- HonorHealth (Scottsdale, AZ)
- …of communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors ... 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse ( RN ) State And/Or Compact State Licensure Required 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 ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
- Molina Healthcare (Chandler, AZ)
- …Experience** Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual ... acute care/medical experience. **Required License, Certification, Association** Active, unrestricted State Registered Nursing ( RN ) license in good standing. Must… more
- Banner Health (Mesa, AZ)
- …the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse ( RN ) license in state worked. For assignments in ... could be the perfect opportunity for you. As the RN Case Manager, you will bring your experience and...pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of… more
- Banner Health (Mesa, AZ)
- …include working in an acute care setting within the past 12 months as a Registered Nurse in the specialty area. Banner Registry and Travel physician practice ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...require a minimum of one year experience as a Registered Nurse in a physician practice or… more
- Banner Health (Mesa, AZ)
- …health care transformation, planning the future of Banner Health. As an Associate Director RN for Cardiovasular ICU unit at Banner Desert Medical Center you will be ... hours. Ideal candidates will have 5 years of CVICU RN experience and previous leadership experience. Your pay and...enjoying your life. If you are a New Graduate Nurse with less than 12 months of experience, please… more
- HonorHealth (Mesa, AZ)
- …3 years clinical experience in a hospital setting Required Licenses and Certifications Nursing\ RN - Registered Nurse - State Licensure And/Or Compact ... in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal… more
- Molina Healthcare (Chandler, AZ)
- …abuse through the identification of aberrant coding and/or billing patterns through utilization review . * Incorporate leadership and communication skills to work ... care experience. **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION** : Active, unrestricted State Registered Nursing ( RN ) license in good standing. **PREFERRED… more
- Banner Health (Mesa, AZ)
- …the community.** Our highly skilled team includes experienced bedside registered nurses, licensed nursing assistants, Neonatologists, NNP, Respiratory Therapist, ... care for the patient population. If you are an RN who loves neonatal care and can provide an...drives high clinical outcomes, excellent experience, and effective resource utilization . The role actively participates in department and facility… more
- Banner Health (Phoenix, AZ)
- …This position provides nursing care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the quality ... 2. Contributes to plan of care under direction of registered nurse , including the discharge plan, utilizing...Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the… more
- Banner Health (Mesa, AZ)
- …levels of acuity in the East Valley. As a **Carotid Artery Stenting/TCAR** ** Registered Nurse Navigator** you will be partnering with physicians and department ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through… more
- Banner Health (Mesa, AZ)
- …evidenced-based, high-quality clinical care outcome focused, and solution oriented. The Registered Nurse Associate Director position is a full-time day ... health care advancements and excellent patient care. As the RN Associate Director Neuro PCU, you will bring your...and security benefits. If you are a New Graduate Nurse with less than 12 months of experience, please… more
- Molina Healthcare (Chandler, AZ)
- …License, Certification, Association** + Active, unrestricted State Registered Nursing ( RN ) license in good standing. + Utilization Management Certification ... _This position requires an actively licensed Registered Nurse_ **JOB DESCRIPTION** **Job Summary** The mission of Clinical Operations is to drive value through an… more
- CVS Health (Phoenix, AZ)
- …skills to coordinate, document and communicate all aspects of the utilization /benefit management program. -Applies critical thinking and knowledge in clinically ... Through the use of care management tools and information/data review , conducts comprehensive evaluation of referred member's needs/eligibility and recommends… more
- Sedgwick (Phoenix, AZ)
- …Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Medicare Compliance **PRIMARY PURPOSE** **:** To provide professional assessment, ... clinical data; to complete complex submissions revisions/updates in preparation for Medicare review and act as an internal resource regarding Centers for Medicare &… more
- Banner Health (Mesa, AZ)
- …Among the awards and recognition the hospital has received are Becker's Hospital Review 100 Hospitals and Health Systems with Great Heart Programs. This Associate ... and/or CVOR experience** If you are a New Graduate Nurse with less than 12 months of experience, please...ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and evaluating… more
- Centene Corporation (Phoenix, AZ)
- …**License/Certification:** + LPN - Licensed Practical Nurse - State Licensure required + RN - Registered Nurse preferred Pay Range: $26.50 - $47.59 per ... on workplace flexibility. **Must have Arizona LPN license or Compact RN license.** **Position Purpose:** Analyzes all prior authorization requests to determine… more
- Adelante (Mesa, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Adult Geriatric Nurse Practitioner Job Details Job Location Adelante Healthcare...the review of protocols and procedures + Review results of utilization and quality monitoring… more
- Sharecare (Phoenix, AZ)
- …of the care enhancement program by providing telephonic care and resource utilization for members in an appropriate, efficient, and cost-effective manner while ... orientation and to take the pre and post-test to review competency during orientation. Yearly competency test is required...will follow company policy to transfer call to an RN or appropriate colleague when member needs are outside… more
- Cardinal Health (Phoenix, AZ)
- …regarding best demonstrated practices + Significantly influences customer acceptance and utilization of new products and services in multi-site and/or complex ... of the time + Bachelor's degree preferred + Current RN license preferred + 6-8 years of experience in...other status protected by federal, state or local law._ _To read and review this privacy notice click_ here… more