- Cognizant (Phoenix, AZ)
- …you need to have to be considered** + Educational background - Registered Nurse (RN) + 2-3 years combined clinical and/or utilization management ... Eastern Time **Location:** Remote **About the role** As a Registered Nurse you will make an impact...care revenue cycle or clinic operations + Experience in utilization management to include Clinical Appeals and… more
- CVS Health (Phoenix, AZ)
- …we do it all with heart, each and every day. **Position Summary:** The ** Utilization Management Clinical Nurse Consultant - Prior Authorization** utilizes ... and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and applies… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- Summary The Dialysis Registered Nurse position is located within the Nursing Specialty Service at he Phoenix VA Health Care System (PVAHCS), in Phoenix, AZ For ... Medical Center | VA Phoenix Health Care | Veterans Affairs Responsibilities The Registered Nurse is responsible and accountable for all elements of the… more
- ERP International (Luke AFB, AZ)
- …groups. Licensure:** Current, full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case ... **Overview** ERP International is seeking a full time ** Registered Nurse - Case Management** in...of interventions, treatment delivery and timeliness of care; and utilization of resources. Monitors and evaluates the facility's case… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …equivalent to a bachelor's level degree in Nursing may have opportunity to become registered as a nurse with a state licensing board prior to completion ... Summary Functions as a clinical expert and is responsible and accountable for...process and initiatives as well as customer service programs. Nurse Manager (NM) is the designated first-line supervisory authority… more
- CVS Health (Phoenix, AZ)
- …+ Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... is URAC accredited in Case Management, Disease Management and Utilization Management. AHH delivers flexible medical management services that...setting. + A Registered Nurse that holds an active, unrestricted… more
- Banner Health (Mesa, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Banner Health (Phoenix, AZ)
- …completion of a bachelor's degree in case management or health care. Requires current Registered Nurse (RN) license in state worked. For assignments in an acute ... Phoenix, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care This position is eligible for a $10,000 sign on bonus.… more
- Mayo Clinic (Phoenix, AZ)
- …+ Retirement: Competitive retirement package to secure your future. **Responsibilities** The Registered Nurse (RN) Case Manager works within an interdisciplinary ... care by ensuring appropriate utilization management, care coordination, resource utilization , and clinical documentation. The RN Case Manager will function… more
- 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 ... independent determination of the appropriate courses of action. The Utilization Management Nurse 2 uses clinical...skills to make an impact** **Required Qualifications** + **Licensed Registered Nurse (RN)** in the (appropriate state)… more