- 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
- Intermountain Health (Phoenix, AZ)
- …Care Managers or Utilization Review RNs, makes timely referrals to post - acute care providers, agencies, and community resources and/or communicates with ... dates for utilization review. + Transmits initial request information for Acute Rehab authorizations (SMG). + Communicates with post - acute agencies… more
- 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
- 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
- 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
- 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 (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
- 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
- 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
- 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 (Phoenix, AZ)
- …costs, and outcomes. Nursing oversight and training of procedural MAs. + Pre/ post op coordination + Patient Education + Regulatory Compliance & Infection Prevention ... + COC- Coordination of Care + Triage post op patients: In office procedures/Hospital procedures + Support...a set of time-limited services during an episode of acute illness between clinicians and across settings. + Prefer… more
- 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
- Banner Health (Sun City West, AZ)
- …With 391 licensed beds, the hospital provides a wide range of services, including acute medical and surgical services as well as intensive care, emergency and urgent ... of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through...internal members of the health care team on case management and managed care concepts. Facilitates integration of concepts… more
- 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
- Banner Health (Phoenix, AZ)
- … management process. Reviews audit results and presents summary information for management utilization and review. 7. May coordinate the admission process ... caring for patients with wounds. We use a case management model to help patients navigate through the complex...work around foul odors, and be exposed to graphic post op wounds. You will receive great exposure to… more
- 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 (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