Trabajos clinical review nurse en Tempe, Arizona - Page 2Crear alertas

Call Center Representative Agent - Remote Work From Home Focus Group Panelist - Full Time / Part Time Our company is seeking individuals to participate in National & Local Paid Focus Groups, Clinical Trials, and Phone Interviews. With most of our paid focus group studies, you have the option to participate online or in-person. This is a great way to earn additional income from the comfort of your home. We need participants on the following topics: • Child Related (individuals with children 18 yrs or younger), • Cell Phones (Apple, Android, or Windows...Prepaid or Contract), • Entertainment (TV shows, movies, and video games), • Food (If you buy fast food, casual dining, or upscale dining), • Sports (Casual viewers and die-hard fans), • Electronics (Tell us which devices you prefer and why), • Pets (Animal lovers needed! Dogs, cats, and other pets), • Automobiles (Do you own, make payments, or lease your vehicle?), • Show up at least 10 minutes prior to discussion start time., • Participate by completing written and oral instructions., • Complete written survey provided for each panel., • MUST actually use products and/or services, if provided. Then be ready to discuss PRIOR to meeting date., • Must have either a smart phone with working camera or webcam on desktop/laptop., • Must have access to a reliable internet connection, • Desire to fully participate in one or several of the above topics, • Ability to read, understand, and follow oral and written instructions., • Call Center Representative Agent experience is not necessary but helpful, • Flexibility to take part in discussions online or in-person., • No commute needed if you choose to work from home., • No minimum hours. You can do this part-time or full-time, • Enjoy free samples from our sponsors and partners in exchange for your honest feedback of their products., • You get to review and use new products or services before they are launched to the public., • $75-$150 (per 1 hour session) If you are a data entry clerk, administrative assistant, receptionist, warehouse or factory worker, driver, medical assistant, nurse, call center representative, call center agent or anyone who is looking for a flexible part time remote work from home job, this is a great position to supplement your income.

Job Description Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 13 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost. As the Pre Cert RN Manager, you will lead a high-performing team focused on ensuring timely, accurate, and compliant prior authorization processing across multiple plans and regulatory frameworks. You'll drive operational excellence, support a culture of continuous learning and exceptional service, and help facilitate care coordination that directly impacts member outcomes. Working closely with clinical leadership, your team, and external stakeholders, you'll ensure that all requests are processed according to CMS, NCQA, and payer turnaround requirements, delivering value to both members and providers. POSITION DUTIES & RESPONSIBILITES • Lead and support the Prior Authorization Supervisor and nursing staff to ensure effective daily department operations., • Also assist in supporting and providing general oversight of Prior Authorization Coordinators – who report directly to Prior Auth Supervisor., • Serves as the escalation point for complex prior authorization requests or operational concerns., • Oversee staffing, performance, workflow optimization, and workload distribution across clinical and non-clinical roles., • Monitor and manage turnaround time compliance for Routine/Standard and Urgent/Expedited PA requests according to CMS, NCQA, and contractual standards., • Conduct monthly internal audits of staff performance and documentation accuracy; provide coaching and feedback to maintain quality standards (98%+ accuracy goal)., • Analyze trends in prior auth denials, delays, and workload bottlenecks; propose and implement corrective actions., • Lead or support process documentation, including SOP reviews, workflow changes, and performance metric tracking., • Acts as a liaison between the PA Team, Medical Directors, office staff, and physicians to resolve PA-related issues and promote collaboration., • Providing ongoing training and mentorship to new hires and existing staff, emphasizing customer service, regulatory compliance, and AZPC policies., • Graduated from an accredited Registered Nurse (RN) Program., • Current, unrestricted RN License in the State of Arizona., • 5+ years of experience in Utilization Management with comprehensive knowledge of prior authorization processes., • .3+ years of leadership or supervisory experience in a healthcare, managed care, or payer environment., • Solid understanding of Medicare, Medicaid, and state/federal managed care regulations, including NCQA Utilization Management standards., • Strong working knowledge of Medicare, state and federal managed care regulations, and NCQA guidelines., • Proven ability to communicate clearly and professionally in both verbal and written formats – critical for coordinating across clinical teams, providers and payers., • Demonstrated attention to detail and documentation accuracy, especially important for regulatory compliance and audit preparedness., • Strong analytical and problem-solving skills to identify workflow gaps and implement effective process improvements., • Ability to prioritize and manage competing tasks in a high-volume environment with minimal supervision. Compensation range: The annual range for this position is: $96,000 – $100,000

