- Molina Healthcare (Phoenix, AZ)
- …be supporting our Ohio state plan. We are looking for candidates with a RN licensure and previous care management experience. The candidate must have ... behavioral health settings. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- 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 July 21st, 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
- Banner Health (Gilbert, AZ)
- …of a bachelor's degree in case management or health care . Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... be the opportunity you've been waiting for. As an RN Case Manager , you will contribute your...with patients via two-way audio-video to assist the bedside nurse with patient care . POSITION SUMMARY This… 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 with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...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 with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- Banner Health (Mesa, AZ)
- …of a bachelor's degree in case management or health care . Requires current Registered Nurse ( RN ) license in state worked. For assignments in an ... Family Care health plan. As a **Pediatric RN Case Manager ** , your day is...after which there is an opportunity to transition to remote work. Your schedule follows standard business hours, Monday… 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)
- …- 4 years of related experience. Pediatric Experience Strongly Preferred **License/Certification:** + RN - Registered Nurse - State Licensure and/or Compact ... workplace flexibility. **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
- 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
- Public Consulting Group (Phoenix, AZ)
- …independently and on a team. + Proven working experience in case management, including as a nurse , medical, mental health care manager or a related job + ... of case management plans. + Current license, certification or registration as a Registered Nurse or Social Worker **Working Conditions** + Office Setting **The… more
- Somatus (Phoenix, AZ)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The… more
- Molina Healthcare (Phoenix, AZ)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is responsible for developing, ... implementing, and monitoring the success of quality improvement interventions. The Manager works to coordinate resources and training within the health plan and… more
- Molina Healthcare (Phoenix, AZ)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… 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
- Intermountain Health (Phoenix, AZ)
- **Job Description:** The Medical Group Nurse Manager reports to a Market or Service Line Nurse Director and participates with the Service Line or Market ... execution of strategy and collaboration within operations and clinical care . The manager builds and supports provider...+ Shift Details: Full time (40 budgeted hours). Fully Remote / Work from home. Day shift/ M-F have availability… more
- Cardinal Health (Phoenix, AZ)
- …Rheumatology (Rheum) Customer Success contributes to Cardinal Health_** The Clinical Manager for our Rheumatology (Rheum) Customer Success team is responsible for ... the EVP of Provider Solutions. In this role, the Manager will be held primarily accountable for the overall...that will lead our Rheum program. **Location** - Fully remote with the expectation of 15-20% travel. Travel does… more
- The Cigna Group (Tempe, AZ)
- The RN Clinical Senior Supervisor is an integral member of the multi-disciplinary team providing direct patient care while also providing management of the team ... and oversight of the care facility. This role requires the ability to balance...providing leadership in clinical, financial, and personnel management. The RN Clinical Senior Supervisor must apply current nursing knowledge,… more