- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The SNF Utilization Management Nurse uses clinical knowledge, communication skills, and ... receives guidance where needed. Follows established guidelines and procedures. The SNF Utilization Management Nurse uses clinical knowledge, communication… more
- CVS Health (Phoenix, AZ)
- …or 9:00am to 6:00pm in time zone of residence with occasional holiday rotation. Utilization Management is a 24/7 operation and work schedules will include ... holidays, and evening hours **Preferred Qualifications** + Prior Authorization or Utilization Management experience + Managed care experience + Experience… more
- Banner Health (AZ)
- …better pay, better benefits, better opportunities and a better community. As a **Registered Nurse RN Utilization Management Care Reviewer,** you will be ... ensure safe and proper coordination upon discharge from facilities. **The Registered Nurse RN Utilization Management Care Reviewer position is a fully remote… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Utilization Management (UM) Director, Clinical Strategy and Practice for Medicaid builds ... of how organization capabilities interrelate across the function or segment. The Utilization Management (UM) Director, Clinical Strategy and Practice for… more
- Zurich NA (Phoenix, AZ)
- …+ Experience in development and implementation of cost containment programs + Case management , utilization review, catastrophic or disability experience + 5 or ... AVP, Utilization Review & Pharmacy 123092 Zurich Insurance is...recruiting and retaining team members. + Drive the performance management process by communicating job expectations, monitoring and evaluating… 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 ... -- because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization of health… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ… more
- HonorHealth (AZ)
- …research protocols within the clinical setting. Interacts daily with physicians, nurse practitioners, management , staff, patients, and families to promote ... practice is guided by the ANA Standard for Professional Nurse and Code of Ethics in addition to the...clinical expertise, patient safety, resource utilization and adherence to regulations for research. Partners with… more
- Veterans Affairs, Veterans Health Administration (Tucson, AZ)
- …responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers ... responsibility for the coordination of care focused on patient education, self- management , and customer satisfaction throughout the continuum of care. Administers… more
- Evolent (Phoenix, AZ)
- …team focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and client policies and ... the culture. **What You'll Be Doing:** The Evolent Appeals Nurse team offers candidates the opportunity to make a...and regulations. * Practices and maintains the principles of utilization management and appeals management … more