Job Description Join VitalCaring – Where Your Passion Changes Lives! Are you looking for a career where compassion meets purpose? At VitalCaring, we're more than a home health and hospice provider—we're a family that supports, inspires, and uplifts both our patients and our team members. Who We Are Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 100 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care. Why Choose VitalCaring? Work That Fits Your Life – Discover the ideal balance of purpose and flexibility. As a full-time salaried clinician, you'll enjoy the stability of a consistent role with the freedom to manage personal commitments throughout your day. Our field team thrives in an environment that empowers them to make a real impact—while still having the time and space to prioritize what matters most at home. With a generous 6 weeks of paid time off each year, you'll have the opportunity to recharge, reconnect, and return ready to do your best work. Make a Meaningful Impact – Help patients and families navigate their healthcare journey with compassion and dignity. Thrive in a Supportive Team – Work with a team who genuinely care and invest in your success. Grow Your Career – Take advantage of advanced training, mentorship, and career development opportunities. Competitive Pay & Benefits – Be rewarded for your dedication and expertise with a compensation package that truly reflects your value. Our benefits are thoughtfully designed to support your well-being—offering the flexibility, security, and resources you need to thrive both at work and in life. We celebrate success at every level, with meaningful recognition for both individual contributions and team achievements. Health & Wellness • Medical, Dental & Vision, • Pharmacy Benefits, • Virtual & Mental Health Support, • Flexible Spending Accounts (FSAs) & Health Savings Account (HSA), • Supplemental Health & Life Insurance Financial & Legal • 401(k) with Company Match, • Employee Referral Program, • Prepaid Legal Plans, • Identity Theft Protection Work-Life Balance & Perks • Paid Time Off, • Pet Insurance, • Tuition & Continuing Education Reimbursement Join VitalCaring Group and experience a company that invests in you every step of the way! Job Summary At VitalCaring, our team members transform lives and foster hope through genuine caring. As a Hospice Registered Nurse, you will plan, organize, and direct compassionate care focused on comfort, dignity, and quality of life. You will support patients and families through skilled clinical care, expert symptom management, and meaningful education—guided always by our values of being trustworthy, capable, compassionate, proactive, and called. Every encounter is an opportunity to make a meaningful difference. Essential Functions Patient Care • Complete initial and ongoing comprehensive assessments of patients and families to determine hospice needs, including full physical assessments and history review., • Provide nursing care using all elements of the nursing process in accordance with the professional practice act., • Assess and evaluate patient status, initiate and update individualized plans of care, and revise as needs and conditions change., • Use health assessment data to determine nursing diagnoses and establish palliative, patient-centered goals., • Implement preventive and rehabilitative nursing procedures; administer medications and treatments as prescribed., • Counsel and educate patients and caregivers on care needs, symptom management, medications, diet, and safety., • Assist patients with activities of daily living and encourage independence and comfort whenever possible., • Document timely, accurate, and relevant clinical notes reflecting patient condition, care provided, and pain/symptom outcomes., • Communicate with physicians regarding patient needs and changes in condition; obtain and carry out required orders., • Coordinate care with community partners and interdisciplinary team members to ensure continuity and quality., • Support emotional needs of patients and families; maintain a safe environment and uphold hospice philosophy., • Participate in on-call rotations per agency policy., • Ensure arrangements for medical equipment and necessary services., • Supervise ancillary personnel and delegate responsibilities appropriately., • Maintain professional growth through continuing education and in-services., • Fulfill all accepted case assignments., • Graduate of an accredited school of nursing with 1–2 years of recent acute care experience and 1–2 years of recent hospice experience., • Current RN licensure in the state of practice and current CPR certification., • Bachelor's degree preferred, with one year of hospice experience ideal., • Must be a licensed driver with a reliable, insured automobile.

