- Lincoln Financial Group (Phoenix, AZ)
- …Experience and/or proficiency with Disability Management (STD/LTD) knowledge, Workers Compensation, Utilization Review and/or nurse case management ... Role at a Glance** We are excited to bring on a highly motivated Nurse Disability Consultant to our clinical organization. This position will be responsible for… more
- Molina Healthcare (Phoenix, AZ)
- …with previous experience in Hospital Acute Care, Concurrent Review / Utilization Review / Utilization Management and knowledge of Interqual / MCG ... meetings. **JOB QUALIFICATIONS** **Required Education** Completion of an accredited Registered Nurse (RN). **Required Experience** 1-3 years of hospital or medical… more
- ERP International (Luke AFB, AZ)
- … Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health ... **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support...and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- Summary The Otolaryngology Nurse Practitioner (NP) position is located within Surgery Service at the Phoenix VA Healthcare System (PVAHCS), Phoenix, AZ. The ... the Otolaryngology Section Chief. This vacancy will be filled with either a Nurse Practitioner or a Physician Assistant. Responsibilities The primary purpose of the … more
- Adelante (Buckeye, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... 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
- Adelante (Surprise, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... Family Nurse Practitioner Float - Surprise Job Details Job...providing comprehensive primary health care services through the identification, management and/or referral of the health problems and the… more
- Adelante (Phoenix, AZ)
- …preventive and self- management goals to improve their health. Additionally, this nurse position may provide triage services to patients calling for urgent care ... Registered Nurse - West Phoenix Job Details Job Location...suite (Word, Excel, PowerPoint, Outlook) and experience in Patient Management System + Meet the organization immunization requirement +… more
- Prime Therapeutics (Phoenix, AZ)
- …of post-degree clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Magellan Credentialing ... and drives every decision we make. **Job Posting Title** Infusion Referral Nurse - REMOTE **Job Description Summary** Under supervision, is responsible for performing… more
- Fresenius Medical Center (Sun City West, AZ)
- …auditing activities. + Accountable for completion of the Annual Standing Order Review and Internal Classification of Disease (ICD) coding. + Manages clinic ... financials including efficient utilization of supplies or equipment and regular profits and...of supplies or equipment and regular profits and loss review . + Responsible for all required network reporting and… more
- Sedgwick (Phoenix, AZ)
- …and consult review ; and two (2) years of experience in daily application of nurse auditing, utilization review and bill review . **Skills & ... Great Place to Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer RN Bill Review **PRIMARY PURPOSE** **:** To review hospital and professional medical… more
- GetWellNetwork, Inc. (Phoenix, AZ)
- …Manager will take the Get Well program to the next level by driving nurse engagement, focusing on increased utilization , and leading projects of functionality to ... Well's Client Success Manager is responsible for effective product utilization and successful outcomes for the Get Well system...of the Get Well system by conducting quarterly account review meetings pertaining to account roadmap; conduct nurse… more
- CVS Health (Phoenix, AZ)
- …Utilizes skills to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in ... resources. Evaluation of Members; Through the use of care management tools and information/data review , conducts comprehensive...special education, or counseling, or be a licensed registered nurse . **Pay Range** The typical pay range for this… more
- Highmark Health (Phoenix, AZ)
- …Inc. **Job Description :** **JOB SUMMARY** This job implements the effective utilization management strategies including: review of appropriateness of ... and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES:** + Implement care management review processes that are consistent with established… more
- Banner Health (Sun City, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through ... pertinent, timely information to payers and others to fulfill utilization and regulatory requirements. 6. Educates internal members of...the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse… more
- CVS Health (Phoenix, AZ)
- …Utilizes skills to coordinate, document and communicate all aspects of the utilization /benefit management program. -Applies critical thinking and knowledge in ... resources. Evaluation of Members; Through the use of care management tools and information/data review , conducts comprehensive...special education, or counseling, or be a licensed registered nurse . **Pay Range** The typical pay range for this… more
- Vyaire Medical (Phoenix, AZ)
- …within and across functional groups. Communicate information related to quality management system efficiency. + Directly support the timely and quality sale, ... of new products and services; make recommendations to drive client acceptance and utilization of new medical devices. Facilitate UPE's for new products. + Develop,… more