- Highmark Health (Phoenix, AZ)
- …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
- CVS Health (Phoenix, AZ)
- …care. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse ( RN ) with at least 1 year of experience ... This position consists of working intensely as a telephonic case manager with patients and their care...in a hospital setting. + A Registered Nurse that holds an active, unrestricted… more
- Banner Health (Phoenix, AZ)
- …their caseload appropriately and not feeling "alone" in the field! We recognize that our nurse case managers are the key to a successful journey with home ... in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is...best place to receive care As a **Home Health Registered Nurse ,** you will join the Banner… more
- CVS Health (Phoenix, AZ)
- …care for members. - This position consists of working intensely as a telephonic case manager with patients and their care team for fully and/or self-insured ... reviews **Required Qualifications** - 5+ years' experience as a Registered Nurse with at least 1 year...electronically using a keyboard **Preferred Qualifications** - 1+ years' Case Management experience or discharge planning, nurse … more
- ERP International (Luke AFB, AZ)
- **Overview** ERP International is seeking full time ** Registered Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ ... and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission for Case … more
- Sharecare (Phoenix, AZ)
- …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
- CenterWell (Phoenix, AZ)
- …and responsibilities as required **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN license) + Minimum of 4 years of ... within an interdisciplinary care integration team (CIT), the Care Navigator - Registered Nurse is responsible for proactively engaging patients and implementing… more
- HonorHealth (Phoenix, AZ)
- …healthcare resources to ensure services and care are delivered in a timely manner. The RN Case Manager works in collaboration with patients, providers, and ... and facilitate the discharge plan for patients with medically complex post-acute care needs. Analyzes medical records to determine...experience in a hospital setting Required Licenses and Certifications Nursing\ RN - Registered Nurse -… more
- Molina Healthcare (Scottsdale, AZ)
- …travel required. + RNs provide consultation, recommendations and education as appropriate to non- RN case managers. + RNs are assigned cases with members who ... health settings. Preferred License, Certification, Association Active, unrestricted Certified Case Manager (CCM) Preferred languages (Korean/English) To all… more
- Sedgwick (Phoenix, AZ)
- …Certified as a Great Place to Work(R) Fortune Best Workplaces in Financial Services & Insurance RN Field Case Manager **This Field Case Manager ... be considered.** **PRIMARY PURPOSE OF THE ROLE:** Sedgwick Field Case Managers work face to face with their injured...knowledge and experience to assist in the management of complex medical conditions, treatment planning and recovery from illness… more
- Evolent (Phoenix, AZ)
- …care across multiple settings and with multiple providers - **- Required** + Current Registered Nurse license without restrictions must be able to qualify for AK ... providers to achieve better outcomes for people with most complex and costly health conditions. Working across specialties and...standard business hours **- Required** + CCMC (Commission for Case Manager Certification) - a plus -… more
- Banner Health (Mesa, AZ)
- …their caseload appropriately and not feeling "alone" in the field! We recognize that our nurse case managers are the key to a successful journey with home ... in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is...best place to receive care. As a **Wound Care Registered Nurse ** with our Home Health team,… more
- Dignity Health (Phoenix, AZ)
- …experience. **Licensure:** Active Arizona or Compact state RN License Preferred: + Certified Case Manager (CCM), Accredited Case Manager (ACM- RN ... mission of the Hospital. **Job Summary / Purpose** The RN Care Coordinator is responsible for overseeing the progression...acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1… more
- Highmark Health (Phoenix, AZ)
- …industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create care plans ... :** **JOB SUMMARY** This job implements effective complimentary utilization and case management strategies for an assigned member panel. Provides oversight over… more
- Cardinal Health (Phoenix, AZ)
- …life-changing therapies to patients who need them-faster.** **_Position Summary_** The Manager , Clinical is responsible for strategic oversight and management of ... demands to long-term implications, in alignment with the supporting business case + Prioritizes multiple tasks while meeting deadlines + Communicates program… more
- Dignity Health (Phoenix, AZ)
- **Responsibilities** As our new Quality and Patient Safety Program Manager (licensed), you will support, coordinate, and facilitate the quality management (QM), ... (eg peer review, OPPE, FPPE). Clinical performance improvement, including case review for peer review. + Participates in an...license in a clinical field in state of practice ( RN , Clinical Pharmacist, or other Licensed Clinical Staff). +… more