Job Description Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility’s diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit Work Address: Department: Clinical Work Schedule: • One Weekday per week (Wed/Thu or Friday), • Must be on call one weekend per month (Sat and Sun), • Rotating Holiday Coverage, • Shift: 0700 to approximately 1200, • Surgery schedule is finalized and released 48 hours in advance, • As this is a PRN role, staff may be called off for low census, • 48-hour notice will be provided for cancellations whenever possible, • Potential for Over-time Pay (Time and a half), • Holiday Differential Pay (Time and a half), • Weekend Shift Differential Pay ($4.00 per hour) What You Will Do: The Surgery Center Staff Nurse is responsible for providing individualized nursing care to CCRM’s surgery patients and patients having embryo transfers. The staff nurse must function independently in the role, and seek assistance from the physicians, manager, and team members as needed. The Surgery Center Staff Nurse reports to the Surgery Center Manager and takes direction from the physicians related to patient care needs. • Cross-training in all perioperative roles (pre-op, OR, and PACU) is a mandatory requirement for this position., • Perform IV starts efficiently and with a high level of skill, • Complete patient assessment, collection, and interpretation of pertinent data relevant to patient’s care., • Documentation of all assessments, interventions, and patient’s response., • Prepare supplies/equipment necessary for the surgical patient and perform cleaning and sterilization of instruments in the surgical suite., • Demonstrate knowledge of sterile technique and use of equipment in the OR and PACU environment., • Provide teaching and ability to answer patient questions, utilizing resources needed and available., • Communicate patient’s condition to MD’s and other providers as needed/appropriate., • Discharge patients to home/temporary housing as condition dictates. Arrange transfer of patient to hospital if continuing medical care is needed., • Promote a positive work environment, be accountable for personal conduct and actively participate in staff meetings and unit problem solving., • Demonstrate organizational skills that provide efficient patient care and the smooth operation of the unit on a daily basis., • Detail oriented approach to paperwork, ensuring it is signed, accurate and complete., • Coordinates chart review prior to procedure to assure all surgery center and IVF laboratory consent forms are complete and signed., • Inquire with the patient if they have advanced directives and input the forms into the patient’s EMR if forms have been completed., • Oversee emergent situations calmly and efficiently, responding quickly and demonstrating knowledge of emergency procedures and equipment., • Performs post op call and documents in EMR., • Other duties as assigned. What You Bring: • Associate Degree or higher, in Nursing from an accredited school required., • State Registered Nurse license required., • BLS certification required., • 3+ years nursing experience in other RN roles., • 1+ year(s) experience related to operating room, PACU, or critical care experience required. CCRM’s Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of CCRM Fertility’s onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Job Description Job Description: We are seeking a proactive and adaptable Medical Assistant to join our busy pain management clinic. As a vital member of our care team, you’ll support Physicians, Nurse Practitioners, and Physician Assistants by preparing patients, documenting visits, assisting with procedures, and ensuring smooth clinic flow. You’ll record and update medical histories, schedule appointments, and perform routine clinical tasks such as drawing blood, checking vitals, and giving IM injections. Our ideal candidate thrives in a fast-paced environment, is comfortable with electronic medical records, and is eager to learn the unique demands of pain management. If you are detail-oriented, collaborative, and committed to delivering excellent patient care, even when things get busy, we want to meet you. Responsibilities • Clean and prepare medical rooms for providers, • Prepare injectables and medications, • Stock rooms, • Order supplies, • Chart in appropriate EMR system, • Scribe as needed for provider(s), • Scan and fax documents, • Answer phones as needed, • Schedule appointments in EMR system, • Administer IM injections, • Perform blood draws Benefits More than just pay, as a member of our team, you will have access to our comprehensive package of benefits that includes: • Medical, dental, and vision insurance, • Life, AD&D, short-term and long-term disability coverage, • 401K retirement program, • Paid time off (PTO), • Tuition reimbursement, • Employee-only perks and discounts such as chiropractic care What To Do Next? We review applications on a first-come, first-served basis. If you want to make a difference, if you want to be part of a team of like-minded people who work together to grow, develop, and change lives, then click the button on this page to apply to this position now. Arizona Pain is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. Company DescriptionArizona Pain was started with a single premise: to bridge the disconnect in patient care by delivering integrated care treatments that get you out of pain for good.Arizona Pain was started with a single premise: to bridge the disconnect in patient care by delivering integrated care treatments that get you out of pain for good.

Job Description Hi, we're Oscar. We're hiring a Utilization Review Nurse to join our Utilization Review team. About the role: You will perform frequent case reviews, check medical records and speak with care providers regarding treatment as needed. You will make recommendations regarding the appropriateness of care for identified diagnoses based on the research results for those conditions. You will report into the Supervisor, Utilization Review. Work Location: This is a remote position, open to candidates who reside in: Arizona; Florida; Georgia; Illinois; Iowa; Kansas; Michigan; Missouri; Nebraska; New Jersey; North Carolina; Ohio; Oklahoma; Pennsylvania; South Carolina; Tennessee; Texas; or Virginia. While your daily work will be completed from your home office, occasional travel may be required for team meetings and company events. Pay Transparency: The base pay for this role is: $35.00 - $45.94 per hour. You are also eligible for employee benefits and monthly vacation accrual at a rate of 15 days per year. Responsibilities: • Complete medical necessity reviews and level of care reviews for requested services using clinical judgment and Oscar Clinical Guidelines, Milliman Care Guidelines, • Obtain the information necessary (via telephone and fax) to assess a member's clinical condition, and apply the appropriate evidence-based guidelines, • Meet required decision-making SLAs, • Refer members for further care engagement when needed, • Compliance with all applicable laws and regulations, • Active, unrestricted RN licensure from the United States in [state], OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), • Associate Degree - Nursing or Graduate of Accredited School of Nursing Or Successful completion of Diploma Program in Practical Nursing of Accredited School of Nursing, • Ability to obtain additional state licenses to meet business needs, • 1+ year of utilization review experience in a managed care setting, • Strong experience utilizating MCG (Milliman Care Gudielines), • BSN At Oscar, being an Equal Opportunity Employer means more than upholding discrimination-free hiring practices. It means that we cultivate an environment where people can be their most authentic selves and find both belonging and support. We're on a mission to change health care -- an experience made whole by our unique backgrounds and perspectives. Pay Transparency: Final offer amounts, within the base pay set forth above, are determined by factors including your relevant skills, education, and experience. Full-time employees are eligible for benefits including: medical, dental, and vision benefits, 11 paid holidays, paid sick time, paid parental leave, 401(k) plan participation, life and disability insurance, and paid wellness time and reimbursements. Artificial Intelligence (AI): Our AI Guidelines outline the acceptable use of artificial intelligence for candidates and detail how we use AI to support our recruiting efforts. Reasonable Accommodation: Oscar applicants are considered solely based on their qualifications, without regard to applicant's disability or need for accommodation. Any Oscar applicant who requires reasonable accommodations during the application process should contact the Oscar Benefits Team () to make the need for an accommodation known. California Residents: For information about our collection, use, and disclosure of applicants' personal information as well as applicants' rights over their personal information, please see our Privacy Policy.

