• System VP Utilization Management

    CommonSpirit Health (Phoenix, AZ)
    **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of the healthcare organization's leadership team and is ... and accountability for creating, implementing, and leading an integrated system-wide utilization management program which includes comprehensive denials … more
    CommonSpirit Health (09/05/25)
    - Related Jobs

  • Clinical Registered Nurse - Utilization…

    Cognizant (Phoenix, AZ)
    …. Educational background - Registered Nurse (RN) . 2-3 years combined clinical and/or utilization management experience with managed health care plan . 3 years' ... submit the medical necessity determinations to the Health Plan/Medical Director based on the review of clinical documentation in...care revenue cycle or clinic operations . Experience in utilization management to include Clinical Appeals and… more
    Cognizant (10/07/25)
    - Related Jobs

  • Utilization Review RN

    Dignity Health (Mesa, AZ)
    …Under the general direction of the Director of Care Management , performs criteria-based concurrent and retrospective utilization review to support ... use of resources; promote quality patient care; assist with patient care management ; comply with applicable standards and regulations and provide information and… more
    Dignity Health (10/11/25)
    - Related Jobs

  • Field Medical Director , Pain…

    Evolent (Phoenix, AZ)
    …Clinical Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... + On a requested basis, may function as Medical Director for selecting health plans or regions, assuming overall...selecting health plans or regions, assuming overall accountability for utilization management while working in conjunction with… more
    Evolent (09/25/25)
    - Related Jobs

  • Associate Director , Behavioral Case…

    Banner Health (Glendale, AZ)
    …25 direct reports, including Masters level/licensed social workers and counselors, utilization management team members and Transitional Care Navigators. The ... Center is currently recruiting for the role of Associate Director , Behavioral Health Case Management Services. This...state. Requires extensive knowledge in the areas of case management , utilization management , and/or social… more
    Banner Health (10/22/25)
    - Related Jobs

  • Director of Case Management (RN,…

    Select Medical (Tucson, AZ)
    …allotted time frame; assuring payments of hospital-based services meeting patient-related utilization management criteria, and implementation of safe and ... - Tucson (Opening in January 2026)** _In Partnership with Select Medical_ **Position:** Director of Case Management **Location:** 355 North Wilmot Road, Tucson,… more
    Select Medical (10/16/25)
    - Related Jobs

  • ASDOH - Director , Inventory…

    AT Still University (Mesa, AZ)
    ASDOH - Director , Inventory Management and Sterilization Mesa, AZ (http://maps.google.com/maps?q=5855+E+Still+Circle+Mesa+AZ+USA+85206) Job Type Full-time ... School of Dentistry & Oral Health (ATSU-ASDOH) is seeking a full-time exempt Director of Inventory Management and Sterilization on the Mesa, Arizona campus.… more
    AT Still University (09/09/25)
    - Related Jobs

  • Field Medical Director , Interventional…

    Evolent (Phoenix, AZ)
    …impact on patient care in a non-clinical setting? Join our Utilization Management team as a Field Medical Director , Cardiovascular Specialist and use your ... Senior Medical Director in research activities/questions related to the Utilization Management process, interpretation, guidelines and/or system support. +… more
    Evolent (10/29/25)
    - Related Jobs

  • Medical Director

    Molina Healthcare (Tucson, AZ)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (10/22/25)
    - Related Jobs

  • Medical Director (AZ)

    Molina Healthcare (Phoenix, AZ)
    … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
    Molina Healthcare (10/17/25)
    - Related Jobs