- Daiichi Sankyo, Inc. (Phoenix, AZ)
- … - State Licensure and/or Compact State Licensure The ideal candidate will be a Registered Nurse with previous relevant clinical as well as pharmaceutical ... of nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating HCPs/clinics with… more
- PharmaCord (Scottsdale, AZ)
- … Utilization Management, Call Center Case Management, a plus. Case management or Clinical Trial Nurse experience, a plus. Bachelor's degree preferred. We are ... independently while collaborating to share ideas, support, and resources. As a Nurse Advocate you are responsible for contact with program patients and assessing… more
- Cognizant (Phoenix, AZ)
- …you need to have to be considered** . Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
- Humana (Phoenix, AZ)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse (RN) in a compact state… more
- CVS Health (Phoenix, AZ)
- …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
- CVS Health (Phoenix, AZ)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Banner Health (Mesa, AZ)
- …completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (RN) license in state worked. For assignments in an acute ... Mesa, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care Nursing careers are better at Banner Health. We've built… more
- Banner Health (Phoenix, AZ)
- …completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (RN) license in state worked. For assignments in an acute ... Phoenix, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care The future is full of possibilities. At Banner Health, we're… more
- Banner Health (Phoenix, AZ)
- …completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (RN) license in state worked. For assignments in an acute ... City/State:** Phoenix, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** **Job Category:** Clinical Care Better Than Ever for Nurses. At Banner Health, we… more
- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more
- Banner Health (Phoenix, AZ)
- …1% of hospitals nationwide have achieved this designation four times. As a Registered Nurse RN Transplant Coordinator, your role involves assisting patients in ... Arizona **Department Name:** Pre-Kidney Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great options and great opportunities. Banner Health has both… more
- Banner Health (Phoenix, AZ)
- …**Department Name:** Department of RN Navigators **Work Shift:** Day **Job Category:** Clinical Care At Banner - University Medical Center, we're creating a world ... BSN or equivalent * Experience: o Specialty based Experience: Clinical knowledge regarding TCAR/Vascular and/or Structural Heart, knowledge of related… more
- Adelante (Phoenix, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Adult Nurse Practitioner Job Details Job Location Adelante Healthcare...with chronic and acute conditions + Demonstrated understanding of clinical methods and techniques + Ability to meet and… more
- Sharecare (Phoenix, AZ)
- …to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their ... to enable individuals with disabilities to perform the essential functions. + Current Registered Nurse multi-state compact license in the state in which they… more
- Banner Health (Scottsdale, AZ)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... care team members. 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing assessment data and patient,… more
- Adelante (Phoenix, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Family Nurse Practitioner - West Phoenix Job Details Job...certificate + Current BLS + Demonstrated understanding of clinical methods and techniques + Ability to meet and… more
- Lincoln Financial (Phoenix, AZ)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- Molina Healthcare (Chandler, AZ)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... primary care and medical care services to members - primarily in non- clinical settings where members feel most comfortable, including in-home, community and nursing… more
- Molina Healthcare (Chandler, AZ)
- …for denial or modification of payment decisions. + Serves as a clinical resource for Utilization Management, Chief Medical Officers, Physicians, and ... of Nursing **REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …and/or documentation according to policy and standards. Recognizes and reports to Registered Nurse (RN) and/or Health Care Provider (HCP) immediately signs ... Summary The primary purpose of the Licensed Practical Nurse (LPN) is to perform assigned duties in...Standard Operating Procedures (SOPs) for all RME in the clinical area. Responsible for carrying out proper procedures for… more
