance to live..." - Client from TelecareWhat You Will Do to Change LivesThe Licensed Vocational Nurse (LVN)/Licensed Psychiatric Technician (LPT) provides recovery focused services related to the safe and appropriate...
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Home Health LVN
1 week ago
Palm Springs, California, United States Pristine Care Home Health Services, Inc. Full timePrimary Job Responsibilities:Provides direct nursing care according to the medical plan of treatment and nursing care planUtilizes physical and psychosocial assessment skills, performs multi-system assessments and identifies current and potential care needsCarries out physician orders for treatment and visit frequency per plan of treatmentOrganizes and...
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LVN - Per Diem
1 week ago
Palm Springs, California, United States Michael's House Full timeResponsibilities:Michael's House is currently seeking a Per Diem Licensed Vocational Nurse (LVN) responsible for monitoring patients' medical needs, coordinating outside medical appointments. Supervises patients, as they self-administer medications, adheres to all documentation standards, tracks TB skins tests, monitors random drug screens, transcribes and...
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Referral and Intake Specialist
2 weeks ago
Palm Springs, California, United States THE CHILDRENS PLACE AT HOME SAFE INC Full time $21,600 - $43,200 per yearJob Details Job Location: Lake Worth Headquarters - Lake Worth, FL Position Type: Full Time Salary Range: $21.00 Hourly Job Shift: Day Description*Must be able to work Monday-Friday, 11am-7pm (with some flexibility)*Position Overview:The Referral/Intake Specialist is responsible for responding to initial referral contact and...
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Referral Authorization Specialist
1 week ago
Desert Hot Springs, California, United States Lifepoint Health Full timeWho We Are:People are our passion and purpose. Come work where you are appreciated for who you are not just what you can do. National Park Medical Center, a 163-bed full-service hospital, is a forward thinking, innovative hospital where trust, teamwork and technology come together to make a positive difference in the health of our community and region.Where...
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Licensed Vocational Nurse
2 days ago
Desert Hot Springs, California, United States La Casa Health Care Full timeLicensed Vocational Nurse (LVN) – Private Duty In-Home Shift Care City of Desert Hot Springs, CA $30.00 – $31.00 per hour + $500 Sign-On Bonus Full-Time & Part-Time | Flexible Scheduling | Weekly Pay Make a Difference. Work One-on-One in a Patient's Home.La Casa Health Care is seeking Licensed Vocational Nurses (LVNs) to join our growing team in...
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RN, Case Manager
1 day ago
Palm Springs, California, United States Desert Oasis Healthcare Full timeDescriptionThe Case Manager plans, organizes and directs home care services. This RN initiates the plan of care and makes the necessary revisions as the patient status and needs change. Oversees the care of the patients, coordinates nursing visits, serves as a resource to other staff, and discharges patients once the plan of care has been met.Professional...
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Infection Contral Practitioner-Lead
2 weeks ago
Palm Springs, California, United States Direct Staffing Full timeCompany Description Healthcare Job Description INFECTION CONTRAL PRACTITIONER-LEADPalm Springs, CAHealthcareExp 2-5 yrsDeg BachReloJob DescriptionThe Infection Control Coordinator (ICC) is responsible for managing, developing and having direct oversight of the Infection Control Program hospital wide. The ICC will work directly with Infection Control...
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Medical Office Manager
2 weeks ago
Palm Springs, California, United States Revel Staffing Full time $60,000 - $90,000 per yearA confidential healthcare practice is seeking an experienced Medical Office Manager to oversee day-to-day operations and ensure efficient, patient-centered care. This role requires strong leadership, medical billing knowledge, and organizational skills to maintain smooth workflows and support both patients and staff.Key ResponsibilitiesManage daily front and...
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Certified Medical Assistant
5 days ago
Palm Springs, California, United States Tenet Healthcare Full timeShift: DaysHours:Job Type: Part Time 2 - Per DiemJob SummaryMedical office position responsible for providing direct nursing care in a medical office setting under the direction of a physician, assists medical providers, and maintains a clean and safe environment in accordance with the policies and procedures of the practice. Employment practices will not be...
