• UM Case Manager

    Healthfirst (AZ)
    … management, identifying alternative care options, and discharge planning** + **Certified Case Manager ** + **Interqual and//or Milliman knowledge** + **Knowledge ... This position is 100% Remote** **Duties//Responsibilities:** + **Provides case management services for assigned member caseloads which includes:** +… more
    Healthfirst (10/07/25)
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  • Pharmacist, Utilization Management ( UM…

    Molina Healthcare (Tucson, AZ)
    …medications safety and medication use policies). **KNOWLEDGE/SKILLS/ABILITIES** The Pharmacist, UM will be responsible for reviewing coverage determinations and ... in a timely, compliant, and accurate manner. The Pharmacist, UM will also be responsible for serving as a...changes for the upcoming year. + Works with the Case Management department as part of a member-centered interdisciplinary… more
    Molina Healthcare (09/25/25)
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  • Registered Nurse - Case Manager

    ERP International (Yuma, AZ)
    **Overview** ERP International, LLC is seeking a **Registered Nurse - Case Manager ** for a full-time position at the Camp Pendleton **Branch Health Clinic** in ... for community resources. * Integrate CM and utilization management ( UM ) and integrating nursing case management with...for professional growth and development as related to the case manager position and maintenance of CM… more
    ERP International (07/22/25)
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  • RN Care Coordinator

    Dignity Health (Chandler, AZ)
    …state RN License Preferred: + Certified Case Manager (CCM), Accredited Case Manager (ACM-RN), or UM Certification Training: + Knowledge of managed ... acute hospital clinical experience or a Masters degree in Case Management or Nursing field in lieu of 1...with multiple stakeholders + Understand how utilization management and case management programs integrate. + Ability to work as… more
    Dignity Health (09/19/25)
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