- Humana (Phoenix, AZ)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Phoenix, AZ)
- …courses of action. **Helping our Medicare population be healthy and stay healthy!** The Utilization Management Nurse 2 utilizes their clinical knowledge, ... community and help us put health first** The Telephonic Utilization Management Nurse utilizes clinical...to work business hours in PST time zone + 2 + years of prior clinical experience in an acute… more
- CVS Health (Chandler, AZ)
- …Following training, position is remote with occasional in office requirement.** Utilization Review - Precertification Nurse is responsible for telephonically ... assessing, planning, implementing and coordinating all case management activities with members to evaluate the medical needs...4:30 PM Arizona Time with evening rotation required about 2 times a month until 8pm, EST. - This… more
- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Pre-Authorization Nurse 2 reviews prior authorization requests for appropriate care and setting, ... approves services or forward requests to the appropriate stakeholder. The Pre-Authorization Nurse 2 work assignments are varied and frequently require… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... **Overview** ERP International is seeking full time **Registered Nurse - Case Management ** in support of the56th Medical Group at Luke AFB, AZ… more
- Banner Health (Sun City, AZ)
- …interventional cardiac cath and structural heart procedures. The facility currently offers 4 procedural labs ( 2 Cath Labs & 2 EP Labs) and a 9 bed Pre-Admit/Post ... opening the end of December 2021, which will house 2 new Philips Cath Labs, future space for ...and a new 15 bay pre/post area This **Registered Nurse Patient Navigator Procedural** position is a Hybrid Position.… more
- Banner Health (Mesa, AZ)
- …Manages the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2 . Leads change by developing, ... team drives high clinical outcomes, excellent experience, and effective resource utilization . The role actively participates in department and facility wide… more
- Banner Health (Gilbert, AZ)
- …Manages the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2 . Leads change by developing, ... or weekend assignments.** If you are a New Graduate Nurse with less than 12 months of experience, please...patients and staff. Uses depth and breadth of clinical management knowledge to ensure the provision of high quality,… 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
- Banner Health (Phoenix, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the ... the optimal clinical care, financial, operational, and satisfaction outcomes. 2 . Acts in a leadership function with process improvement...completion of a bachelor's degree in case management or health care. Requires current Registered … more
- Banner Health (Sun City, AZ)
- …**Job Category:** Nursing $15,000 Sign-On Bonus ** with 1-year of experience and a 2 -year commitment!** Nurses are the heartbeat of a hospital, and we do our best ... or had extraordinary results in voluntary turnover, reducing falls, reducing companion utilization , and financial stewardship. The team focus is on creating a… more
- Banner Health (Gilbert, AZ)
- …Unit Coordinator (HUC). Clinical Care Operations is the hub of patient management for the campus, including: bed assignment, unit staffing (scheduling, balancing, ... casual labor utilization ), house supervision, emergency preparedness (code events and internal...weekend shift differential. _If you are a New Graduate Nurse with less than 12 months of experience, please… more
- Banner Health (Mesa, AZ)
- …in relocation assistance for those with Endoscopy RN experience!** As the Registered Nurse Manager for the operating room, you will bring your leadership experience ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...when applicable** **.** If you are a New Graduate Nurse with less than 12 months of experience, please… more
- Banner Health (Sun City, AZ)
- …shift position working 4'10s (7:30 AM - 5 PM).** _If you are a New Graduate Nurse with less than 12 months of experience, please visit the main job search page and ... of care and develops, implements, monitors and documents the utilization of resources and progress of the patient through...and services to meet the patient's health care needs. 2 . Evaluates the medical necessity and appropriateness of care,… 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 ... care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the...Reviews available information obtained by health care team members. 2 . Contributes to plan of care under direction of… more
- Banner Health (Phoenix, AZ)
- …Manages the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2 . Leads change by developing, ... health care advancements and excellent patient care. As the **Associate Director Registered Nurse RN Intraop , you will bring your leadership experience and passion… more
- Banner Health (Chandler, AZ)
- …Manages the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2 . Leads change by developing, ... 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
- Banner Health (Scottsdale, AZ)
- …POSITION SUMMARY This position provides administrative supervision of campus workflow, resource utilization and management , and operations for all clinical and ... to census, acuity, and responsible use of labor budget. 2 . Responds to and assesses all codes and other...during off hours. Internal customers: All levels of nursing management and staff, medical staff, and other health care… more
- Humana (Phoenix, AZ)
- …ad hoc reports in Access and/or SQL + Graduate degree + Utilization Management Review Experience + Registered Nurse (RN) Credentials + Home Health, Durable ... caring community and help us put health first** The Compliance Professional 2 ensures compliance with governmental requirements. The Compliance Professional 2 … more
- Prime Therapeutics (Phoenix, AZ)
- …company achieving revenue goals and operational objectives. Responsible for executing utilization management programs on behalf of health plan/payor customers, ... clinical reviewer. + Practices and maintains the principles of utilization management by adhering to the company...cardholders, and pharmacies. + Escalates medical exception requests to nurse , pharmacist or physician on the utilization … more