Job DescriptionReports To: Regional Chief Executive Officer Direct Reports: Local Chief Nursing Officers/Directors of Nursing (DONs) Executive Clinical Partner: Arizona Regional Chief Medical Officer (CMO) Location: Arizona (Multi-Site Portfolio) FLSA Status: Exempt – Executive Travel: 60–85%Position Summary The Regional Chief Nursing Officer (CNO) serves as the senior clinical and operational nursing executive responsible for care delivery excellence, hospital throughput, utilization management, labor performance, regulatory readiness, leadership development, and portfolio-wide standardization across all Arizona facilities. Reporting to the Regional CEO, the CNO provides direct supervision of Local Facility CNO and Directors of Nursing (DONs), who serve as the highest on-site leaders overseeing cross-functional hospital operations including Nursing and Environmental Services, and Dietary services. The CNO works in structured partnership with the Arizona Regional Chief Medical Officer (CMO) to ensure standardized, evidence-based, high-quality care delivery processes are implemented consistently across the region. Also works closely with the Regional Chief of Facilities and Administration (CFA) regarding Lab, Radiology, Supply, and Front Desk / Patient Access issues and concerns. The CNO serves as the ultimate nursing authority for the region and may assume interim on-site leadership responsibilities during DON vacancies or operational instability. Essential Functions & Responsibilities 1. Care Delivery Oversight • Establish and maintain standardized care delivery processes across all facilities., • Ensure evidence-based nursing practice and regulatory compliance., • Monitor patient safety, quality indicators, and clinical performance trends., • Implement portfolio-wide clinical best practices., • Ensure compliance with:, • Centers for Medicare & Medicaid Services Conditions of Participation, • Center for Improvement in Healthcare Quality (CIHQ) accreditation standards, • Arizona Department of Health Services licensure requirements 2. Oversight of Local Facility Leadership • Provide direct supervision and performance oversight of all facility CNO/DON team., • Ensure CNOs/DONs maintain operational accountability across their sites., • Monitor site-level regulatory readiness., • Establish leadership performance expectations., • Develop corrective action plans when necessary.Each CNO/DON oversees cross-functional departments including:, • Nursing (ED & Inpatient), • Radiology, • Laboratory, • Front Office/Registration, • Plant Operations/Supply, • Environmental Services (contracted), • Dietary (if applicable) 3. Throughput & Flow Management • Oversee ED throughput and patient flow performance., • Monitor inpatient length of stay., • Reduce LWOT and delay metrics., • Standardize bed management and care transition processes., • Deploy rapid improvement strategies when metrics decline. 4. Utilization Management • Ensure appropriate admission status determinations., • Monitor observation vs inpatient compliance., • Oversee case management performance., • Support documentation integrity to protect reimbursement., • Reduce avoidable payer denials related to clinical processes. 5. Labor & Productivity Oversight • Develop regional nursing staffing frameworks., • Monitor productivity benchmarks across facilities., • Control overtime and traveler utilization., • Align departmental labor performance with financial targets established by the COO., • Oversee labor efficiency within Nursing and EVS / Food Service departments. 6. Mentorship & Leadership Development • Mentor and coach Local DONs., • Develop structured leadership development programs., • Identify and cultivate high-potential leaders., • Establish succession planning across the portfolio., • Standardize onboarding for new nursing and site leaders., • Provide hands-on operational support when performance gaps exist. 7. Portfolio Best Practice Development • Identify high-performing care processes across facilities., • Standardize and deploy best practices region-wide., • Reduce variability in care delivery., • Implement cross-site benchmarking dashboards., • Lead portfolio-wide quality improvement initiatives. 8. Clinical Governance Partnership with Regional CMO • Coordinate with Regional CMO to align medical and nursing standards., • Participate in development of standardized care pathways., • Review quality trends and sentinel events collaboratively., • Support physician engagement and clinical integration initiatives., • Operationalize clinical strategies developed at the regional level. 9. Regulatory & Survey Readiness • Maintain continuous accreditation readiness., • Lead Nursing preparation for regulatory and accreditation surveys., • Oversee corrective action plan development and closure. 10. Interim Leadership Authority • Serve as interim DON during site vacancies., • Provide temporary on-site leadership during operational instability., • Stabilize underperforming facilities., • Lead recruitment and onboarding of new DONs., • Assume direct oversight of cross-functional site teams when required. • Participate in development of new and expanding service lines., • Evaluate clinical feasibility of growth initiatives., • Assess staffing implications of expansion., • Support physician recruitment and onboarding., • Ensure scalable care delivery models are implemented regionally. Performance Metrics • Patient safety and quality indicators, • ED throughput performance, • Inpatient length of stay, • LWOT reduction, • Labor productivity and overtime control, • Utilization accuracy, • Zero repeat clinical survey citations, • DON leadership development outcomes, • Bachelor’s degree in nursing, • Active Registered Nurse (RN) license, • Minimum 7 years hospital leadership experience, • Multi-site operational oversight experience, • Experience leading accreditation surveysPreferred, • Master’s degree (MSN, MHA, MBA), • Experience in micro-hospital or acute care model, • Experience partnering with physician leadership, • Clinical governance leadership, • Leadership development and mentorship, • Throughput optimization, • Utilization management expertise, • Regulatory compliance mastery, • Interdisciplinary collaboration, • Change management EFq6qK2tI2

