- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Utilization Management Behavioral Health Nurse uses behavioral health knowledge and ... licensed in a Compact State** The Utilization Management Behavioral Health Nurse completes...Qualifications** + Minimum of Associate Degree in Nursing + Registered Nurse ( RN ) licensure with… more
- CVS Health (Phoenix, AZ)
- …+ Direct clinical experience in a hospital setting or prior Utilization Management experience. **Education** + If RN , Bachelor's degree in nursing required ... skills to coordinate, document and communicate all aspects of the utilization /benefit management program for preauthorization for mental health services.… more
- Banner Health (Phoenix, AZ)
- …to the latest health care advancements and excellent patient care. As the **Associate Director Registered Nurse RN Operating Room** , you will bring your ... the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and… more
- Adelante (Goodyear, AZ)
- Registered Nurse - Goodyear Job Details Job Location Adelante Healthcare Goodyear - Goodyear, AZ Position Type Full Time Job Category Health Care Description ... POSITION SUMMARY This Registered Nurse functions to assist all patients...management goals to improve their health. Additionally, this nurse position may provide triage services to patients calling… more
- Banner Health (Phoenix, AZ)
- …Banner University Medical Center - Phoenix wants you to bring your passion for Behavioral Health to Banner Health! Our 22 Bed Voluntary Psych Unit is located in ... 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
- Banner Health (Phoenix, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... Top Performer. Our highly skilled team includes experienced bedside registered nurses, licensed nursing assistants, Neonatologists, NNP, Respiratory Therapist,… more
- Banner Health (Sun City, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... care transformation, planning the future of Banner Health. As an **Associate Director RN for ICU/CVICU,** you will be leading a high-quality team with expertise in… more
- Banner Health (Phoenix, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... Extracorporeal Membrane Oxygenation (ECMO) program. As a Associate Director RN for Medical ICU unit you will be leading...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… more
- Banner Health (Phoenix, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... and clinical support to patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality, safe, and cost effective… more
- CVS Health (Phoenix, AZ)
- …expense reimbursement policy. Preferred Qualifications : Oklahoma residency preferred Oklahoma-licensed registered nurse preferred OR be certified as a Certified ... a variety of external and internal audiences including senior management . Required Qualifications : * 5 to 7 years'...(CHCQM) by the American Board of Quality Assurance and Utilization Review Providers prior to employment. A minimum of… more
- Highmark Health (Phoenix, AZ)
- …and education or if necessary involve Special Investigation Unit or the Utilization Management area. **ESSENTIAL RESPONSIBILITIES** + Implement the pre-payment ... data to assure appropriate level of payment and resource utilization . It is also used to identify issues which...experience in Managed Care **LICENSES or CERTIFICATIONS** **Required** + Registered Nurse **Preferred** + Certified Medical Coder… more
- Adelante (Buckeye, AZ)
- … Practitioner certificate issued by the Arizona Board of Nursing + Valid Arizona Registered Nurse license + Valid Arizona Advanced Practice license + Valid DEA ... Family Nurse Practitioner - Buckeye Job Details Job Location...providing comprehensive primary health care services through the identification, management and/or referral of the health problems and the… more