• Care Review Clinician, Prior Auth (RN) Pega…

    Molina Healthcare (Tucson, AZ)
    …and its members. + Processes requests within required timelines. + Refers appropriate prior authorization requests to Medical Directors. + Requests ... benefits and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina… more
    Molina Healthcare (07/12/25)
    - Related Jobs
  • Registered Nurse - Medical PCU,…

    Mayo Clinic (Phoenix, AZ)
    …written). + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to ... build a long, successful career with Mayo Clinic. **Responsibilities** The registered nurse (RN) is accountable for the coordination of nursing care, including… more
    Mayo Clinic (05/21/25)
    - Related Jobs
  • Utilization Management Nurse Consultant

    CVS Health (Phoenix, AZ)
    …4 hours a day working with providers to secure additional information for prior authorization review. This candidate will utilize clinical skills to coordinate, ... EST, Monday-Friday.** American Health Holding, Inc (AHH) is a medical management company that is a division within Aetna/CVS...management) experience within an **outpatient** setting, concurrent review or prior authorization . + 5 years of a… more
    CVS Health (07/30/25)
    - Related Jobs
  • Registered Nurse - Hem/Onc Med/Surg, Nights…

    Mayo Clinic (Phoenix, AZ)
    …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or...do not happen because of one great physician or nurse or specialist. They happen when we bring together… more
    Mayo Clinic (06/20/25)
    - Related Jobs
  • Utilization Management Nurse Consultant…

    CVS Health (Phoenix, AZ)
    …At least 1 year of Utilization Management experience in concurrent review or prior authorization . + Strong decision-making skills and clinical judgment in ... Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care… more
    CVS Health (08/01/25)
    - Related Jobs
  • Registered Nurse - Radiation Oncology,…

    Mayo Clinic (Phoenix, AZ)
    …written. + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
    Mayo Clinic (07/31/25)
    - Related Jobs
  • Registered Nurse - Hematology Oncology…

    Mayo Clinic (Phoenix, AZ)
    …written). + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
    Mayo Clinic (08/01/25)
    - Related Jobs
  • Licensed Practical Nurse - Community…

    Mayo Clinic (Scottsdale, AZ)
    …written). + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to ... successful career with Mayo Clinic. **Responsibilities** The licensed practical nurse (LPN) provides nursing care to assigned patients under...valid for 90 days post start date or renewed prior to start if expiring within 90 days of… more
    Mayo Clinic (08/01/25)
    - Related Jobs
  • Registered Nurse - Interventional…

    Mayo Clinic (Phoenix, AZ)
    …and written). Experience working in a team environment. Computer skills required, prior experience with electronic medical record systems preferred. Ability to ... written). + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to… more
    Mayo Clinic (08/02/25)
    - Related Jobs
  • Registered Nurse - Intensive Care Unit,…

    Mayo Clinic (Phoenix, AZ)
    …written). + Experience working in a team environment. + Computer skills required, prior experience with electronic medical record systems preferred. + Ability to ... can build a long, successful career with Mayo Clinic. **Benefits Highlights** + Medical : Multiple plan options. + Dental: Delta Dental or reimbursement account for… more
    Mayo Clinic (07/30/25)
    - Related Jobs