• Post Acute Utilization…

    Humana (Phoenix, AZ)
    …require interpretation and independent determination of the appropriate courses of action. The Post - Acute Utilization Management Nurse 2: + Review ... caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing...state, with no disciplinary action + 2+ years of Post Acute clinical experience in a Skilled… more
    Humana (10/29/24)
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  • Utilization Review Innovation Care Partners

    HonorHealth (Scottsdale, AZ)
    …issues requiring clarification. Determines qualifications for hospital, behavioral health, and post - acute level of care based on set criteria. Performs ... the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent… more
    HonorHealth (10/26/24)
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  • Medical Director - Acute Inpatient…

    Humana (Phoenix, AZ)
    …prior experience participating in teams focusing on quality management , utilization management , and acute inpatient rehabilitation **Preferred ... hospitals/ Integrated Delivery Systems, health insurance, other healthcare providers + Utilization management experience in a medical management … more
    Humana (10/29/24)
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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 (10/24/24)
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  • Medical Director--Claims Management

    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 (10/29/24)
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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 (10/29/24)
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  • RN Case Manager Shea

    HonorHealth (Scottsdale, AZ)
    …care patients, and facilitate the discharge plan for patients with medically complex post - acute care needs. Analyzes medical records to determine legitimacy of ... the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent… more
    HonorHealth (09/25/24)
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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 (10/29/24)
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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 (10/31/24)
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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 (10/16/24)
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  • RN Home Health - FT Days

    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 ... & teaching patients/patient care giver medication administration, careful medication management ; starting, maintaining, and discontinuing peripheral intravenous (IV) lines,… more
    HonorHealth (09/11/24)
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  • Sr. Surgical Scheduler Gastro

    HonorHealth (Phoenix, AZ)
    …of concern to ensure appropriate and accurate charging for surgical services. May post and process surgical charges, including the utilization of materials, ... the greater Phoenix metropolitan area. The comprehensive network encompasses six acute -care hospitals, an extensive medical group with primary, specialty and urgent… more
    HonorHealth (10/12/24)
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