• Care Review Clinician, Prior

    Molina Healthcare (Chandler, 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 (08/31/25)
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  • 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)
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  • 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 (09/05/25)
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  • Utilization Management Registered Nurse

    Humana (Phoenix, AZ)
    …a team **Preferred Qualifications** + Bachelor's degree + Previous experience in prior authorization , claims, and/or utilization management in healthcare, health ... 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)
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  • Registered Nurse RN Outpatient Infusion

    Banner Health (Gilbert, AZ)
    …studies through the Banner Alzheimer's Institute. Our staff takes care of the prior authorization with your insurance for your referring physician. As an ... every 4-5 wks. If you are a New Graduate Nurse with less than 12 months of experience, please...and development at Banner Health's state-of-the-art hospital Banner Gateway Medical Center. With comprehensive electronic medical records,… more
    Banner Health (09/07/25)
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  • Registered Nurse - Med/Surg Neuro/ENT,…

    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 (08/30/25)
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  • Nurse Practitioner, Ambulatory Infusion…

    Option Care Health (Scottsdale, AZ)
    …the best and brightest talent in healthcare. **Job Description Summary:** The Nurse Practitioner (NP) in the Ambulatory Infusion Center provides direct patient care, ... infusion center setting. + Maintain open, timely communication with medical directors, referring physicians, and interdisciplinary staff regarding care coordination.… more
    Option Care Health (09/03/25)
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  • 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 (08/31/25)
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  • 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)
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  • 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 (09/07/25)
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