- Molina Healthcare (Mesa, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... and cost-effective member care. The candidate must have a RN licensure and experience with medical surgical,...intensive care unit, or in a telemetry type setting. UM medical review experience highly preferred. Work… more
- Molina Healthcare (Scottsdale, AZ)
- …health, pharmacy, etc.), or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... **JOB DESCRIPTION** **Job Summary** The Clinical Appeals Nurse ( RN ) provides support for internal...required. * Serves as a clinical resource for utilization management , chief medical officer, physicians, and member/provider… more
- ERP International (Yuma, AZ)
- …(CRRN),(COHN), (ACCC), (CRC), ( RN -NCM),(CMC) **OR** Possess a Master's Degree in Nurse Case Management from a program accredited by the American Nurses ... **Overview** ERP International, LLC is seeking a ** Registered Nurse - Case Manager** for...databases for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case … more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- Summary Northern Arizona VA Health Care System is looking for a Registered Nurse - Utilization Management to join the Quality & Patient Safety team! ... The Utilization Management Coordinator (UMC) is a registered professional nurse who serves as a...for providing the clinical expertise and leadership of the medical center's UM Program. The UMC possesses… more
- Humana (Phoenix, AZ)
- …of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied and frequently require ... courses of action. As a Utilization Management RN working on the OneHome/Home Solutions UM ...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
- Molina Healthcare (Phoenix, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... member care. We are seeking a candidate with a RN licensure that has previous UM and...promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. **Required Qualifications**… more
- Molina Healthcare (Scottsdale, AZ)
- For this position we are seeking a ( RN ) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity ... promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications...or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must… more
- HonorHealth (AZ)
- …acute care setting. Required1 year experience in UR/ UM or Case Management RequiredLicenses and CertificationsRegistered Nurse ( RN ) State And/Or Compact ... area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- Molina Healthcare (AZ)
- …for internal meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse ( RN ). **Required Experience** 1-3 years of ... clinic experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. **Preferred… more
- Molina Healthcare (Tucson, AZ)
- …authorization, managed care, or equivalent combination of relevant education and experience. * Registered Nurse ( RN ). License must be active and unrestricted ... multidisciplinary teams to promote the Molina care model. * Adheres to utilization management ( UM ) policies and procedures. Required Qualifications * At least 2… more