Utilization Management LVN jobs in United States
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WelbeHealth · 19 hours ago

Utilization Management LVN

positionLos Angeles, CA, USA
timeFull-time
remoteHybrid
seniorityEntry Level
money$35.87/hr - $47.36/hr
date1+ years exp

WelbeHealth is transforming senior care by providing an all-inclusive healthcare option for vulnerable seniors. The Utilization Management LVN is responsible for reviewing and auditing authorization requests to ensure compliance with medical guidelines and overseeing departmental clinical communications.

Health CareHealth DiagnosticsHospital
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H1B Sponsor Likelynote

Responsibilities

Chart audits of items including but not limited to consult summaries, imaging results, and procedure summaries to determine if additional follow up services are requested
Oversee departmental clinical inboxes, email inboxes, and fax queues to ensure appropriate handling of documents and authorization requests
Identify, document, and correct inconsistencies and gaps in participants’ charts with authorizations in the UM system
Review prior authorization requests for medical necessity and alignment with participants’ care plans, including routine office visits, procedures, and DME

Qualification

Chart auditingUtilization Management reviewLVN licensureMedicare regulationsMedicaid regulations

Required

Minimum of one (1) year of chart auditing or UM review experience
Knowledgeable in areas of Medicare and Medicaid UM regulations
Unencumbered LVN licensure

Benefits

Medical insurance coverage (Medical, Dental, Vision) starting day one of employment
Work/life balance – we mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
Advancement opportunities - We’ve got a track record of hiring and promoting from within, meaning you can create your own path!
401k match
Healthcare coverage
A broad range of other benefits

Company

WelbeHealth

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Glassdoor3.3
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Unlocking the full potential of our most vulnerable seniors with empathy and love.
dateFounded in 2015
location
Menlo Park, California, USA
people-size501-1000 employees
web-link
http://welbehealth.com/

H1B Sponsorship

WelbeHealth has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (1)
2024 (1)
2023 (2)
2022 (1)
2021 (2)

Funding

Current Stage
Late Stage
Total Funding
$61.23M
Key Investors
.406 Ventures,Longitude CapitalLongitude Capital,Ulysses Holdings.406 Ventures,F-Prime
2020-02-10Series C· $30M
2018-06-29Series B· $15M
2017-02-08Series A· $15M

Leadership Team

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Si France
Founder & CEO
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Becca Miller Rose
Chief Operating Officer
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Recent News

PR Newswire
WelbeHealth Expands PACE Access in Sacramento and San Bernardino Counties
2025-09-02
PR Newswire
WelbeHealth Names Dr. David Hirota as Chief Medical Officer
2025-07-08
citybiz
Q&A with Sam Wald, CEO of CareMore Health
2025-06-27
Company data provided by crunchbase