- Evolent (Phoenix, AZ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Banner Health (Gilbert, AZ)
- …nursing experience in oncology and in the acute care setting. Knowledge of medical and clinical terminology. Excellent organizational and task management skills ... place to work and receive care. As a **RN Clinical Research Specialist in Outpatient Infusion** , you will...research protocols. This position requires a skilled and compassionate nurse who can assess, plan, implement, and evaluate patient… more
- Cognizant (Phoenix, AZ)
- …necessity determinations to the Health Plan/ Medical Director based on the review of clinical documentation in accordance with Medicare, Medicaid, and ... as well as timely filing deadlines and processes. + Review clinical denials including but not limited...thinking skills to interpret guidelines of internal policies for clinical determination. + Medical Necessity Reviews can… more
- Molina Healthcare (Phoenix, AZ)
- **Job Description** **Job Summary** Provides support for medical claim and internal appeals review activities - ensuring alignment with applicable state and ... quality and cost-effective member care. **Job Duties** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Banner Health (Mesa, AZ)
- …specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 ... As an Adult Acute Care - Renal Diabetic Registered Nurse you will be integral to our wonderful culture...specialized care for adult patients who have a general medical diagnoses requiring care of renal and diabetic needs.… more
- Banner Health (Mesa, AZ)
- …better pay, better benefits, better opportunities and a better community. As a ** Medical Intensive Care Registered Nurse ** , you will have the opportunity ... weekend shift differential. **If you are a New Graduate Nurse with less than 12 months of experience, please...that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as… more
- Vighter Medical Group (Mesa, AZ)
- …CPR and AED for healthcare providers and professional responders. + Application of medical principles, clinical procedures, and techniques. + Alertness and skill ... Education Level Registered Nurse (RN) Travel Percentage Up to 100% Description...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
- Banner Health (Mesa, AZ)
- …specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 ... assessments and plans of your patients at Banner Desert Medical Center. Banner Desert Medical Center offers...our 3D cancer technology. This position is part of Clinical Care Operations, which is the hub of patient… more
- Banner Health (Phoenix, AZ)
- …Health, we take care of nurses. Nurses take care of everyone. Banner - University Medical Center Phoenix has been recognized on the Becker's Hospital Review 2023 ... "Great hospitals in America" list. These hospitals are renowned for clinical excellence, patient safety, innovation efforts, research and education, patient… more
- Banner Health (Mesa, AZ)
- …specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50 ... benefits, better opportunities and a better community. Banner Desert Medical Center in Mesa, AZ offers a wonderful patient...cardiac issues, alcohol/drug withdrawal and infections. As a Registered Nurse in PCU, you will have the unique opportunity… more