• Complex Case Manager

    Highmark Health (Phoenix, AZ)
    …the appropriate clinical interventions and referrals, the incumbent will manage an active case load of members in his/her panel that are enrolled in case ... management. The incumbent conducts outreach to members enrolled in case management including but is not limited to: developing...in addressing targeted populations **LICENSES AND CERTIFICATIONS** **Required** + RN license in PA or WV or DE or… more
    Highmark Health (03/13/25)
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  • Registered Nurse RN Home…

    Banner Health (Queen Creek, AZ)
    …their caseload appropriately and not feeling "alone" in the field! We recognize that our nurse case managers are the key to a successful journey with home ... an in-office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is...best place to receive care. As a **Home Health Registered Nurse ,** you will join the Banner… more
    Banner Health (03/12/25)
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  • Registered Nurse RN

    Banner Health (Sun City, AZ)
    …their caseload appropriately and not feeling "alone" in the field! We recognize that our nurse case managers are the key to a successful journey with home ... field preceptor, an IT specialist, a dedicated scheduler, a nurse preceptor during orientation (available every day to help...and the best place to receive care As an ** RN Manager for Banner Home Care** ,… more
    Banner Health (02/22/25)
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  • Manager , Utilization Management…

    Humana (Phoenix, AZ)
    …**Use your skills to make an impact** **Required Qualifications** + Active Licensed Registered Nurse ( RN ) in Virginia or enhanced compact license, ... part of our caring community and help us put health first** The Manager , Utilization Management Nursing utilizes clinical nursing skills to support the coordination,… more
    Humana (03/12/25)
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  • Care Manager , Registered

    Sharecare (Phoenix, AZ)
    …of their members to ensure successful completion of member goals, while providing Complex Case Management and/or care management support through the duration of ... within a matrix organizational design. **Qualifications:** + Current multi-state compact Registered Nurse licensure in state of residence is required,… more
    Sharecare (02/17/25)
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  • Case Manager , RN

    CAI (Phoenix, AZ)
    …Type** Full time **Worksite Flexibility** Remote **Job Summary** We are looking for a motivated Case Manager , RN ready to take us to the next level! ... apply now. **Job Description** We are looking for a Case Manager , RN to provide...duties as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of… more
    CAI (02/01/25)
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  • RN Case Manager Deer Valley

    HonorHealth (Phoenix, AZ)
    …healthcare resources to ensure services and care are delivered in a timely manner. The RN Case Manager works in collaboration with patients, providers, and ... and facilitate the discharge plan for patients with medically complex post-acute care needs. Analyzes medical records to determine...experience in a hospital setting Required Licenses and Certifications Nursing\ RN - Registered Nurse -… more
    HonorHealth (03/04/25)
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  • RN Care Navigator

    CenterWell (Phoenix, AZ)
    …and responsibilities as required **Use your skills to make an impact** **Required Qualifications** + Registered Nurse ( RN license) + Minimum of 4 years of ... within an interdisciplinary care integration team (CIT), the Care Navigator - Registered Nurse is responsible for proactively engaging patients and implementing… more
    CenterWell (03/04/25)
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  • Medical Claim Review Nurse ( RN )

    Molina Healthcare (Scottsdale, AZ)
    …ASSOCIATION:** Certified Clinical Coder, Certified Medical Audit Specialists, Certified Case Manager , Certified Professional Healthcare Management, Certified ... state/federal regulations **REQUIRED LICENSE, CERTIFICATION, ASSOCIATION:** Active, unrestricted State Registered Nursing ( RN ) license in good standing.… more
    Molina Healthcare (01/25/25)
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  • Manager , Utilization Management Behavioral…

    Humana (Phoenix, AZ)
    …**Required Qualifications:** **Must meet** **one** **of the following:** + Active unrestricted registered nurse license in the state of Virginia or reside ... coaching, performance review, up to termination. + Certified or certified-eligible case manager required. **Additional Information:** **Workstyle:** Remote work… more
    Humana (03/12/25)
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  • Market Manager Utilization Review

    Dignity Health (Phoenix, AZ)
    …Arizona RN license + National certification of any of the following: CCM (Certified Case Manager ), ACM (Accredited Case Manager ) required or within 2 ... St. Joseph's is considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately 20 percent of… more
    Dignity Health (03/16/25)
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  • Trainer - Clinical Services - Utilization Review…

    Molina Healthcare (Mesa, AZ)
    …knowledge on the job. Job Qualifications **REQUIRED EDUCATION** : Completion of an accredited Registered Nurse ( RN ) Program and an Associate's or Bachelor's ... or State Clinical Social Worker/Counseling (or related field) License Certified Case Manager (CCM), Utilization Management Certification (CPHM), Certified… more
    Molina Healthcare (03/13/25)
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  • Director Care Coordination

    Dignity Health (Phoenix, AZ)
    …containment, over/under utilization assessment and clinicaloutcomes **Licensure:** + Current AZ unrestricted Registered Nurse ( RN ) license or LCSW license + ... considered a sought-after destination hospital for treating the most complex cases from throughout the world. Every day, approximately...National certification in either of the following: CCM (Certified Case Manager ), ACM (Accredited Case more
    Dignity Health (03/04/25)
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