- Humana (Phoenix, AZ)
- …community and help us put health first** Full-Time, Remote Telephonic opportunity The Utilization Management Nurse 2 utilizes clinical nursing skills to ... communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work...+ Minimum of Associate Degree in nursing + Licensed Registered Nurse ( RN ) in a… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary The Nurse Manager position is located within the Nursing, Geriatrics and Extended Care Services at the Phoenix VA Healthcare System (PVAHCS), Phoenix, AZ.… more
- Dignity Health (Mesa, AZ)
- …and Responsibilities** Under the general direction of the Director of Care Management , performs criteria-based concurrent and retrospective utilization review to ... admission, concurrent and post discharge for appropriate status determination. + Ensures compliance with principles of utilization review, hospital policies and… more
- Centene Corporation (Phoenix, AZ)
- …Family Therapist (LMFT) required or + Licensed Mental Health Professional (LMHP) required or + RN - Registered Nurse - State Licensure and/or Compact State ... care for members and supervises day-to-day activities of BH utilization management team. + Monitors behavioral health... management team. + Monitors behavioral health (BH) utilization review clinicians and ensures compliance with… more
- Community Health Systems (Oro Valley, AZ)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... eligible qualified Care Manager RNs** **Full Time Case Manager RN at Oro Valley Hospital Mid-shift working in the...career advancement is possible. **What you'll do:** As a Registered Nurse you'll play a vital role… more
- Select Medical (Phoenix, AZ)
- …focus on resource management within the plan of care. + Demonstrates compliance with facility-wide Utilization Management policies and procedures. + ... current licensure in a clinical discipline either as a Nurse ( RN /LPN/LVN) or a Respiratory Therapist (RT)...what is right. The Case Manager is responsible for utilization reviews and resource management , discharge planning,… more
- Community Health Systems (Tucson, AZ)
- … skills to prioritize tasks in a dynamic environment. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or Compact State ... Time position , working Day shift Weekends in Care Management / Case Management at Northwest Medical...of the activities of clinical review, discharge planning, resource utilization and utilization review. Acts as a… more
- Community Health Systems (Tucson, AZ)
- …problem-solving skills for addressing unit challenges and emergencies. **Licenses and Certifications** + RN - Registered Nurse - State Licensure and/or ... therapies, complex cardiothoracic surgeries and mechanical devices. The Clinical Nurse Leader RN is responsible and accountable...in the nursing capacity as needed and is qualified. Registered Nurse Opportunity for career advancement and… more
- Banner Health (Phoenix, AZ)
- …where team members feel valued, supported and inspired every day. As the Registered Nurse Associate Director, you will bring your leadership experience and ... of respiratory, pulmonary, renal, post-surgical, and post-procedure patients. The Registered Nurse Associate Director position is a...the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change… more
- CenterWell (Tucson, AZ)
- …as a Registered Nurse . + Two years as a Registered Nurse with at least one-year of management experience in a home care, hospice or equivalent ... of Care (POC). + Monitors cases to ensure documentation is in compliance with regulatory agencies and requirements of third-party payers. Ensures final… more