Licensed Vocational Nurse, Utilization Management
Listed on 2026-01-12
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Nursing
Healthcare Nursing, LPN/LVN, Nurse Practitioner
Licensed Vocational Nurse, Utilization Management page is loaded
Licensed Vocational Nurse, Utilization Management Apply remote type Hybrid locations Montebello, CA 90640 time type Full time posted on Posted 3 Days Ago job requisition
Grow Healthy
If you are as passionate about helping those in need as you are about growing your career, consider Alta Med. At Alta Med, your passion for helping others isn’t just welcomed – it’s nurtured, celebrated, and promoted, allowing you to grow while making a meaningful difference. We don’t just serve our communities; we are an integral part of them. By raising the expectations of what a community clinic can deliver, we demonstrate our belief that quality care is for everyone.
Our commitment to providing exceptional care, despite any challenges, goes beyond just a job; it’s a calling that drives us forward every day.
Job Overview
The LVN Utilization Management Nurse (UM Nurse) will provide routine review of authorization requests from all lines of business using respective national/state, health plan, and nationally recognized guidelines. Responsible for reviewing proposed hospitalization, home care, and inpatient/outpatient treatment plans for medical necessity and efficiency with coverage guidelines. The UM Nurse determines the medical appropriateness of inpatient and outpatient services following evaluation of medical guidelines and benefit determination.
Minimum Requirements
Current valid License as a Licensed Vocational Nurse.
Minimum of 2 years of managed care experience in Utilization Management/prior authorization required.
A minimum requirement of a valid BLS certification or higher, following the American Heart Association (AHA) or the American Red Cross guidelines.
Compensation
$31.05 - $38.82 hourlyCompensation Disclaimer
Actual salary offers are considered by various factors, including budget, experience, skills, education, licensure and certifications, and other business considerations. The range is subject to change. Alta Med is committed to ensuring a fair and competitive compensation package that reflects the candidate's value and the role's strategic importance within the organization. This role may also qualify for discretionary bonuses or incentives.
Benefits & Career Development
- Medical, Dental and Vision insurance
- 403(b) Retirement savings plans with employer matching contributions
- Flexible Spending Accounts
- Commuter Flexible Spending
- Career Advancement & Development opportunities
- Paid Time Off & Holidays
- Paid CME Days
- Malpractice insurance and tail coverage
- Tuition Reimbursement Program
- Corporate Employee Discounts
- Employee Referral Bonus Program
- Pet Care Insurance
Job Advertisement & Application Compliance Statement
Alta Med Health Services Corp. will consider qualified applicants with criminal history pursuant to the California Fair Chance Act and City of Los Angeles Fair Chance Ordinance for Employers. You do not need to disclose your criminal history or participate in a background check until a conditional job offer is made to you. After making a conditional offer and running a background check, if Alta Med Health Service Corp.
is concerned about a conviction directly related to the job, you will be given a chance to explain the circumstances surrounding the conviction, provide mitigating evidence, or challenge the accuracy of the background report.
Licensed Vocational Nurse, Utilization Management remote type Hybrid locations Montebello, CA 90640 time type Full time posted on Posted 4 Days Ago Licensed Vocational Nurse, Utilization Management remote type Hybrid locations Montebello, CA 90640 time type Full time posted on Posted 4 Days Ago Licensed Vocational Nurse, Utilization Management remote type Hybrid locations Montebello, CA 90640 time type Full time posted on Posted 3 Days Ago
As the nation’s largest Federally Qualified Health Center (FQHC), Alta Med is at the forefront of providing affordable, high-quality health care to underserved communities in Los Angeles and Orange Counties. At Alta Med, you will have the opportunity to work with a diverse team of dedicated professionals who are passionate about making a difference and…
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