- HonorHealth (Scottsdale, AZ)
- …different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
- Molina Healthcare (Phoenix, AZ)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied… more
- Banner Health (Phoenix, AZ)
- …entities. Areas of responsibility could include but are not limited to: Utilization management: Leading teams and partnering with Senior leaders to ensure ... appropriate levels of health care utilization are met for our wholly owned and delegated plans in the areas of prior authorization, census management,… more