• Post Acute Utilization

    Humana (Phoenix, AZ)
    …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2 (VSP): + ... caring community and help us put health first** The Utilization Management Nursing Professional contributes to team...state, with no disciplinary action + 2+ years of Post Acute clinical experience in a SNF,… more
    Humana (07/04/24)
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  • Acute Clinical Staff Pharmacist

    Banner Health (Tucson, AZ)
    …unit, ICU, behavioral health unit and ED. **We are looking for a Registry Acute Clinical Staff Pharmacist to join our Banner University Medical Center - South Tucson ... are varied day and evening shifts.** **At least one year experience in an acute care hospital setting is required.** **Experience must include working in an acute more
    Banner Health (06/13/24)
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  • RN Acute Care Med/Extended Obs

    HonorHealth (Phoenix, AZ)
    …the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent ... families how to manage their illnesses or injuries, explain post -treatment and home care needs; diet, nutrition, and exercise...RN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as… more
    HonorHealth (07/01/24)
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  • National Director, Transitional Care & High-Risk…

    CenterWell (Phoenix, AZ)
    management program development and implementation with a focus on care transitions, post - acute care and high-risk management and care coordination. * ... cost of care, and reducing acute care utilization ). * Familiarity in integrated care management ...care regulations and policies related to care transitions and post - acute care management . * Computer… more
    CenterWell (05/03/24)
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  • Director, Case Management - FT Days

    LifePoint Health (Bullhead City, AZ)
    management experience, five (5) years of utilization review / case management experience in an acute short term hospital, five (5) years experience in ... of care and cost effectiveness through the integrating and functions of case management , utilization review and management of discharge planning. Accountable… more
    LifePoint Health (05/21/24)
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  • Registered Nurse - Case Management

    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 ... Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services… more
    ERP International (05/15/24)
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  • Continuum of Care Coordinator

    Community Health Systems (Tucson, AZ)
    …discharge planning, utilization management , case management and disease management . Understanding of pre- acute and post - acute venues of care ... community resources, physician office routines, and transitional procedures for pre and post acute care. Supervisor or project leadership. Skills: Demonstrated… more
    Community Health Systems (06/14/24)
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  • Medical Director - Florida

    Humana (Phoenix, AZ)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/03/24)
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  • Medical Director- South Central

    Humana (Phoenix, AZ)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post - acute services (such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (06/29/24)
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  • Associate Director RN

    Banner Health (Sun City, AZ)
    …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... (5A, 5B, 5C, 5D) is a combined 41 bed acute care Medical Surgical/Progressive Care unit specializing in the...in the care of Orthopedic patients including: pre and post -op surgical care for a wide range of orthopedic… more
    Banner Health (06/02/24)
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  • Registered Nurse RN Case Manager Care Coordination

    Banner Health (Phoenix, AZ)
    …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... to the next. You will provide coordination and arrangement of post -discharge services, including home healthcare, extended care-services, medical equipment, and… more
    Banner Health (05/03/24)
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  • Medical Director - Mid West Region

    Humana (Phoenix, AZ)
    …teams focusing on quality management , utilization management , case management , discharge planning and/or home health or post acute services such ... Integrated Delivery Systems, health insurance, other healthcare providers, clinical group practice management . + Utilization management experience in a… more
    Humana (07/03/24)
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  • Registered Nurse RN Case Manager Care Coordination

    Banner Health (Tucson, AZ)
    …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... to the next. You will provide coordination and arrangement of post -discharge services, including home healthcare, extended care-services, medical equipment, and… more
    Banner Health (06/29/24)
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  • Licensed Practical Nurse LPN Home Care

    Banner Health (Tucson, AZ)
    management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... as Banner's partner to our hospitals, clinics, health plans, and other service lines. Post - Acute is the future of health care and Banner Home Care is cutting… more
    Banner Health (07/06/24)
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  • Licensed Practical Nurse LPN Home Care

    Banner Health (Tucson, AZ)
    management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... our hospitals, clinics, health plans, and other service lines. Post - Acute is the future of health care...care is also available for respite care and symptom management . The Banner Hospice Team can provide comfort to… more
    Banner Health (04/12/24)
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  • Prior Authorization Specialist Innovation Care…

    HonorHealth (Scottsdale, AZ)
    …of services and coordinates the timely completion of the authorization process for Utilization Management Department. The PA Specialist will review referral and ... guidelines are met. Receives referral and admission requests from practices and acute / post - acute facilities. Verifies patient's demographic and insurance… more
    HonorHealth (06/28/24)
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  • Nurse Case Manager Specialist Hybrid - South East…

    The Cigna Group (Phoenix, AZ)
    **Summary** The Nurse Case Management Lead Analyst is an integral member of the Care Management department as part of Evernorth Care Group (ENCG) primary care ... to improve the health of the patients we serve, with a focus on the management of high- and rising-risk, disease burdened members. The Nurse Case Management Lead… more
    The Cigna Group (07/04/24)
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  • Ventricular Assist Device (VAD) Program Manager

    HonorHealth (Scottsdale, AZ)
    …of potential VAD candidates in the inpatient setting and participate in the clinical management of pre- and post VAD implant patients in collaboration with the ... across the continuum. This position emphasizes health promotion and maintenance, and the management of patients with acute and chronic Heart Failure. This role… more
    HonorHealth (04/17/24)
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  • Registered Nurse RN Patient Navigator

    Banner Health (Sun City, AZ)
    …in this position works with patients from the time they are scheduled through post -op consultation. You will educate and help guide patients through their journey in ... the hospital provides a wide range of services, including acute medical and surgical services as well as intensive...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
    Banner Health (06/16/24)
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  • Manager Research Pharmacy

    HonorHealth (Scottsdale, AZ)
    …the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent ... Network performance improvement and quality assurance activities including; drug utilization evaluation, medication error review, adverse drug reaction review and… more
    HonorHealth (06/21/24)
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