- 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)
- …non-compact states as needed. + 5+ years of acute experience as a Registered Nurse + 3+ years of Utilization Management experience + 3+ year(s) of Appeals ... of utilization management services for assigned area + Implements clinical policies & procedures in accordance with applicable regulatory and accreditation… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …of the EDRP application. Former EDRP participants ineligible to apply. Responsibilities The Registered Nurse (RN) is responsible and accountable for all elements ... initiatives as well as customer service programs. The Inpatient Mental Health (MH) Registered Nurse (RN) provides and leads the provision of competent,… more
- Banner Health (Glendale, AZ)
- …families in the community.** Our skilled team includes experienced bedside registered nurses, patient care assistants, Neonatologists, Neonatal Nurse ... to ensure excellent patient care. Actively develops leadership of entry level nurse manager(s) while leading clinical improvement initiatives. Internal customers… 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 (Mesa, 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 ... Mesa, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care Nursing careers are better at Banner Health. We've built… 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 The future is full of possibilities. At Banner Health, we're… 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 (Phoenix, AZ)
- …1% of hospitals nationwide have achieved this designation four times. As a Registered Nurse RN Transplant Coordinator, your role involves assisting patients in ... Arizona **Department Name:** Pre-Kidney Trans-Hosp **Work Shift:** Day **Job Category:** Clinical Care Great options and great opportunities. Banner Health has both… more
- Molina Healthcare (Phoenix, AZ)
- …decisions for appeals outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse (RN) performs clinical /medical ... Officer during Fair Hearings as may be required. + Serves as a clinical resource for Utilization Management, Chief Medical Officer, Physicians, and… more
- Banner Health (Phoenix, AZ)
- …Arizona **Department Name:** Internal Medicine Ctr-Clinic **Work Shift:** Day **Job Category:** Clinical Care At Banner - University Medical Center, we're creating a ... interpersonal and communications skills are of the utmost importance.Experience: Clinical knowledge regarding Internal Medicine patient needs, knowledge of related… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... 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
- Adelante (Phoenix, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Adult 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
- Banner Health (Phoenix, AZ)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... OP Obs Unit 4BC **Work Shift:** Night **Job Category:** Clinical Care The future is full of possibilities. At...2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing… more
- Banner Health (Phoenix, AZ)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... Name:** M/S Oncology 5B **Work Shift:** Night **Job Category:** Clinical Care Additional Job Description Find your path in...2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing… more
- Adelante (Phoenix, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Family Nurse Practitioner - West Phoenix Job Details Job...certificate + Current BLS + Demonstrated understanding of clinical methods and techniques + Ability to meet and… more
- Lincoln Financial (Phoenix, AZ)
- …**What we're looking for** Education * 4 Year/Bachelor's Degree in Nursing * Registered Nurse License - Current, unrestricted license in the state where ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible… more
- Molina Healthcare (Phoenix, 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... Practitioner will be required to work primarily in non- clinical settings and provide medical care to all levels… more