• Utilization Management Nurse…

    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...appropriate courses of action. As a Utilization Management RN working on the OneHome/ Home Solutions… more
    Humana (09/12/25)
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  • RN, Manager, Utilization Management…

    Humana (Phoenix, AZ)
    …a part of our caring community and help us put health first** The Manager, Utilization Management Nursing (LTSS Utilization Management Leader) utilizes ... communication of medical services and/or benefit administration determinations. The Manager, Utilization Management Nursing works within specific guidelines and… more
    Humana (09/28/25)
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  • SNF Utilization Management RN…

    Humana (Phoenix, AZ)
    **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are… more
    Humana (09/12/25)
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  • Disease Management Nurse - Remote

    Sharecare (Phoenix, AZ)
    …appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is also responsible during their interactions with participants ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting...minimum. + This position will be based in a home office which must satisfy all HIPAA requirements. Sharecare… more
    Sharecare (09/13/25)
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  • Field Nurse Practitioner (Boise, ID)

    Molina Healthcare (Phoenix, AZ)
    …receptive including home , nursing facilities, and "pop up" clinic. The Nurse Practitioner will be required to work primarily in non-clinical settings and provide ... 3-5-year experience as a Registered Nurse and/or Nurse Practitioner, ideally in a home health,...home health as a licensed clinician, especially in management of chronic conditions + Experience with underserved populations… more
    Molina Healthcare (09/17/25)
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  • Field Nurse Practitioner (Pocatello, ID)

    Molina Healthcare (AZ)
    …(EMR) experience. Preferred Qualifications * Experience as a registered nurse or nurse practitioner in a home health, community health or public health ... in home health as a licensed clinician, especially in management of chronic conditions. * Experience with underserved populations facing socioeconomic barriers… more
    Molina Healthcare (09/25/25)
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  • Case Manager, Registered Nurse

    CVS Health (AZ)
    …Founded in 1993, AHH is URAC accredited in Case Management , Disease Management and Utilization Management . AHH delivers flexible medical management ... day. **Position Summary** **This is a remote work from home role anywhere in the US with virtual training.**...or Specialty Pharmacy. **Preferred Qualifications** + 1+ years' Case Management experience or discharge planning, nurse navigator… more
    CVS Health (10/02/25)
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  • Registered Nurse - Case Manager

    ERP International (Yuma, AZ)
    …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case...the certifications below **OR** Possess a Master's Degree in Nurse Case Management from a program accredited… more
    ERP International (07/22/25)
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  • Registered Nurse RN New Grad Float Pool

    Banner Health (Tucson, AZ)
    …as a Practice Transition Accreditation Program(R) (PTAP). Banner Health's New Nurse Experience (NNE) provides a collaborative learning environment where you can ... from a new graduate to a fully competent, professional nurse at Banner Health. **About our program:** The Banner...research. Clinical Care Operations is the hub of patient management for the campus, including: bed assignment, unit staffing… more
    Banner Health (08/24/25)
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  • Adult Geriatric Nurse Practitioner

    Adelante (Mesa, AZ)
    Adult Geriatric Nurse Practitioner Job Details Job Location Adelante Healthcare Mesa - Mesa, AZ Position Type Exempt Education Level NP ( Nurse Practitioner) Job ... Category Health Care Description POSITION SUMMARY The Adult Nurse Practitioner is primarily responsible for providing comprehensive primary health care services… more
    Adelante (09/28/25)
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