- Dignity Health (Chandler, AZ)
- …of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective ... more
- Molina Healthcare (Chandler, AZ)
- …for the development, implementation, and delivery of training curriculum for Utilization Management, Case Management, and LTSS staff. Leads and manages classes, ... more
- HonorHealth (Florence, AZ)
- …Facilitates patient placement in conjunction with the Admitting Department; may assist utilization review process; collaborates with Nurse Manager regarding ... more
- Molina Healthcare (Chandler, AZ)
- …SKILLS & ABILITIES:** + Minimum 3 years clinical nursing experience. + Minimum one year Utilization Review and/or Medical Claims Review . + Minimum two years ... more
- Molina Healthcare (Chandler, AZ)
- …Practical Nurse (LPN) Program **Required Experience** + Minimum two years Utilization Review experience. + Knowledge of audit processes and applicable state ... more
- Molina Healthcare (Chandler, AZ)
- …Managed Care Experience in the specific programs supported by the plan such as Utilization Review , Medical Claims Review , Long Term Service and Support, ... more
- Banner Health (Gilbert, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... more
- Molina Healthcare (Chandler, AZ)
- **JOB DESCRIPTION** Opportunity for experienced Utilization Review RN in United States who has a compact, multi-state license. This team reviews the prior ... more
- Molina Healthcare (Chandler, AZ)
- …the Chief Medical Officer. + Evaluates authorization requests in timely support of nurse reviewers; reviews cases requiring concurrent review , and manages the ... more
- Molina Healthcare (Chandler, AZ)
- …performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical necessity, etc.), ... more
- Fresenius Medical Center (Chandler, AZ)
- …and programs. Collaborates with the Medical Director and the Clinical Coordinator /Charge Nurse or Nurse Supervisor regarding the provision of quality patient ... more
- Molina Healthcare (Chandler, AZ)
- …for opportunities to improve efficiency, productivity, effectiveness, and accuracy. * Review , research, analyze and evaluate information to assess compliance between ... more