Job Description SUMMARY: The Flight Nurse provides high quality pre-hospital advanced life support including assessment, triage and treatment utilizing the standards and guidelines established by the Medical Director(s) within scope of practice during the entire transport. They independently assess the nature and extent of illness or injury to establish and prioritize the care needed for safe transport of the critical patient. Must be qualified to provide care for patients across the life span in the assigned clinical area. Responsible for carrying out the company mission and vision during the transport ensuring safety is the highest priority. ESSENTIAL DUTIES & RESPONSIBILITIES: • Provides advanced life support care from the initial contact until patient care is relinquished to the accepting medical facility while working in small and compressed spaces. This includes planning and preparing for flight missions through review of patient information, communication with office staff, and sending facility staff., • Maintains thorough patient care documentation and completes charting within established timelines and guidelines., • Performs advanced skills and procedures as approved by Medical Directors., • Provides care within the scope of practice as defined by state regulation., • Maintains competency in knowledge and psychomotor skills by participating in ongoing didactic, laboratory and clinical experiences. Identifies any educational needs and communicates these to the Education Committee, Lead Educator, or clinical leadership., • Maintains all required clinical certifications and attends in-services as needed to maintain clinical competence., • Maintains documentation of required licensure, certifications, continuing education, and advanced procedures according to scope of practice., • Responsible for reporting medical equipment failures and taking initial steps to ensure repair of equipment., • Maintains adequate supplies onboard aircraft to deliver patient care. Completes weekly inventory of supplies., • Responsible for keeping aircraft clean and orderly to ensure rapid response to all transport requests., • Participates in pre-mission briefings with crew and office staff and provides post mission debriefs., • Comply with all safety standards during all phases of transport and report all safety issues., • Reports all exposures, injuries, illnesses, and safety/clinical concerns promptly., • Serves as a preceptor and/or participates in orientation of new employees, as assigned., • Maintains professional demeanor during performance of assigned duty with colleagues, other transport representatives, hospitals, and the public., • Participating in committees, projects, activities, and positively represents the company in all interactions in the public and in social media., • Participate in clinical staff meetings by attending the meeting or reviewing recorded meetings. Responsible for all the information discussed., • Participates in the development and review of patient care guidelines and other standards as assigned., • Actively participates in departmental quality improvement projects or other projects as assigned., • Responsible for compliance with all policies contained in the Employee Handbook, Air Ambulance Operations Manual, Medical Crew specific policies, and Patient Care Guideline Manuals., • Responsible for compliance with all policies governing privacy, EMTALA, and HIPAA compliance., • Working knowledge of Outlook, MS Word, MS Excel, MS Power Point, • Other duties as assigned QUALIFICATIONS: REQUIRED: • Licenses: Current unencumbered RN license(s). Will be required to apply and obtain a license for MHP licensed states upon hire., • Certificates/Courses: Upon hire BLS/CPR, ACLS and PALS. Within 12 months of hire: Prehospital trauma (PHTLS, ITLS, or TPATC), FEMA NIMS ICS-100/200/IS-700/800/HAZMAT Awareness, and within 24 months of hire CFRN, • International Requirements: Must maintain a current passport, • Home base: Must live within 60 minutes travel time of the Domicile Airport List, • Work week 8 days on and 6 days off. You will be away from home for all 8 days, • Will be required to care for Adult and NICU/PICU patients, • Education: Bachelor’s degree in nursing or related field, • Experience: 3+ years of previous flight nursing experience or critical care ground transport., • License: Multi-state privilege license, Analytical Oral Communication Quality Management Organizational Support Problem Solving Teamwork Judgment Dependability Technical Skills Delegation Professionalism Initiative Customer Service Leadership Safety and Security Interpersonal Skills Attendance/Punctuality Adaptability Competency in advanced practice skills as defined by Medical Director(s) and Patient Care Guidelines. PHYSICAL DEMANDS: Physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. The employee is required to maintain adequate physical conditioning to be able to perform job duties. • Ability to conduct activities requiring lifting of 100 lbs., • Capable of pushing and pulling objects that weigh more than 50 lbs., • Ability to sit for long periods of time., • Ability to conduct activities requiring climbing, stooping, kneeling/bending and reaching on a frequent basis., • Must have good balance and coordination., • Reaching and extending arms above shoulders. While performing duties of this job, the employee frequently works near moving mechanical parts and in outside weather conditions; and is frequently exposed to blood-borne pathogens or airborne particles, fumes and gases, electrical and chemical hazards, and vibrations/turbulence. Employees are frequently required to work during day and/or night operations. Pre-employment and annual physicals will be provided to include appropriate immunizations as required, back screening, and a PPD skin test for tuberculosis. The noise level in the work environment is usually loud, requiring hearing protection while in-flight, and at a moderate level when in the hospital environment. Pre-employment and annual audiograms will be provided to monitor hearing loss. Noise attenuation devices (ear plugs) are available to all employees, but it is the employee’s responsibility to utilize these devices to prevent hearing loss. We are proud to be an EEO/AA employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing

