Company Overview
AltaMed is one of the nation’s largest and most respected community health networks, dedicated to providing high-quality care for over 45 years. Serving the diverse communities of Los Angeles and Orange counties, we offer an exceptional opportunity for health care professionals who are passionate about making a difference in the lives of their patients, their communities, and their careers.
As a non-profit organization, our mission goes beyond medical care—we are deeply committed to improving community health and well-being. We look beyond the walls of our clinics, seeing not just patients but opportunities to create lasting wellness initiatives. Many of our employees have a personal connection to AltaMed, having first experienced our compassionate care as patients. Their stories reinforce our core belief: our patients are always at the heart of everything we do.
LVN – Utilization Management Nurse
Position Overview
The LVN Utilization Management (UM) Nurse is responsible for conducting routine reviews of authorization requests across all lines of business, utilizing national, state, and health plan-specific guidelines. This role involves evaluating proposed hospitalizations, home care, and inpatient/outpatient treatment plans to ensure medical necessity, efficiency, and compliance with coverage guidelines. The UM Nurse assesses the appropriateness of services, applying medical criteria and benefit determinations to optimize patient care.
Minimum Qualifications
- Education & Licensure: Graduate of an accredited Licensed Vocational Nursing (LVN) program with a current LVN license issued by the State of California Vocational Nursing Board.
- Experience: Minimum of two (2) years of managed care experience is required.
- Certification: Basic Life Support (BLS) Certification is required.
Benefits & Career Growth
- Comprehensive Medical, Dental, and Vision Insurance
- 403(b) Retirement Savings Plan with employer-matching contributions
- Flexible Spending Accounts, including commuter benefits
- Opportunities for Career Advancement & Professional Development
- Generous Paid Time Off (PTO) & Holiday Benefits
- Paid CME Days for continuing education
- Malpractice Insurance with Tail Coverage
- Tuition Reimbursement Program
- Exclusive Employee Discounts & Referral Bonus Program
- Pet Care Insurance for your furry companions