CONCURRENT REVIEW LVN - UTILIZATION MANAGEMENT - Position #2022-63
- Date Posted:
- Full Time
- OPEN UNTIL FILLED LLU/Tri Valley Medical Group in Murrieta Monday - Friday 8:00a.m. - 5:00p.m.
Under the general
direction of the Director of UM, UM Administrative Manager, and UM Nurse
Supervisor/Educator, the Concurrent Review LVN performs concurrent or
retrospective review of acute in-patient and skilled nursing facility services,
as required, using established criteria to meet the contractual and regulatory
requirements while acting within the scope of the Board of Vocational Nursing
and Psychiatric Technicians of the State of California. The Concurrent Review
LVN will promote the quality and cost effectiveness of medical care provided to
patients by applying appropriate nationally recognized guidelines, criteria,
and evidence based standards. Also assists UM management and Compliance team in
preparation for audits and other regulatory activities as needed.
High School Diploma
or equivalent. Graduation from an accredited LVN school of nursing, or have
completed coursework allowing candidate to challenge the NV Board of Nursing to
attain LVN designation. Current State of
California LVN licensure. Two years of clinical experience in an acute or
ambulatory patient care setting including one year in a managed care
environment such as a medical group, independent physician association, or
health plan is required.
Beaver Medical Group
requires all new hires and employees to report their COVID-19 vaccination
Applications must be complete and demonstrate that the
minimum qualifications are met. Resumes may be attached to completed
application form as supplemental information, but will not be accepted in lieu
of an official application form. Applications will be screened and the most
qualified candidates who best match the needs of the position will be invited
to compete further in the recruitment process. Due to the large
volume of applications received, we are unable to track for individual
applications or discuss the application process.