- 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
- 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
- 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
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- CVS Health (Phoenix, AZ)
- …Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization . **Required Qualifications** + Registered Nurse (RN) ... CVS Health Aetna has an opportunity for a full-time Utilization Management (UM) Nurse Consultant. As a...Nurse Consultant. As a Utilization Management Nurse Consultant, you will utilize clinical skills… 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
- 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
- CVS Health (Phoenix, AZ)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Registered Nurse (RN) is responsible and accountable for all elements ... initiatives as well as customer service programs. The Inpatient Mental Health (MH) Registered Nurse (RN) provides and leads the provision of competent,… more
- Centene Corporation (Phoenix, AZ)
- …required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State Licensure required or + ... the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified,… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …community-based outpatient clinics (CBOC). Responsibilities The Maternity Care Coordinator (MCC) Registered Nurse (RN) is responsible for providing competent, ... fetal outcomes. Retrieves statistical data on maternity care and utilization at the local VAMC using Veterans Health Administration...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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
- 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
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …Clinics at the Phoenix VA Health Care System (PVAHCS), Phoenix, AZ Responsibilities The Registered Nurse (RN) is responsible and accountable for all elements of ... Shares educational findings, experiences, and ideas with peers. Questions clinical practices for the purpose of providing evidence-based care....level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- CVS Health (Phoenix, AZ)
- …Service/Health Services (as applicable to hiring program) or Associates degree with a Registered Nurse with Behavioral Health experience/ background with 3 years ... we do it all with heart, each and every day. **Position Summary** Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization… 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 (Mesa, AZ)
- …working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. PREFERRED QUALIFICATIONS Bachelor's degree preferred. ... Triage with lead/supervisor experience for this opportunity to develop Clinical Coordinator Role/Program expectations within the department, opportunity for tuition… 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 (Mesa, AZ)
- …to ensure excellent patient care. Actively develops leadership of entry level nurse manager(s) while leading clinical improvement initiatives. Internal customers ... brain, spine and nervous system. POSITION SUMMARY This position provides managerial and clinical support to patients and staff. Uses depth and breadth of clinical… more
