Utilization Management LVN Coordinator - Weekend Premium

Pomona Valley Hospital Medical Center; Pomona (CA); On-site; USD 50,000 - 70,000; Full time

Job summary

Pomona Valley Hospital Medical Center is seeking a Licensed Vocational Nurse for the Utilization Management team to support safe, timely transitions of care and appropriate hospital reimbursement.

The role requires a California LVN license and at least one year of Utilization Review or discharge planning experience, with knowledge of Milliman Care Guidelines and hospital EMR systems. Salary is hourly and may include a weekend rate for qualifying shifts.

Qualifications

• Valid California LVN license is required.
• One year experience in Utilization Review or Case Management discharge planning.
• Familiarity with Milliman Care Guidelines and admission criteria tools.
• Knowledge of common disease processes and health care delivery systems.
• Strong communication, time management, problem-solving, and initiative.

Responsibilities

• Collaborate with Case Managers, staff, payers, and post-discharge vendors to coordinate transitions of care.
• Support safe, timely, and efficient hospital discharges and optimize reimbursement.

Skills

Communication

Time management

Problem-solving

Initiative

Adaptability

Education

California LVN license

High school diploma

Tools

EMR systems

Job description

Pomona Valley Hospital Medical Center is seeking a Licensed Vocational Nurse for the Utilization Management team to support safe, timely transitions of care and appropriate hospital reimbursement.

The role requires a California LVN license and at least one year of Utilization Review or discharge planning experience, with knowledge of Milliman Care Guidelines and hospital EMR systems. Salary is hourly and may include a weekend rate for qualifying shifts.