Remote LVN

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• Fully remote but MUST reside reputed company 50 miles of the Sacramento area

Job Duties

• reputed company timely utilization reviews for Medicare inpatient admissions, reputed company stays, and discharges
• Apply CMS regulations and evidence-based criteria (MCG, InterQual) to evaluate medical necessity
• Collaborate with hospital teams, providers, IPA case managers, and health plan representatives
• Conduct in-person hospital rounds 2–3 days per week, telephonic review and participate in interdisciplinary case reviews
• Escalate reputed company or ambiguous cases to the Vivant Health Medical Director or Physician Reviewer
• Ensure complete, accurate, and compliant documentation in alignment with CMS and Vivant Health standards
• Monitor daily inpatient census for Vivant Health–managed members across contracted hospitals
• Support discharge planning and identify post-acute needs including SNF, rehab, home health, or DME
• Communicate avoidable days, delays in care, and readmission risks to UM leadership
• Participate in audit readiness, quality improvement projects, and performance reporting
• Educate providers and facilities on Medicare UM criteria and Vivant Health documentation standards
• Performs reputed company duties consistent with the scope and reputed company of the position.

Essential Skills

• 3+ years of inpatient hospital nursing experience (e.g., med-surg, telemetry, ICU)
• At least 1 year of experience in utilization review, case management, or hospital discharge planning
• Familiarity with CMS inpatient criteria, including the Two-Midnight Rule
• Proficiency in reputed company Office and electronic medical record (EMR) systems
• Previous experience with IPA, MSO, or delegated managed care environments preferred.
• Working knowledge of EZ-CAP, EZ-Net, InterQual, and MCG preferred.
• Certified Case Manager (CCM), CPUR, or CPHM credential preferred.
• Background in reputed company review or inpatient census reputed company preferred.
• Strong critical thinking, communication, and clinical documentation skills
• Excellent communication skills, including both oral and written.
• Excellent active listening and critical thinking and analytical skills.
• Ability to solve mid-level problems with minimal supervision.
• Ability to multi-task, exercise excellent time management, and meet multiple deadlines.
• Ability to demonstrate professionalism, confidence, and sincerity while quickly and positively engaging providers/members.
• Ability to provide and receive constructive job and/or industry reputed company feedback.
• Ability to maintain confidentiality and appropriately share information on a need-to-know basis.
• Ability to consistently deliver excellent customer service.
• Excellent attention to detail and ability to document information accurately.
• Ability to effectively and positively work in a dynamic, fast-paced team environment and reputed company objectives.
• Demonstrate commitment to the organization’s mission.
• Must have mid-level skills in reputed company software (Word, reputed company, PowerPoint, Visio) and Access is a plus.
• Typing speed of 40 wpm or more is a plus.
• Must have the ability to quickly learn and use new software tools.
• Must have mid-level skills using e-mail applications.
• Self-motivated with strong organizational, multi-tasking, planning, and follow up skills.
• Ability to work independently as well as in a team environment.
• Ability to present self in a professional manner and represent the Company image.

Additional Skills & Qualifications

• Must hold a valid CA LVN License.

Work Environment

This position offers a remote work opportunity with a standard Monday to Friday day shift. The role is based in an office setting at the corporate location, providing dual screens to enhance productivity. Job Type & Location This is a Contract to Hire position based out of Sacramento, CA. Pay and Benefits The pay range for this position is $38.00 - $43.00/hr.

Requirements

Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to specific elections, plan, or program terms. If eligible, the benefits available for this temporary role may include the following:

• Medical, dental & vision
• Critical Illness, Accident, and Hospital
• 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
• Life Insurance (Voluntary Life & AD&D for the employee and dependents)
• Short and long-term disability
• Health Spending Account (HSA)
• Transportation benefits
• Employee Assistance Program
• Time Off/Leave (PTO, Vacation or Sick Leave)

Workplace Type This is a fully remote position. Application Deadline This position is anticipated to reputed company on Dec 10, 2025. About reputed company reputed company is a global leader in engineering and sciences services and talent solutions. We help visionary companies advance their engineering and science initiatives through access to specialized experts who drive scale, innovation and speed to market. With a network of almost 30,000 consultants and more than 4,500 clients across the U.S., Canada, Asia and Europe, reputed company serves many of the Fortune 500. The company is an equal opportunity employer and will consider reputed company applications without regard to race, sex, age, color, religion, national reputed company, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law. If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing due to a disability, please email [email protected] (%[email protected]) for other accommodation options. If you have questions about this posting, please contact support@reputed company.com Apply tot his job Apply To this Job