- CVS Health (Phoenix, AZ)
- …Arizona time zone. No weekends, holidays are required. **Preferred Qualifications** : + Utilization management experience + Clinical experience in Emergency ... internal and external constituents in the coordination and administration of the utilization /benefit management function. Gathers clinical information and… more
- CenterWell (Phoenix, AZ)
- …of our caring community and help us put health first** The Utilization Management Nurse 2 uses clinical knowledge, communication skills, and independent ... high-volume community or mail order pharmacy practice environment + Previous experience in utilization management + Education: BSN or Bachelor's degree in a… more
- CVS Health (Phoenix, AZ)
- …clinical skills to coordinate, document and communicate all aspects of the utilization /benefit management program. Utilizes clinical experience and skills ... is URAC accredited in Case Management , Disease Management and Utilization Management . AHH...years demonstrated ability to make thorough, independent decisions using clinical judgement. + A Registered Nurse that… more
- CVS Health (Phoenix, AZ)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... the telephone, and typing on the computer. The UM Nurse Consultant utilizes clinical skills to coordinate,...to coordinate, document and communicate all aspects of the utilization /benefit management program. Applies critical thinking and… more
- CVS Health (Phoenix, AZ)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Phoenix, AZ)
- …- active license. + 3+ Years of clinical experience. + 1+ Year of Utilization Review Management and/or Medical Management experience. + Must have active ... procedures/services or initiate a Medical Director referral as needed. Assists management with training new nurse reviewers/business partners or vendors… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …of the interdisciplinary team. Responsibilities Duties include but not limited to: Utilization Review (UR) Registered Nurse (RN) is responsible for providing ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Follows… more
- CVS Health (Phoenix, AZ)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Phoenix, AZ)
- …the lives of children and adolescents? Join Mercy Care as a Behavioral Health Utilization Management Clinician and become part of a mission-driven team that's ... Child Safety (DCS). + Knowledge of Behavioral Health Outpatient Services. + Utilization Management (UM) Experience. **Education** + Master's degree required for… more
- HonorHealth (AZ)
- …in an acute care setting. Required 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… more