Clinical review nurse jobs in Phoenix, Arizona - Page 3Create job alerts

Directs activities related to the Continuous Quality Assurance Improvement, patient retention and Clinical Algorithm Adoption, patient access management and patient training success.

You have at least two years of experience as a nurse in an acute care setting (ER, ICU, Med-Surg, or similar). We are definitely flexible with scheduling and do our best to work with our nurses so they have work/life balance. Restore is seeking an outgoing, experienced Nurse to join our team of well

Own the full lifecycle of new account onboardingfrom application review to transfer completion.

With Restore's continued growth and success, we are excited to hire a Registered Nurse to join one of our locations in the(. We are looking for a positive, energetic individual with a passion for wellness and helping people! As a Registered Nurse at Restore you will be responsible for the administra

Nurse Practitioner Cardio - Scottsdale, AZ. We are a fast-growing Private Practice and we are looking to add another Nurse Practitioner or Physician Assistant to our amazing team. We are looking for a Full Time Nurse Practitioner or Physician Assistant that can assist us in maintaining this high sta

Two years of experience as a registered nurse, hospice experience preferred. Your position perks as a Hospice Registered Nurse / RN Case Manager. How you'll make an impact as a Hospice Registered Nurse / RN Case Manager.

Clearwater Mayo Blvd is a premier luxury senior living community in Phoenix, AZ and is looking for a Licensed Vocational Nurse to join the team!. The LPN Nurse will be dynamic, eager to learn, have great communication skills, and a passion to serve. The Nurse administers quality nursing services to

Full Time or Part Time Advanced Practice Provider (APP) - Nurse Practitioner in Peoria, AZ. The Nurse Practitioner will do Home Visits and treat our Adult patients in their homes. Board Certified Nurse Practitioner.

The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. Registered Nurse - Case Manager I

Conduct routine case reviews, field visits, and provide ongoing clinical coaching. This role blends hands on clinical oversight with meaningful client connection while providing you the chance to help build something extraordinary. Assist in onboarding, training, and professional development of clin

Minimum one year of recent experience in medical, surgical or critical care as a professional nurse. Strong clinical assessment skills.

Through the use of clinical tools and information/data review, conducts an evaluation of member's needs and benefit plan eligibility and facilitates integrative functions as well as smooth transition to Aetna programs and plans. Reviews prior claims to address potential impact on current case manage

Current Registered Nurse (RN) license in the state of practice. Strong clinical assessment and critical thinking skills. Responsibilities include managing a caseload of hospice patients, performing clinical assessments, collaborating with interdisciplinary teams, and ensuring compliance with care st

Your position perks as a Hospice Registered Nurse / RN Case Manager. How you'll make an impact as a Hospice Registered Nurse / RN Case Manager. Hospice Registered Nurse / RN Case Manager Requirements.

Reviews record including physician orders and documents admission, concurrent discharge reviews and retrospective reviews as assigned. Demonstrates knowledge of Age-Specific Criteria, American Nurses Association (ANA) Nursing Scope and Standards of Practice, ANA Code of Ethics for Nurses, Arizona

Strong clinical assessment skills. Minimum one year of recent experience in medical, surgical or critical care as a professional nurse.

Clinical License and Specialty Certifications mandated by State.

About the job RN Case Manager, Home Health.Welcome to Strong Force Staffing Where Your Career Catapults Forward.Hey there, career adventurers! At.Recruitment Process Outsourcing (RPO) firm; we're your career matchmakers! Think of us as your backstage pass to the hottest jobs with our clients.Our mis

Reviews and analyzes third-party payer denials for in house patients, and communicates to attending physician , Case Management, Manager, Utilization Management Medical Director, and Utilization Management Nurse as per department protocols. Reviews the patient daily for appropriate patient status ,

About the job RN Case Manager, Hospice (In-Home).Strong Force Staffing: Building Stronger Teams for a Stronger Tomorrow.Hey there, healthcare heroes! Welcome to Strong Force Staffing, where we're not just a leading Recruitment Process Outsourcing (RPO) firmwe're your career matchmakers.Consider us y

Minimum one year of recent experience in medical, surgical or critical care as a professional nurse. Strong clinical assessment skills.

The Registered Nurse (RN) Case Manager works within an interdisciplinary team to facilitate the patient plan of care throughout the continuum of care by ensuring appropriate utilization management, care coordination, resource utilization, and clinical documentation. The RN Case Manager will function

At Haven Hospice, we are committed to providing compassionate, patient-centered care for individuals facing life-limiting illnesses while supporting their loved ones every step of the way.We are seeking experienced and empathetic Hospice RN Case Managers to join our dedicated Scottsdale team.In this

Submit complete, accurate and relevant clinical notes in a timely manner. Must be licensed in the State of Arizona as a Registered Nurse. In My Home Hospice provides ongoing education in Hospice and End of Life care to ensure your success as a Hospice Nurse.

Must have hands on experience with in pharmacy billing, prior Authorization, appeals, and peer-to-peer review. The base salary offered will be contingent on assessment of candidate education level, background, and experience relative to the requirements of the position they are being considered for,

Registered Nurse in a hospital setting, acute care, direct care experience or experience as a telephonic Case Manager for an insurance company.

Requisition Closing Date: Open Until Filled; Applications Reviewed Daily Make An Impact With DCS At the Arizona Department of Child Safety ("DCS"), we call ourselves "Compassioneers" because everything we do is done with a compassionate heart.

Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern). Strongline Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern). Founded in New Mexico in 1908, we are the state's large

Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. Masters degree in nursing plus 5 years utilization review or case management experience required;

Staff Safety (a wearable badge that allows nurses to quickly and discreetly call for help when safety is a concern). Ensures that care delivery is within quality and utilization guidelines and is directed toward the achievement of desired clinical outcomes for the disease state. Precepts newly hired

Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. Masters degree in nursing plus 5 years utilization review or case management experience required;

Registered Nurse with Bachelors of Science in nursing (BSN) degree or Registered Nurse with Associates degree in nursing (ADN) plus five years utilization review or case management experience required. Masters degree in nursing plus 5 years utilization review or case management experience required;