- Highmark Health (Phoenix, AZ)
- …consistent with established industry and corporate standards and are within the care manager 's professional discipline. + Function in accordance with applicable ... + Experience in a clinical setting **Preferred** + Experience in UM/CM/QA/Managed Care **LICENSES AND CERTIFICATIONS** **Required** + Current RN state licensure… more
- Sharecare (Phoenix, AZ)
- …**Monday June 16th, 2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- Sharecare (Phoenix, AZ)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care . The Clinical Registered Nurse coordinates with the Primary ... the lens of their personal health and making high-quality care more accessible and affordable for everyone. To learn...management program intervention guidelines. A Clinical Registered Nurse is supervised by an Operations Manager … more
- CVS Health (Phoenix, AZ)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Phoenix, AZ)
- …. - Perform medical necessity reviews. **Required Qualifications** - 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience in ... position consists of working intensely as a telephonic case manager with patients and their care team...a hospital setting. - A Registered Nurse that holds an active, unrestricted… more
- Public Consulting Group (Phoenix, AZ)
- …learn more, visit www.publicconsultinggroup.com . PCG is currently seeking a qualified Registered Nurse to perform as a Case Manager . The Case Manager ... Proven working experience in case management, including as a nurse , medical, mental health care manager...plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions**… more
- Molina Healthcare (Phoenix, AZ)
- …care providers. **JOB QUALIFICATIONS** **Required Education** Active, unrestricted RN License. **Required Experience** 5+ years' experience in managed healthcare, ... accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing,… more
- Highmark Health (Phoenix, AZ)
- …in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to ... coordinate care , and identifying various resources to assist members in...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- Centene Corporation (Phoenix, AZ)
- …Bachelor's degree in Nursing and 2 - 4 years of related experience. **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact State ... Illness (SMI) Team** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily physical needs members to provide… more
- Centene Corporation (Phoenix, AZ)
- …Nursing or a Bachelor's degree and 2 - 4 years of related experience **License/Certification:** RN - Registered Nurse - State Licensure and/or Compact State ... in Arizona** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards...Licensure required or NP - Nurse Practitioner - Current State's Licensure required Pay Range:… more
- Highmark Health (Phoenix, AZ)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- HonorHealth (Scottsdale, AZ)
- …Required 2 years Process and quality improvement experience Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure ... Overview 60% remote in Arizona Hybrid position: 40% in office;...you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to… more
- Sedgwick (Phoenix, AZ)
- …as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **This Field Case Manager will cover our ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- Centene Corporation (Phoenix, AZ)
- …state of Arizona.** **Position Purpose:** Develops, assesses, and facilitates complex care management activities for primarily mental and behavioral health needs ... members to provide high quality, cost-effective healthcare outcomes including personalized care plans and education for members and their families related to mental… more
- Centene Corporation (Phoenix, AZ)
- …reside in Arizona** **Position Purpose:** Develops, assesses and coordinates holistic care management activities, with primary focus and support towards populations ... Evaluates member service needs and develops or contributes to development of care plans/service plans, and educates members, their families and caregivers on… more
- Healthfirst (AZ)
- …knowledge of the relevant product line + Relevant work experience preferably as a Care Manager + Demonstrated ability to manage large caseloads and effectively ... **This position is 100% Remote **Duties and Responsibilities:** + Advocates, informs, and...to identify barriers and opportunities for intervention. + Develops care plans that align with the physicians treatment plans… more
- Molina Healthcare (Phoenix, AZ)
- …of provider, member and/or community interventions (eg, removing barriers to care ); preparation for Quality Improvement Compliance surveys; and other federal and ... activities and results to identify opportunities for improvement. + Surfaces to Manager and Director any gaps in processes that may require remediation. +… more
- The Hartford (Scottsdale, AZ)
- …others accomplish theirs, too. Join our team as we help shape the future. As Nurse Case Manager , we seek to improve on our patients' abilities! This position ... is part of a dynamic, fast-paced team of experienced Nurse Case Manager located remotely across the...employer, and other healthcare professionals to promote quality medical care with a focus on returning our patients back… more
- Healthfirst (AZ)
- …identifying alternative care options, and discharge planning + Certified Case Manager + Interqual and/or Milliman knowledge + Knowledge of Centers for Medicare & ... **This position is 100% Remote **Duties/Responsibilities:** + Provides case management services for...+ Functions as a clinical resource for the multi-disciplinary care team in order to maximize HF member … more
- HonorHealth (Phoenix, AZ)
- …Implantable Electronic Devices (CIED) management will be done under the direction of a Device RN Manager or Provider & the Practice Manager . A team member ... you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to...Medtronic, Boston Scientific, Sorin, and Biotronik. Reports to Device Nurse Manager , or the EP Provider when… more