- 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
- 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
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …and initiatives as well as customer service programs. Community Care (CC) Coordinator Registered Nurse (RN) is responsible for executing a streamlined approach ... possesses intimate knowledge of the internal referral care process, clinical review criteria, utilization management standards, ...level degree in Nursing may have opportunity to become registered as a nurse with a state… 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 (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
- 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
- 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 (Gilbert, AZ)
- …POSITION SUMMARY This position provides administrative supervision of campus workflow, resource utilization and management, and operations for all clinical and ... **Primary City/State:** Gilbert, Arizona **Department Name:** Clinical Care Operations **Work Shift:** Night **Job Category:** Nursing Better than ever for nurses.… more
- Banner Health (Gilbert, AZ)
- …to ensure excellent patient care. Actively develops leadership of entry level nurse manager(s) while leading clinical improvement initiatives. Internal customers ... with a strong business operations background to support the departments clinical and business needs. Leadership experience is preferred. Experience innovative… more
- Banner Health (Phoenix, AZ)
- …Phoenix, Arizona **Department Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Clinical Care Good health care is key to a good life. At ... mid-shifts or nights and no on call requirement. The Nurse Navigator works collaboratively to remove barriers for their...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- Molina Healthcare (Mesa, 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:** BUMCP Cardiovascular **Work Shift:** Day **Job Category:** Clinical Care At Banner - University Medical Center, we're creating a ... are of the utmost importance. Experience: Specialty based Experience: Clinical knowledge regarding Structural Heart, knowledge of related CMS guidelines/registry… 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
- CVS Health (Phoenix, AZ)
- …a member's overall wellness through integration. - Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and ... functions as well as smooth transition to programs and plans. - Applies clinical judgment to the incorporation of strategies designed to reduce risk factors and… more
- Humana (Phoenix, AZ)
- …help us put health first** The Utilization Management Behavioral Health Nurse 2 utilizes clinical nursing skills to support the coordination, documentation ... of action. The Utilization Management Behavioral Health Nurse uses clinical knowledge, communication skills, and...skills to make an impact** **Required Qualifications** + Licensed Registered Nurse (RN) Compact license, with no… more
- Adelante (Mesa, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Adult Geriatric 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