- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a highly motivated and results-oriented ** Utilization Management (UM) Nurse ** . Our ideal **UM Nurse ** will ensure ... accordance with written policy, regulatory, and Health Plan guidelines. + Apply case management skills to members who have been identified as high risk for hospital… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …support the activities of the local Office of Community Care (LOCC). The Registered Nurse is responsible for the planning, integrating, implementing, modifying, ... support the activities of the local Office of Community Care (LOCC). The Registered Nurse is responsible for the planning, integrating, implementing, modifying,… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …application. Contact ###@va.gov for questions/assistance. Responsibilities The Resource Pool/Float Registered Nurse (RN) is responsible for providing competent, ... orientation, competencies and providing quality improvement and enhance outcomes utilization . This nurse integrates knowledge, skills, abilities,...level degree in Nursing may have opportunity to become registered as a nurse with a state… more
- Banner Health (Tucson, 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 acute care ... resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination,...networks, and regulatory agencies. Must possess knowledge of case management or utilization review as normally obtained… more
- Banner Health (Tucson, AZ)
- …may hinder quality medical and psychosocial patient care. Certifications: Oncology Certified Nurse (OCN(R)) or Certified Breast Care Nurse (CBCN(R)) or Advanced ... the patient's plan of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through their care, facilitating… more
- Banner Health (Tucson, 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. ... direction of the director. CORE FUNCTIONS 1. Coordinates oversight of quality, risk management , safety and nursing standards and is a role model and resource person… more
- Fresenius Medical Center (Tucson, AZ)
- …staff training, equipment, physician and patient relations, cost containment, supply management , medical records, patient billing, OSHA and all company, state and ... quality of patient care, as defined by the quality goals, by working with management to ensure that policies and procedures are followed. + Assists with implementing… more
- Molina Healthcare (Tucson, AZ)
- …driver's license **PREFERRED EDUCATION:** **PREFERRED EXPERIENCE:** + 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a ... **JOB DESCRIPTION** **Job Summary** The Care Connections Nurse Practitioners focus on screening and preventive primary care services delivered in the home,… more
- Molina Healthcare (Tucson, AZ)
- …and electronic medical record (EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, ... post-discharge coordination to reduce hospital readmission rates and emergency room utilization . * Performs face-to-face in-person visits in a variety of settings… more
- Molina Healthcare (Tucson, AZ)
- …of payment decisions. * Serves as a clinical resource for utilization management , chief medical officers, physicians and member/provider inquiries/appeals. ... and/or coding experience, or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
- Community Health Systems (Oro Valley, AZ)
- …for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - AZ State Licensure and/or Compact State Licensure ... eligible, experienced RN's!** **This is a full time Clinical Nurse Leader position working night shift in the Med...Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient… more
- Community Health Systems (Tucson, AZ)
- …for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required ... huddles. + Monitors patient flow, manages bed assignments, and optimizes resource utilization within the unit. + Conducts employee and patient rounding to evaluate… more
- Molina Healthcare (Tucson, AZ)
- …of payment decisions. + Serves as a clinical resource for Utilization Management , Chief Medical Officers, Physicians, and Member/Provider Inquiries/Appeals. ... ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review. + Minimum two years of experience in… more
- Select Medical (Tucson, AZ)
- …of acute transfers and other CQI indicators. **Qualifications** **Minimum Qualifications** + Registered Nurse with valid state license. Legacy employees may ... with Select Medical $10,000 Sign-On Bonus **Position:** Director of Quality Management **Location:** 355 North Wilmot Road, Tucson, AZ 85711 **Schedule:** Full… more
- Community Health Systems (Oro Valley, AZ)
- …development is encouraged and career advancement is possible. **What you'll do:** As a Registered Nurse you'll play a vital role in doing what you do ... varying week days and some weekend shifts in Case Management ** Candidates need acute hospital experience, prior case ...a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact… more
- CenterWell (Tucson, AZ)
- …as a Registered Nurse . + Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent ... review of clinical documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts… more
- Molina Healthcare (Tucson, AZ)
- …with multidisciplinary teams to promote the Molina care model. * Adheres to utilization management (UM) policies and procedures. Required Qualifications * At ... or equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active...in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management … more
- Molina Healthcare (Tucson, AZ)
- …internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital ... Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual… more
- Community Health Systems (Tucson, AZ)
- …CNL Performs duties in the nursing capacity as needed and is qualified. Registered Nurse Opportunity for career advancement and pathway to leadership providing ... for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State Licensure required… more
- Molina Healthcare (Tucson, AZ)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... external vendors. + Focuses on process improvement, organizational change management , program management and other processes relative...combination of relevant education and experience. + Registered Nurse (RN), Licensed Vocational … more
