• Clinical Appeals Nurse ( RN )

    Molina Healthcare (Chandler, AZ)
    …outcomes within compliance standards. **KNOWLEDGE/SKILLS/ABILITIES** + The Clinical Appeals Nurse ( RN ) performs clinical/medical reviews of previously denied ... these guidelines. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
    Molina Healthcare (08/15/25)
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  • RN Care Manager - Remote, nationwide

    Humana (Phoenix, AZ)
    …**Use your skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with no disciplinary action. ... help us put health first** The Care Manager, Telephonic Nurse 2 employs a variety of strategies, approaches and...EST.** Our nurses are titled Care Managers, because our case management services are centered on the person rather… more
    Humana (08/22/25)
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  • RN Utilization Review Specialist Per Diem

    HonorHealth (AZ)
    …1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required ... Education Associate's Degree in Nursing from an accredited NLN/CCNE institution Required Experience 3 years Registered Nurse in an acute care setting. Required… more
    HonorHealth (06/11/25)
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  • Transition of Care Coach ( RN )

    Molina Healthcare (AZ)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must Compact RN Licensure._ _Case Manager RN will work in remote ... ICT collaboration. + RNs provide consultation, recommendations, and education as appropriate to non- RN case managers. + RNs are assigned cases with members who… more
    Molina Healthcare (08/17/25)
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  • RN Lead, HCS (Clinical) Remote with field…

    Molina Healthcare (Tucson, AZ)
    …Care Plan compliance. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Licensed Registered Nurse ( RN ), Licensed Vocational Nurse ... care management experience. **Preferred License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. To all… more
    Molina Healthcare (08/15/25)
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  • RN Clinical Manager, Home Health

    CenterWell (Prescott, AZ)
    …Experience/Skills:** + Graduate of an accredited School of Nursing. + Current state license as a Registered Nurse . + Two years as a Registered Nurse with ... the delivery of care to all patients served by the location. Receives case referrals. Reviews available patient information related to the case , including… more
    CenterWell (08/15/25)
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  • Quality RN Professional

    CenterWell (Peoria, AZ)
    …excellence **Use your skills to make an impact** **Required Qualifications** + Licensed Registered Nurse ( RN ) without restriction in applicable state + ... for the development, implementation and management oversight of the company's Medicare /Medicaid Stars Program. The Quality RN Professional work assignments… more
    CenterWell (07/08/25)
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  • Supervisor, Care Management

    Molina Healthcare (Chandler, AZ)
    …for contact are per ToC protocols. **JOB QUALIFICATIONS** **Required Education** + Registered Nurse or equivalent combination of Licensed Vocational Nurse ... appropriately regarding complexity of medical or psychosocial needs and case manager experience ( RN , LSW, other allied... Nurse (LPN) with experience in lieu of RN license. + OR Bachelor's or master's degree in… more
    Molina Healthcare (08/27/25)
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  • Transitional Care Associate

    Banner Health (Mesa, AZ)
    …discharge plan under the delegated authority of a provider, licensed MSW, registered nurse or other licensed healthcare professional. Confers with ... **Primary City/State:** Mesa, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** **Job Category:** Clinical Care Great careers are built at Banner Health.… more
    Banner Health (08/24/25)
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