LVN - Utilization Review - Remote within San Diego County

This is a benefited, full-time position (80 hours per pay period) with an 8-hour day shift schedule working REMOTELY with expectation of coming into the office 1-2 times per month. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.

At Scripps Health, you will experience the pride, support, and respect that has been repeatedly recognized as one of the nation's Top 100 Places to Work.

You will thrive in an environment where team members are engaged and committed to providing excellent care and making a difference in the lives of their patients and their teammates So, if you're open to change, go ahead and unlock your potential.

Why join Scripps Health?

AWARD-WINNING WORKPLACE:

• Made Becker's 150 Top Places to Work for 2024
• Recognized by Newsweek as one of America's Greatest Workplaces for Diversity in 2024
• #5 in Fortune Best Workplaces in Healthcare 2023
• #78 in PEOPLE Companies that Care 2023
• #95 in Fortune 100 Best Companies to Work for 2023
• Nearly a quarter of our employees have been with Scripps Health for over 10 years

As a Licensed Vocational Nurse, you will be:

• Responsible for review and management of assigned cases for members enrolled to Scripps Clinic Health Plan Services
• Responsible for determination of medical necessity, benefit determination, and eligibility.

Required Qualifications:

• Current California LVN license
• Three years recent clinical experience in a variety of settings.
• Managed Care experience is strongly recommended.
• Ability to manage multiple tasks within regulatory agency time frames required.
• Graduate of an accredited LVN or RN Program

Preferred Qualifications:

• Previous UM, QI, Discharge Planning, or Case Management experience is preferred.