Job Description Come join CCRM Fertility, a global pioneer in fertility treatment, research, science, specializing in IVF, fertility testing, egg freezing, preimplantation genetic testing, third party reproduction and egg donation. As a member of CCRM Fertility’s diverse team of professionals, you will be a part of helping families grow and changing lives. We take pride in providing our employees with meaningful employment, a supportive culture, and a well-balanced personal & work life alignment. For more information, visit Location Address: Department: Clinical Work Schedule: Monday - Friday (8:00am – 2:00pm) What We Offer Our Team Members: • Generous Paid time-off (PTO) and paid holidays, • Medical, Dental, and Vision Insurance, • Health benefits eligible the first day of the month following your start date., • 401(k) Plan with Company Match (first of the month following 2 months of service, • Basic & Supplement Life Insurance, • Employee Assistance Program (EAP), • Short-Term Disability, • Flexible spending including Dependent Care and Commuter benefits, • Health Savings Account, • CCRM Paid Family Medical Leave (eligible after 1 year), • Supplemental Options (Critical Illness, Hospital Indemnity, Accident), • Professional Development, Job Training, and Cross Training Opportunities, • Bonus Potential, • 401(k) Plan with Company Match (first of the month following 2 months of service), • Professional Development, Job Training, and Cross Training Opportunities, • Potential for Over-time Pay (Time and a half), • Holiday Differential Pay (Time and a half) What You Will Do: The Medical Assistant is responsible for the daily management of patients through administrative and clinical tasks to support the smooth operation of the Care Centers, Surgery Centers, and Laboratories. This position will coordinate with physicians, nurses, and other healthcare professionals to provide the essential services needed. The Medical Assistant reports directly to the Practice Administrator. • Prepare patients for examination, including TPR, weight, blood pressure, update health information, allergies, and current medication., • Document patient vitals, assessment, encounter type, and provider into EMR., • Communicate with physician and/or nurse practitioner, changes in patient condition, abnormal vitals, lab results, and abnormal patient response during testing/exam., • Prepare minor procedure trays and assist with procedures (i.e., hysteroscopy, endometrial and/or punch biopsy, cyst aspiration, Pap smears, GC/chlamydia testing, HSG testing, etc.)., • Prep exam room respective to patient appointment and testing., • Educate patient on procedure(s) and provide answers prior to procedure., • Assist physician and/or nurse practitioner with patient examinations., • Maintain patient workflow to meet physician/nurse practitioner scheduling requirements., • Order and schedule lab tests as directed; review results and annotate appropriate disposition., • Order prescriptions/refills for patients prior to procedure; notify patient upon completion., • Disinfect room after each exam/appointment re-prep for next patient., • Equipment maintenance and sterilization; identify any need for supplies/parts/repair and notify Practice Administrator., • Order and maintain back-office supplies and reconcile monthly receipts/packing slips for submission to the business office., • Scan signed consents, office appointment forms, laboratory, and pathology reports into EMR., • Monitor medicine cabinet/refrigerator and order medications, as needed., • Perform urine pregnancy test, document results in EMR, and communicate with physician, nurse practitioner, or rad technician prior to exam/procedure., • Autoclave all used instruments, document size and type of instrument on package, change sterile/cleaning solution, and document in the soak-log., • Clean stationary room equipment, underside of exam tables, and provide clean/linens/supplies for all patient rooms’ weekly minimum, or as needed., • Maintain HIPAA and Confidentiality for all patient and clinic information, HIV confidentiality., • Understand and assess potential domestic violence and child abuse issues and report concerns to Medical Director or Practice Administrator., • High School Diploma Required. OB/GYN experience helpful, • Medical Assistant (MA) -or- Licensed Practical Nursing (LPN) credential required., • BCLS certification required., • Phlebotomy certification preferred., • 1+ year Medical Assistant -or- Licensed Practical Nursing experience preferred. CCRM’s Compensation: The salary range represents the national average compensation for this position. The base salary offered will vary based on location, experience, skills, and knowledge. The pay range does not reflect the total compensation package. Our rewards may include an annual bonus, flexible work arrangements, and many other region-specific benefits. Pre-Employment Requirements: All offers of employment are conditional upon the successful completion of the CCRM Fertility onboarding process, including verification of eligibility and authorization to work in the United States. This employer participates in the E-Verify Program in order to verify the identity and work authorization of all newly hired employees. Equal Employment/Anti-Discrimination: We are an equal-opportunity employer. In all aspects of employment, including the decision to hire, promote, discipline, or discharge, the choice will be based on merit, competence, performance, and business needs. We do not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, gender, sexual orientation, gender identity or expression, veteran status, or any other status protected under federal, state, or local law.

