- Humana (Phoenix, AZ)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are ... a part of our caring community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the… more
- CVS Health (Chandler, AZ)
- …3 months. 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 of the member to… more
- 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
- HonorHealth (Scottsdale, AZ)
- …communities across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary The Utilization Review RN Specialist reviews and monitors utilization ... in an acute care setting. Required 1 year experience in UR/UM or Case Management Required Licenses and Certifications Registered Nurse (RN) State And/Or Compact… 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 (Phoenix, 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 - West Phoenix Job Details...providing comprehensive primary health care services through the identification, management and/or referral of the health problems and the… more
- Banner Health (Mesa, AZ)
- …the operations of the unit to ensure smooth and efficient patient care management and resource utilization . 2. Leads change by developing, implementing and ... Our Endoscopy Unit maintains 6 procedural rooms, along with utilization of the OR, as needed. Nursing careers are...hours when needed.** If you are a New Graduate Nurse with less than 12 months of experience, please… 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
- Banner Health (Mesa, AZ)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... field preceptor, an IT specialist, a dedicated scheduler, a nurse preceptor during orientation (available every day to help...feeling "alone" in the field! We recognize that our nurse case managers are the key to a successful… 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 (Mesa, AZ)
- …networks, and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through ... that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of...the completion of a bachelor's degree in case management or health care. Requires current Registered Nurse… more
- Banner Health (Phoenix, AZ)
- …quality management process. Reviews audit results and presents summary information for management utilization and review . 7. May coordinate the admission ... caring for patients with wounds. We use a case management model to help patients navigate through the complex...care under the direction and supervision of a registered nurse and/or licensed physician, and is accountable for the… more
- Fresenius Medical Center (Sun Lakes, 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
- 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
- HonorHealth (Scottsdale, AZ)
- …clinical practice and research. This position will be responsible for overseeing financial management of the VAD program and will work closely with physicians and ... potential VAD candidates in the inpatient setting and participate in the clinical management of pre- and post VAD implant patients in collaboration with the clinical… more
- HonorHealth (Scottsdale, AZ)
- …Facilitates patient placement in conjunction with the Admitting Department; may assist utilization review process; collaborates with Nurse Manager regarding ... for shift; evaluates organizational quality improvement issues; facilitates risk management programs, monitors and evaluates customer satisfaction, and initiates… 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