• RN Utilization Review…

    HonorHealth (AZ)
    …different here -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required more
    HonorHealth (06/11/25)
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  • Clinical Appeals Nurse ( RN )

    Molina Healthcare (AZ)
    **JOB DESCRIPTION** _For this position we are seeking a ( RN ) Registered Nurse who must be licensed for the state of UTAH or have a compact license._ _This ... Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support,… more
    Molina Healthcare (07/20/25)
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  • Clinical Performance Liaison

    Dignity Health (Phoenix, AZ)
    …participation status within the network. - Responsible for successful implementation and utilization of various communication and utilization tools available to ... for multiple VBAs. - Aggregation of clinical data, including network utilization /coordination, into dashboards and other vehicles for distribution to practices and… more
    Dignity Health (07/03/25)
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  • Senior Medical Director, Network Performance

    Banner Health (Phoenix, AZ)
    …entities. Areas of responsibility could include but are not limited to: Utilization management: Leading teams and partnering with Senior leaders to ensure ... appropriate levels of health care utilization are met for our wholly owned and delegated plans in the areas of prior authorization, census management,… more
    Banner Health (07/24/25)
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