Student Veterans of America Jobs

Welcome to SVA’s jobs portal, your one-stop shop for finding the most up to date source of employment opportunities. We have partnered with the National Labor Exchange to provide you this information. You may be looking for part-time employment to supplement your income while you are in school. You might be looking for an internship to add experience to your resume. And you may be completing your training ready to start a new career. This site has all of those types of jobs.

Here are a few things you should know:
  • This site is mobile friendly. You do not need a log-in or password to access information.
  • Jobs on this site are original and unduplicated and come from three sources: the Federal government, state workforce agency job banks, and corporate career websites. All jobs are vetted to ensure there are no scams, training schemes, or phishing.
  • The site is refreshed daily to remove out-of-date content.
  • The newest jobs are listed first, so use the search features to match your interests. You can look for jobs in a specific geographical location, by title or keyword, or you can use the military crosswalk. You may want to do something different from your military career, but you undoubtedly have skills from that occupation that match to a civilian job.
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UCLA Health Utilization Management Denial Review Nurse - LVN in Los Angeles, California

Description

Take on a high-impact role within a world-class health organization. Help drive the continued delivery of exceptional patient care. Take your career to the next level. You can do all this and more at UCLA Health.

You will play a key part in promoting high-quality, cost-effective medical care by applying clinical acumen and applicable policies and guidelines in the issuance of adverse organization determinations. You will review for appropriate care and setting while working closely with denial coordinators and other staff to ensure the accurate processing of all written notifications. You will also provide clinical guidance on denial cases and ensure that all denial letters are written and issued according to internal policies and NCQA, health plan, federal, and state requirements.

Salary Range: $61,400 - $121,400 AnnuallyQualifications

We're seeking an exceptionally gifted, self-motivated leader with:

  • Current CA LVN licensure required

  • Two or more years of utilization review/utilization management experience in an HMO, MSO, IPA, or health plan environment

  • Previous clinical experience

  • Experience drafting and issuing compliant adverse organization determinations

  • In-depth knowledge of health plan, DMHC, CMS, HIPPA, and NCQA requirements

  • Expertise in abstracting and interpreting medical information from patient records

  • Strong communication, interpersonal, analytical, problem-solving, organizational, and prioritizing skills

  • Thorough understanding of the Hierarchy of Clinical Criteria

  • Experience with Flesch-Kincaid readability scoring

  • Knowledge of the appeals process

  • Experience with audit preparation

  • Basic computer skills

UCLA Health is a world-renowned health system with four award-winning hospitals and more than 250 community clinics throughout Southern California as well as the David Geffen School of Medicine. Through the efforts of our outstanding people, we have become Los Angeles' trusted provider of exceptional, compassionate patient care. If you're looking to experience greater challenge and fulfillment in your career, you can at UCLA Health.

UCLA Health welcomes all individuals, without regard to race, sex, sexual orientation, gender identity, religion, national origin or disabilities, and we proudly look to each person’s unique achievements and experiences to further set us apart.

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