• SR International, Inc. (Phoenix, AZ)
    …Candidate needs to obtain their own laptop SOAZ - Posting ID # 5297 - Medical Review Nurse (Local Only/Mostly Remote/Onsite Trainings) Skills Required: * ... review ; CCI, lnterQual, HCPCS and CPT Coding; managed care medical review experience. Certification in CPT Coding is a plus. Active Fingerprint Clearance… more
    Upward (08/03/25)
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  • Monte Nido (Scottsdale, AZ)
    …treatment continuity. 6. Coordinates with the Primary Therapist on any insurance review information needed. 7. Works collaboratively with medical and psychiatric ... the opportunity for people to realize their healthy selves. **Registered Nurse ** **Rosewood Scottsdale** **Scottsdale, AZ** At Monte Nido Rosewood, we understand… more
    DirectEmployers Association (10/15/25)
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  • SR International, Inc. (Phoenix, AZ)
    …for additional languages as needed. *Collaboration: Collaborate closely with the Clinical Nurse Abstractor and the Child Fatality Review Program Manager to ... languages is a plus. SOAZ - Posting ID # 5875 -AZDHS - Fatality Review Informant Interviewer Description The Informant Interviewer will serve as a key contributor to… more
    Upward (08/04/25)
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  • RN Medical Claim Review Nurse

    Molina Healthcare (Chandler, AZ)
    JOB DESCRIPTION **Job Summary** The Medical Claim Review Nurse provides support for medical claim review activities. Responsible for ensuring timely ... hospital setting, including at least 1 year of utilization review , medical claims review , claims...equivalent combination of relevant education and experience. * Registered Nurse (RN). License must be active and unrestricted in… more
    Molina Healthcare (10/19/25)
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  • Medical Claim Review Nurse

    Molina Healthcare (Chandler, AZ)
    …on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Utilizing clinical knowledge and experience, ... responsible for review of documentation to ensure medical necessity and appropriate level of care utilizing MCG/InterQual, state/federal guidelines, billing and… more
    Molina Healthcare (09/06/25)
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  • Clinical Review Nurse - Concurrent…

    Centene Corporation (Phoenix, AZ)
    …for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering ... member's overall health, reviewing the type of care being delivered, evaluating medical necessity, and contributing to discharge planning according to care policies… more
    Centene Corporation (10/23/25)
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  • Flight Registered Nurse (RN)

    Vighter Medical Group (Mesa, AZ)
    Flight Registered Nurse (RN) - Mesa, AZ Job Details Job Location Mesa, AZ - Mesa, AZ Education Level Registered Nurse (RN) Travel Percentage Up to 100% ... Description Flight Registered Nurse (RN) Summary: Vighter is recruiting healthcare professionals (HCPs)...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
    Vighter Medical Group (08/07/25)
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  • Registered Nurse RN Medical ICU

    Banner Health (Mesa, AZ)
    …better pay, better benefits, better opportunities and a better community. As a ** Medical Intensive Care Registered Nurse ** , you will have the opportunity ... weekend shift differential. If you are a New Graduate Nurse with less than 12 months of experience, please...that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as… more
    Banner Health (10/19/25)
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  • Licensed Practical Nurse LPN Medical

    Banner Health (Phoenix, AZ)
    …If you're ready to change lives, we want to hear from you. **The Banner Estrella Medical Center Medical /Surgical 5B Unit** is looking for a new addition to the ... our team today! As an LPN at Banner Estrella Medical Center, you will be working in our ...care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the… more
    Banner Health (10/18/25)
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  • Chief Nurse_Sterile Processing Service

    Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
    …Veterans Integrated Services Network (VISN) 22 Advisory Board; Clinical Product Review Committee (CPRC); Reusable Medical Device (RMD) Committee; Environment ... AZ. It is a Level 1a major interdisciplinary teaching facility. The Chief Nurse , Sterile Processing Service is the administrative and accountable official for the… more
    Veterans Affairs, Veterans Health Administration (10/18/25)
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  • Adult Geriatric Nurse Practitioner

    Adelante (Mesa, AZ)
    …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... Adult Geriatric Nurse Practitioner Job Details Job Location Adelante Healthcare...RESPONSIBILITIES Health Care Delivery + Reports to the Regional Medical Director + Provide high quality health care services… more
    Adelante (09/28/25)
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  • Family Nurse Practitioner - West

    Adelante (Phoenix, AZ)
    …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... Family Nurse Practitioner - West Phoenix Job Details Job...+ Health Care Delivery + Reports to the Chief Medical Officer + Provide high quality health care services… more
    Adelante (09/03/25)
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  • Registered Nurse Progressive Care Unit PCU

    Banner Health (Mesa, AZ)
    …specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 ... benefits, better opportunities and a better community. Banner Desert Medical Center in Mesa, AZ offers a wonderful patient...cardiac issues, alcohol/drug withdrawal and infections. As a Registered Nurse in PCU, you will have the unique opportunity… more
    Banner Health (09/20/25)
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  • Registered Nurse RN Clinical Research…

    Banner Health (Gilbert, AZ)
    …are also offered following orientation and training period. _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._ Experience innovative technology and exceptional opportunities for growth and development at Banner… more
    Banner Health (08/30/25)
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  • Registered Nurse RN PCU Float

    Banner Health (Phoenix, AZ)
    …Health, we take care of nurses. Nurses take care of everyone. Banner - University Medical Center Phoenix has been recognized on the Becker's Hospital Review 2023 ... patient satisfaction and more. https://www.beckershospitalreview.com/lists/great-hospitals-in-america-2023.html As a PCU Float Nurse , you will work on all PCU/Telemetry units at… more
    Banner Health (10/02/25)
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  • Adult Nurse Practitioner

    Adelante (Mesa, AZ)
    …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... Adult Nurse Practitioner - Mesa Job Details Job Location...EXPERIENCE: Health Care Delivery + Reports to the Regional Medical Director + Provide high quality health care services… more
    Adelante (09/17/25)
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  • Registered Nurse RN OR Operating Room…

    Banner Health (Mesa, AZ)
    …specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 ... is like working in** Perioperative Services at Banner Desert Medical Center (https://youtu.be/pLfv3\_5czzo) . Banner Health is proud to...paced environment and room for growth. As a Registered Nurse RN, you will bring your experience and passion… more
    Banner Health (10/17/25)
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  • Registered Nurse RN Pediatric/PCU Float…

    Banner Health (Mesa, AZ)
    …specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 ... assessments and plans of your patients at Banner Desert Medical Center. Banner Desert Medical Center offers...and patient transports. In your role as a **Registered Nurse with Pediatric and PCU Float Pool,** you will… more
    Banner Health (09/20/25)
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  • Nurse Practitioner or Physician Assistant…

    CenterWell (Phoenix, AZ)
    …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (VSP/PRN) provides health promotion and maintenance through the diagnosis ... of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral...accordance with standards of care. + Follows level of medical care and quality for patients and monitors care… more
    CenterWell (10/16/25)
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  • Clinical Reviewer, Nurse -9am -6pm PST

    Evolent (Phoenix, AZ)
    …+ Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review determinations and contacts ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks are… more
    Evolent (10/21/25)
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