• Registered Nurse - Utilization Review

    HonorHealth (AZ)
    …and the utilization of ancillary services. Responsible for coordinating and conducting medical necessity reviews for all Medicare , AHCCCS, Self-pay, and all ... part of something more meaningful? At HonorHealth, you'll be part of a team , creating a multi-dimensional care experience for our patients. You'll have opportunities… more
    HonorHealth (08/22/25)
    - Related Jobs
  • RN Utilization Review Specialist Per Diem

    HonorHealth (AZ)
    …and the utilization of ancillary services. Responsible for coordinating and conducting medical necessity reviews for all Medicare , AHCCCS, Self-pay, and all ... part of something more meaningful? At HonorHealth, you'll be part of a team , creating a multi-dimensional care experience for our patients. You'll have opportunities… more
    HonorHealth (06/11/25)
    - Related Jobs
  • Utilization Management Registered Nurse

    Humana (Phoenix, AZ)
    …Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration ... state registered nurse license + Minimum three, (3), years of Medical Surgery, Heart, Lung, maternity/obstetrics, or Critical Care Nursing experience required… more
    Humana (09/04/25)
    - Related Jobs
  • Occupational Therapist Inpatient Float Pool

    HonorHealth (AZ)
    …services as demonstrated through documentation requirements. Maintains accurate and current documentation in the patient's medical record as required by the ... preferences, and rotation. HonorHealth hospitals are: HonorHealth John C. Lincoln Medical Center HonorHealth Scottsdale Osborn Medical Center HonorHealth… more
    HonorHealth (07/23/25)
    - Related Jobs
  • Physical Therapist Inpatient Float Pool

    HonorHealth (AZ)
    …of services as demonstrated through documentation . Maintains accurate and current documentation in the patient's medical record as required by the profession ... preferences, and rotation. HonorHealth hospitals are: HonorHealth John C. Lincoln Medical Center HonorHealth Scottsdale Osborn Medical Center HonorHealth… more
    HonorHealth (07/16/25)
    - Related Jobs
  • RN Care Manager - Remote, nationwide

    Humana (Phoenix, AZ)
    …helping remove barriers to achieving health and independence, while using a multidisciplinary team . This position will be part of our Special Needs Program (SNP) ... team . All of our SNP RN Care Managers are...flexibility in care manager's schedule. **Duties:** + Telephonically assess Medicare , Medicaid, and/or and Group Account members and create… more
    Humana (09/06/25)
    - Related Jobs
  • Bilingual Case Manager

    Cardinal Health (Phoenix, AZ)
    …knowledgeable about long and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial medical and pharmacy ... and electronically as needed + Scrutinize forms and supporting documentation thoroughly for any missing information or new information...High School diploma or equivalent preferred + Knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers… more
    Cardinal Health (09/03/25)
    - Related Jobs
  • SNF Utilization Management RN - Compact Rqd

    Humana (Phoenix, AZ)
    …Nurse 2 utilizes clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration ... to work independently under general instructions and with a team + Must be passionate about contributing to an...a related field + Health Plan experience + Previous Medicare /Medicaid Experience a plus + Call center or triage… more
    Humana (08/09/25)
    - Related Jobs
  • Occupational Therapist OT Home Health

    Banner Health (Mesa, AZ)
    …mileage reimbursement and will provide you a company cell phone and a tablet for documentation in our electronic medical record system (Home Care Home Base). In ... **Primary City/State:** Mesa, Arizona **Department Name:** Home Care Team -East **Work Shift:** Day **Job Category:** Clinical Care You have a place in the health… more
    Banner Health (08/03/25)
    - Related Jobs
  • Clinical Manager, Home Health

    CenterWell (Phoenix, AZ)
    …Ensures final audits/billing are completed timely and in compliance with Medicare regulations. + Coordinates communication between team members/attending ... in developing patient Plan of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers.… more
    CenterWell (08/28/25)
    - Related Jobs