- 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
- 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
- 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 ... 7pm EST approximately 3-4 Thursday and Friday's annually. The Utilization Management Nurse 2 uses clinical...Qualifications** + Minimum of an Associate's degree + Licensed Registered Nurse (RN) with no disciplinary action… more
- CVS Health (Phoenix, AZ)
- …good standing Arizona clinical and/or counseling license, specifically RN ( Registered Nurse ), LPC (Licensed Professional Counselor), LAC (Licensed Associate ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult inpatient… more
- Adelante (Phoenix, AZ)
- Registered Nurse Supervisor Job Details Job Location Adelante Healthcare Center Support Office - Phoenix, AZ Position Type Full Time Education Level RN Job ... Category Health Care Description POSITION SUMMARY The Registered Nurse Supervisor is responsible for the...items (flu, strep, UA, HCG testing) + Helps evaluate clinical care, utilization of resources, and development… 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)
- …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 ... **Department Name:** Health Mgmt **Work Shift:** Day **Job Category:** Clinical Care Better Than Ever for Nurses. At Banner...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… 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 (Glendale, AZ)
- …families in the community.** Our skilled team includes experienced bedside registered nurses, patient care assistants, Neonatologists, Neonatal Nurse ... to ensure excellent patient care. Actively develops leadership of entry level nurse manager(s) while leading clinical improvement initiatives. Internal customers… more
- Banner Health (Phoenix, AZ)
- …Phoenix, Arizona **Department Name:** Health Mgmt **Work Shift:** Day **Job Category:** Clinical Care Nursing careers are better at Banner Health. We've built ... You will work alongside a LMSW, Pharmacy Team, and Registered Dietician to ensure a member's health specific needs...members identified high risk or at risk for high utilization , cost of care, transition of care and or… 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 This position is eligible for a $10,000 sign on bonus.… 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)
- …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
- 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
- Molina Healthcare (Phoenix, AZ)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support...hearings as may be required. * Serves as a clinical resource for utilization management, chief medical… more
- Banner Health (Phoenix, AZ)
- …Arizona **Department Name:** Internal Medicine Ctr-Clinic **Work Shift:** Day **Job Category:** Clinical Care At Banner - University Medical Center, we're creating a ... interpersonal and communications skills are of the utmost importance.Experience: Clinical knowledge regarding Internal Medicine patient needs, knowledge of related… more
- Banner Health (Phoenix, AZ)
- …Arizona **Department Name:** C/P-Support Services-Clinic **Work Shift:** Day **Job Category:** Clinical Care Nursing careers are better at Banner Health. We've built ... academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly… 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 ... Womens Health Nurse Practitioner - West Phoenix Job Details Job...Cross (cognitive and skills evaluations) + Demonstrated understanding of clinical methods and techniques + Ability to meet and… 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