- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- Summary The Registered Nurse Women's Health Quality Coordinator position is located within Ambulatory Care Services at the Phoenix VA Healthcare System (PVHCS) ... Center | VA Phoenix Health Care | Veterans Affairs Responsibilities The Registered Nurse Women's Health Quality Coordinator demonstrates proficiency in practice… more
- Highmark Health (Phoenix, AZ)
- …Sunday required in addition to 3 weekdays** This job implements effective utilization management strategies including: review of appropriateness of health care ... depending on where clinical care is being provided. **Preferred** + Certification in utilization management or a related field **SKILLS** + Working knowledge of… more
- Intermountain Health (Phoenix, AZ)
- …REGISTRATION, LICENSE (*indicates primary source verification requirement) Required: + Active Registered Nurse License Preferred: + Certified Healthcare Access ... Associate (CHAA) EXPERIENCE Required: + Licensed Registered Nurse + Minimum of 2 years'...experience in acute clinical nursing setting + Knowledge of utilization management and case management … more
- Guardian Life (Phoenix, AZ)
- …services. Act as a liaison between all parties required in case management to facilitate collaboration toward RTW goals. Utilization of independent ... **Position Summary** The RN Clinical Consultant serves as a clinical resource...plan and length of disability. Plan for ongoing case management through proactive partnering with treating providers to move… more
- Banner Health (Phoenix, AZ)
- …Services (AHCCCS) adult population. You will be working in a partnership with a Registered Nurse to support in their homes. This member population does have ... our team members many career and lifestyle choices including remote & hybrid work options. If you're looking to...to overcome and manage. You will help members reduce utilization , help members coordinate care, and ultimately be able… more
- Humana (Phoenix, AZ)
- …your skills to make an impact** **Required Qualifications** + Associate degree + Active Registered Nurse , ( RN ), License in your state of residence without ... project management and/or process improvement experience + Minimum 3 years utilization management experience with exposure to grievance and appeals +… more
- Centene Corporation (Tempe, AZ)
- …of delegated entities for compliance with quality, service performance and utilization , credentialing reviews and medical record audits. Perform community activities ... Committee (QIC). + Document, investigate and resolve formal and informal complaints, risk management and sentinel events related to quality of care issues. + Audit… more