Utilization Management LVN

WelbeHealth(1 month ago)

Los Angeles, CAOnsiteFull TimeJunior$71,740 - $94,720Utilization Management

About this role

The Utilization Management LVN at WelbeHealth supports the Health Plan Services team focused on providing timely, quality, compliant, and cost-effective care to vulnerable seniors. The role is accountable for ensuring authorization requests and participant care align with standard medical guidelines and program requirements. The position is part of a values-driven organization offering clinical impact and internal advancement opportunities.

View Original Listing

Required Skills

Chart Auditing
Inbox Management
Documentation Review
Authorization Review
Medical Necessity
DME Review
Medicare Knowledge
Medicaid Knowledge

Qualifications

Unencumbered LVN Licensure

About WelbeHealth

welbehealth.com

WelbeHealth is a full‑service senior health care provider that operates PACE (Program of All‑Inclusive Care for the Elderly) programs to deliver comprehensive, coordinated care for frail and vulnerable older adults. Its interdisciplinary teams deliver medical, behavioral, rehabilitative and social services — including primary care, nursing, therapy, home care, transportation and adult day services — so participants can remain safely and independently at home. The organization emphasizes quality, compassion and value while integrating Medicare and Medicaid benefits to manage care and costs for seniors.