- 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
- Highmark Health (Phoenix, AZ)
- … **SKILLS** + Deep Clincal Expertise -extensive knowledge of clinical, quality, care, utilization , high-cost claim, and population health management . Must be a ... in Business or Clinical field **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse (RN) or Pharmacist (Pharm D) or Physician Assistant (PA) **Preferred** +… more
- HonorHealth (AZ)
- …of the patient population served. The CRN serves as a coordinator, clinical nurse , educator, consultant , and leader in clinical research. Applies experience and ... research protocols within the clinical setting. Interacts daily with physicians, nurse practitioners, management , staff, patients, and families to promote… more
- Banner Health (AZ)
- … (RN) license in state worked. Requires extensive knowledge in the areas of case management and utilization management . Must have a working knowledge of ... a better community As an **Associate Director of Registered Nurse Medical Management ** , you will you...clinical, operational, financial, and satisfaction outcomes. Acts as a consultant within the organization and community. 6. Analyzes data… more
- Wellpath (Flagstaff, AZ)
- …the organization's Code of Conduct. + Demonstrates knowledge of risk management , clinical precautions, infection control, fall prevention, utilization of ... improvement activities,providesdirect supervision, and serves as a resource and consultant to nursing staff. + Monitorssafety issues,evaluateservicedeliveryand staff growth,… more