Job Description Arizona Priority Care (AZPC) is an Integrated Provider Network focused on providing whole-person care to Senior and Medicaid populations, through advanced value-based models. Our provider network is comprised of more than 6,000 health care providers, including primary and specialty care physicians, hospitals and ancillary providers. We have operated in the Arizona market for more than 12 years, based in Chandler, Arizona, and are an affiliate of Heritage Provider Network. As a leading value-based provider organization, we are committed to improving the quality of care, providing excellent member and provider experiences all while reducing cost. The Prior Authorization Registered Nurse (RN) is responsible for conducting initial clinical reviews of preservice authorization requests, focusing on continuity of care and the proper utilization of services. Reporting to the Director of Clinical Services Operations, the RN plays a crucial role in the Utilization Management process by conducting historical research, identifying appropriate criteria, and drug dosing to prepare cases for UM reviewers. This position involves collaboration with the PA staff and senior leadership to ensure efficient daily operations. Additionally, the RN will participate in process improvements, train new hires, and maintain compliance with internal policies and regulatory standards. POSITION DUTIES & RESPONSIBILITIES • Monitor the PA Nurse and Pharmacy Request queues as directed by prior authorization management, ensuring timely processing of Routine/Standard and Urgent/Expedited prior authorizations in compliance with regulatory and health plan requirements., • Assist in the PA Clinical Review process by pre-screening authorization requests to ensure all necessary information is provided. If documentation is insufficient, actively obtain the required information to facilitate timely decision-making., • Review requested services and apply the relevant health plan criteria hierarchy to locate guidelines that support the medical director in assessing medical necessity., • Conduct clinical reviews for Prior Authorization (PA) Nursing in accordance with AZPC policies, applying relevant guidelines and criteria to determine the medical necessity of requested services, and approve requests when appropriate., • Prepare authorization requests requiring review by Medical Directors, ensuring adherence to the appropriate SBAR (Situation, Background, Assessment, Recommendation) framework, Utilization Management review hierarchy, inclusion of necessary denial language, and completion of any additional research as required., • Compose medical necessity denial letters using pre-service denial formats that comply with health plan and CMS requirements. Ensure adherence to all regulatory guidelines, including timely submission, and maintain clarity with a Flesch-Kincaid score of less than 8, while avoiding spelling and grammatical errors., • Process a minimum of 20 prior authorization requests daily, depending on the complexity of each request., • Achieve and maintain a clinical review accuracy rate of 98% or higher, ensuring high-quality assessments throughout the review process., • Act as a liaison between the Medical Director and providers to address prior authorization concerns and inquiries., • Maintains up-to-date knowledge of regulatory requirements established by CMS, NCQA, and Health Plans, including compliance standards and the defined scope of practice., • Identify cases involving potential or actual medically inappropriate interventions and refer them to the Medical Director for review., • Identify cases involving potential or actual medically inappropriate interventions and refer them to the Medical Director for review., • Identify and report any potential quality of care issues to the Quality Department., • Ensure the privacy and security of PHI (Protected Health Information) as outlined in Arizona Priority Care Policies and Procedures relating to HIPAA compliance., • Provides excellent customer service skills with internal and external incoming and outgoing phone calls., • Interacts professionally and communicates clearly with staff, other departments, management, providers, and members., • Demonstrate flexibility to adjust to work assigned based on competing demands of the organization., • Collaborate with the Quality department to conduct thorough reviews of medical records, ensuring compliance with standards and identifying potential areas for improvement., • Assist in analyzing member surveys to gather insights on quality of care and patient satisfaction., • Support the identification and investigation of potential quality issues to promote continuous improvement in services., • Graduated from an accredited Registered Nurse Program., • Current unrestricted AZ RN License., • Minimum of 3 years acute care or care management experience., • Knowledge of Medicare, state and local managed care regulations, prior experience in Managed Care setting preferred., • Strong knowledge of Continuum of Care, Care Planning, Transitions of Care and Inner-disciplinary Care Team structures and functionality., • Prior experience with record review and knowledge of record documentation standards., • Exceedingly detail-oriented, able to function under pressure and prioritize and re-prioritize tasks as needed., • Exceptional organizational and project management skills including strong attention to accuracy., • Exceptional interpersonal, verbal and written communication skills, including proofreading and grammar skills., • Able to communicate effectively and in professional manner with all levels of internal staff and external customers., • Ability to work both independently and as part of a team, with minimal supervision.

