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Licensed Vocational Nurse Redirection Line

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Health Services Foundation is a non-profit 501 C4 corporation that provides health related services to the employees of self-insured employers in Northern California. LVN License required; Spanish fluency required. We are seeking a Licensed Vocational Nurse (LVN) to join our Redirection Line team. This position plays a key role in assisting members by redirecting them to in-network providers using company software and established protocols. The LVN will also be responsible for tracking incentives through CPT codes, claims, and HCPCS/J-codes.

  • This role is ideal for someone who is detail-oriented, organized, and comfortable working independently.

Duties and Responsibilities:

  • Use company software to contact and redirect members to in-network providers.
  • Review and track incentive data related to CPT codes, claims, and HCPCS/J-codes.
  • Accurately document all member interactions and redirection outcomes.
  • Maintain confidentiality and compliance with HIPAA and company standards.
  • Collaborate with internal departments as needed to support program goals.

Qualifications:

  • Active current California Licensed Vocational Nurse. - R
  • Strong understanding of medical coding (CPT, HCPCS, and J-codes) preferred.
  • Proficient with computer systems, data entry, and tracking software.
  • Excellent communication and organizational skills.
  • Ability to work independently with minimal supervision.

Benefits:

  • Competitive compensation.
  • Medical, dental, and vision insurance.
  • Paid time off, holidays, and retirement plan options.
  • Monday–Friday schedule.

How to Apply:

  • Please submit your resume through Indeed. Qualified candidates will be contacted for an interview.

Job Type: Full-time

Pay: $31.00 - $32.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Health insurance
  • Paid time off
  • Vision insurance

License/Certification:

  • LVN License (Required)

Work Location: In person

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