- 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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… 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 ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...at a time that is best for your schedule. **Work-At- Home / Internet Information:** To ensure Home … 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 ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
- Sharecare (Phoenix, AZ)
- …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
- Banner Health (Phoenix, AZ)
- …care and/or home care environments, community resources and resource/ utilization management . Must demonstrate critical thinking skills, problem-solving ... networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the… more
- CVS Health (Phoenix, AZ)
- …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... Abuse or Maternity/ Obstetrics experience. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator or nurse… more
- Adelante (Phoenix, AZ)
- …stock medications, medical supplies and patient care equipment and/or supplies); + Quality Management (15%) + Assist the Nurse Manager/Director of Nursing to ... Registered Nurse Supervisor Job Details Job Location Adelante Healthcare...position is essential to Adelante's team-based primary care medical home model of care that supports coordinated, patient-centered, comprehensive… more
- Molina Healthcare (Phoenix, AZ)
- …chief medical officer on denial decisions. * Resolves escalated complaints regarding utilization management and long-term services and supports (LTSS) issues. * ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse (RN) provides support for internal appeals clinical...be required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and… more
- Banner Health (Phoenix, AZ)
- …care patient with chronic complex conditions in the acute care setting, nurse navigator and/or case management field. Requires excellent organizational skills, ... a High-Risk RN Case Manager on our Complex Case Management Team, you can expect to have a caseload...through Friday, 8AM to 5PM.** This role requires telephonic, home visits, and televisit platforms. It is fully remote… more
- Molina Healthcare (Phoenix, AZ)
- …reports submitted to the Eastern US Quality Improvement Collaborative (EQIC) and/or utilization management committees. + Participates as needed in joint ... must be technologically proficient, self-directed, autonomous and experience working from home . Care Management & Waiver Service Auditing experience is… more
- Adelante (Phoenix, AZ)
- Womens Health Nurse Practitioner - West Phoenix Job Details Job Location Adelante Healthcare West Phoenix - Phoenix, AZ Position Type Exempt Education Level NP ( ... Nurse Practitioner) Job Category Health Care Description POSITION SUMMARY...obstetrical and gynecological health care services through the identification, management and/or referral of the health problems and the… more
- Adelante (Phoenix, AZ)
- Adult Nurse Practitioner Job Details Job Location Adelante Healthcare West Phoenix - Phoenix, AZ Position Type Exempt Education Level NP ( Nurse Practitioner) Job ... Category Health Care Description POSITION SUMMARY The Adult Nurse Practitioner is primarily responsible for providing comprehensive primary health care services… more
- Adelante (Surprise, AZ)
- Womens Health Nurse Job Details Job Location Adelante Healthcare Surprise - Surprise, AZ Position Type Full Time Education Level Bachelor of Science in Nursing (BSN) ... Job Category Health Care Description POSITION SUMMARY In this position, the Womens Health Nurse (RN) participates as a member of the health care team in delivering… more
- Corning Incorporated (Glendale, AZ)
- …and time management skills. + Great computer skills and EMR utilization **Desired Qualifications:** + Certified Occupational Health Nurse (COHN | COHN-S) ... Occupational Health Nurse **Date:** Nov 12, 2025 **Location:** Glendale, AZ,...connect the unconnected, drive the future of automobiles, transform at- home entertainment, and ensure the delivery of lifesaving medicines.… more
- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with...completion of a bachelor's degree in case management or health care. Requires current Registered … more
- Banner Health (Phoenix, AZ)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... caring for patients with wounds. We use a case management model to help patients navigate through the complex...beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with… more
- Banner Health (Phoenix, AZ)
- …to be part of a rapidly growing & expanding team. If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and ... under the Job Type filter, select New Nurse Experience. University Medical Center Phoenix is a nationally...beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with… more
- Evolent (Phoenix, AZ)
- …responsible for support and assistance for all cardiology administrative and clinical utilization management and quality improvement functions under the auspices ... is 11:30-8:00 eastern** **OTHER SKILLS and ABILITIES:** Strong clinical, management , communication, and organizational skills. Demonstrated leadership skills Analytic… more
- Banner Health (Phoenix, AZ)
- …patient needs, knowledge of related diagnosis, and complex disease management . General Experience: navigation or complex care coordination/case management ... beds, several unique specialty units and is the new home for medical discoveries, thanks to our collaboration with...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more