Utilization Review Coordinator (LVN) - Managed Care
Desert Valley Hospital & Medical Group, Victorville, CA, United States
Overview
Desert Valley Medical Group, affiliated with Desert Valley Hospital, offers a Case Manager position in an acute care setting. The role focuses on reviewing patient medical information to assess, plan, and coordinate cost‑effective care for capitated members at significant medical risk.
Responsibilities
Coordinate interviews and review medical records as assigned to caseload.
Actively participate in case management and committee team meetings.
Analyze patient medical information from records and other sources to assess and plan care for PMG/IPA capitated members in ambulatory and institutional settings.
Coordinate discharge referrals and collaborate with clinical staff, fiscal intermediaries, patients, families, interdisciplinary care teams, and other committees.
Manage continuity and transition of care, including behavioral health and community resources.
Qualifications
Knowledge of Utilization Management/Case Management terminology and functions in managed and non‑managed care environments.
At least one year of experience as a case manager in an acute care setting or related field, including coding chart review.
Basic to intermediate computer knowledge.
Valid RN/LVN California license.
Employment Status
Full Time
Shift
Days
Pay Transparency
Competitive compensation is estimated between $23.37 and $30.29 per hour. Exact starting pay will be determined at hiring time based on qualifications and experience.
Benefits
Paid Time Off
401K retirement plan
Medical, Dental, and Vision coverage
Tuition reimbursement
Additional voluntary benefit options
Equal Employment Opportunity
Company is an equal employment opportunity employer. The Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on these protected categories.
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Desert Valley Medical Group, affiliated with Desert Valley Hospital, offers a Case Manager position in an acute care setting. The role focuses on reviewing patient medical information to assess, plan, and coordinate cost‑effective care for capitated members at significant medical risk.
Responsibilities
Coordinate interviews and review medical records as assigned to caseload.
Actively participate in case management and committee team meetings.
Analyze patient medical information from records and other sources to assess and plan care for PMG/IPA capitated members in ambulatory and institutional settings.
Coordinate discharge referrals and collaborate with clinical staff, fiscal intermediaries, patients, families, interdisciplinary care teams, and other committees.
Manage continuity and transition of care, including behavioral health and community resources.
Qualifications
Knowledge of Utilization Management/Case Management terminology and functions in managed and non‑managed care environments.
At least one year of experience as a case manager in an acute care setting or related field, including coding chart review.
Basic to intermediate computer knowledge.
Valid RN/LVN California license.
Employment Status
Full Time
Shift
Days
Pay Transparency
Competitive compensation is estimated between $23.37 and $30.29 per hour. Exact starting pay will be determined at hiring time based on qualifications and experience.
Benefits
Paid Time Off
401K retirement plan
Medical, Dental, and Vision coverage
Tuition reimbursement
Additional voluntary benefit options
Equal Employment Opportunity
Company is an equal employment opportunity employer. The Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age, disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on these protected categories.
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