- CVS Health (Phoenix, AZ)
- …management function. Required Qualifications 1 year of varied UM (utilization management) experience within an inpatient/outpatient setting, concurrent ... ability to make thorough, independent decisions using clinical judgement. A Registered Nurse that must hold an unrestricted license in their state of residence,… more
- CVS Health (Phoenix, AZ)
- …to work on Arizona time zone. No weekends, holidays are required. The UM Clinical Consultant utilizes clinical skills to coordinate, document and communicate ... all aspects of the utilization/benefit management program. Applies critical thinking and knowledge in clinically appropriate treatment, evidence-based care, and medical necessity criteria for appropriate utilization of services. Consults and lends expertise to… more
- CVS Health (Phoenix, AZ)
- …information from providers. Required Qualifications + 1+ year: Oncology and Transplant UM , concurrent review or prior authorization + 3+ years: acute clinical ... training required 100% participation during 8:30am-5pm Monday-Friday EST. + A Registered Nurse that must hold an unrestricted license in their state of residence,… more
- ERP International (Yuma, AZ)
- **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager** for a full-time position at theCamp Pendleton **Branch Health Clinic** in ... and databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with social work case management. *… more