- Centene Corporation (Phoenix, AZ)
- …needed to discuss member care being delivered + Collects, documents, and maintains concurrent review findings, discharge plans, and actions taken on member ... approve medical determinations or provide recommendations based on requested services and concurrent review findings + Assists with providing education to… more
- CVS Health (Phoenix, AZ)
- …in Nursing. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and clinical ... 4 hours a day working with providers to secure additional information for prior authorization review . ** Remote Work Expectations** + This is a 100% remote … more
- CVS Health (Phoenix, AZ)
- …nursing facility. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and ... EST Hours; Shift times may vary based on business needs) Location: 100% Remote (US only) **About Us** American Health Holding, Inc. (AHH), a division of… more
- CVS Health (Phoenix, AZ)
- …+ Minimum of 1 year of experience in Oncology and Transplant either in UM, concurrent review , or prior authorization + 3+ years of experience in Acute clinical ... in ensuring members receive timely, medically necessary care through thoughtful clinical review and collaboration with providers. This fully remote position… more
- CVS Health (Phoenix, AZ)
- …outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or prior authorization. + Strong decision-making skills and ... members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role, you'll be at the forefront of… more
- CVS Health (Phoenix, AZ)
- …of varied UM (utilization management) experience within an inpatient, concurrent review or prior authorization. + Remote work experience. **Education** + ... with heart, each and every day. **Position Summary** **100% remote position from anywhere in the US** **Work hours:...varied UM (utilization management) experience within an **outpatient** setting, concurrent review or prior authorization. + 5… more