- Molina Healthcare (Tucson, AZ)
- … and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... 6 PM (Team will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for … more
- Banner Health (Tucson, AZ)
- …empowering work environments, and resources that promote a healthy work-life balance. As the Registered Nurse RN Case Manager Care Coordination, you will ... discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a...degree in case management or health care. Requires current Registered Nurse ( RN ) license in… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …the EDRP application. Former EDRP participants ineligible to apply. Responsibilities Certified Registered Nurse Anesthetist (CRNA) provides a full range of ... CRNA will maintain an active unrestricted license as an RN as well as a CRNA; will maintain certification...providing didactic and clinical instruction in anesthesia to student nurse anesthetists, medical and dental residents, and… more
- Molina Healthcare (Tucson, AZ)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...specific programs supported by the plan such as utilization review , medical claims review , long-term… more
- Molina Healthcare (Tucson, AZ)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... a RN with experience with appeals, claims review , and medical coding. JOB DESCRIPTION Job...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- Molina Healthcare (Tucson, AZ)
- For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state they reside This role will be doing Utilization review for ... authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted… more
- Molina Healthcare (Tucson, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support...care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work Hours:… more
- Molina Healthcare (Tucson, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION **Job Summary** The Care Review Clinician ( RN ) provides support for...requests within required timelines. * Refers appropriate cases to medical directors (MDs) and presents them in a consistent… more
- Molina Healthcare (Tucson, AZ)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Tucson, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Molina Healthcare (Tucson, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... JOB DESCRIPTION Job Summary Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically… more
- Community Health Systems (Oro Valley, AZ)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... career advancement is possible. **What you'll do:** As a Registered Nurse you'll play a vital role...review . **Essential Functions** + Conducts daily reviews of medical records to assess the appropriateness of admission, continued… more
- Select Medical (Tucson, AZ)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... and valid state licensure or eligibility for state licensure as a Registered Nurse , Physical Therapist, Occupational Therapist, or Speech Language Pathologist… more
- CenterWell (Tucson, AZ)
- …Experience/Skills:** + Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Two years as a Registered Nurse with ... + Assesses staff education needs based on own the review of clinical documentation in addition to feedback and...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Community Health Systems (Tucson, AZ)
- …management skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact ... , working Day shift Weekends in Care Management / Case Management at Northwest Medical Center in Tucson, AZ** **$2500 sign on bonus offered to eligible experienced… more
- Molina Healthcare (Tucson, AZ)
- …quality investigations, preferably in a managed care setting, or equivalent experience * Registered Nurse . License must be active and unrestricted in state of ... review of potential quality of care and critical incident cases; review of medical record documentation for credentialing and model of care oversight; and any… more
- Gentiva (Green Valley, AZ)
- …of an accredited graduate-level nurse practitioner education program + Current registered nurse license in state of practice + Current advanced practice ... Partnerships. Transform Hospice Care.** We are seeking a dedicated Hospice Nurse Practitioner to perform Face-to-Face (F2F) encounters essential for hospice… more
- Fresenius Medical Center (Tucson, AZ)
- …Report any significant information and/or change in patient condition directly to the registered nurse or supervisor. + Observe patient and conduct machine ... policy. Report any change or unusual findings to the registered nurse or supervisor. + Perform and...+ Monitors patients performing self-care under the supervision of RN . **Staff Related** + Assists in training of applicable… more
- Molina Healthcare (Tucson, AZ)
- …related field or equivalent experience, OR completion of any of the following programs: + Registered Nurse ( RN ) or State Licensed Vocational Nurse (LVN), ... in support of annual HEDIS project management and ongoing review of medical records submitted by providers....OR completion of any of the following programs: + Registered Nurse ( RN ) or State… more
- Select Medical (Tucson, AZ)
- …PPS related job functions. **Qualifications** **Minimum Qualifications** + Current state licensure as a Registered Nurse ( RN ), PT, OT or SLP required + ... committed to providing exceptional and compassionate care tobest address the medical , physical, emotional, and vocational challenges for individuals with brain… more