Registered Nurse Career Opportunity Encompass Health: Where Nursing Meets Heart, Home, and Healing Are you seeking a nursing career deeply rooted in purpose, close to your heart and home? Encompass Health offers a transformative journey where your expertise as a Registered Nurse becomes an integral

Registered Nurse - Intensive Care Unit Tuba City, AZ Specialty: ICU Position Type: Travel Contract Length: 13 weeks Pay: $1945 - $2344 | Shift: Any Housing accommodations available through client Are you a dedicated ICU nurse looking for your next adventure? Do you thrive in dynamic and culturally r

Must maintain an active Registered Nurse (RN) license in good standing throughout employment. One (1) year of clinical experience in post acute care setting preferred. Prior case management, utilization review, and discharge planning experience preferred.

Must maintain an active Registered Nurse (RN) license in good standing throughout employment.

Must maintain an active Registered Nurse (RN) license in good standing throughout employment. One (1) year of clinical experience in post acute care setting preferred. Prior case management, utilization review, and discharge planning experience preferred.

Provides support for clinical member services review assessment processes. Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.

Is comfortable balancing clinical support with education, navigation, and problem-solving. Own relationships with assigned employer groups and their employees, serving as their primary clinical point of contact. Monitor care plans, progress, and outcomes, and escalate more complex clinical needs whe

Make a lasting difference as a Hospice Registered Nurse Case Manager (RNCM)! Are you a compassionate Registered Nurse (RN) who finds purpose in supporting patients and families through meaningful moments of care? Hospice of the West is seeking a Full Time Hospice RN Case Manager (RNCM) to join our d

Case Management experience or discharge planning, nurse navigator or nurse care coordinator experience as well as experience with transferring patients to lower levels of care. Perform medical necessity reviews. Registered Nurse, including at least 1 year in a hospital setting.

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

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

Incorporates into the utilization review process the ability to access and interpret clinical information against the designated review criteria to reach correct admission status determinations. Demonstrates knowledge of Age-Specific Criteria, American Nurses Association (ANA) Nursing Scope and St

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;

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

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;

Conduct routine case reviews, field visits, and provide ongoing clinical coaching. Assist in onboarding, training, and professional development of clinical staff. Conduct periodic audits of clinical notes and home visits to evaluate care quality.

Clinical License and Specialty Certifications mandated by State.

Prior case management, utilization review, and discharge planning experience preferred. Case Manager (Registered Nurse/RN). Must maintain an active Registered Nurse (RN) license in good standing throughout employment.

Provides support for clinical member services review assessment processes. Analyzes clinical service requests from members or providers against evidence based clinical guidelines. Conducts reviews to determine prior authorization/financial responsibility for Molina and its members.

Pay packages are gross weekly estimates based on the current bill rate at the time the position is posted.Rates can and do change rapidly so please check with your recruiter for more information.Posted rates can vary based on various reimbursements, facility fees and other factors.

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

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;

Gifted Healthcare believes in the power one person has to make a difference in a patient's care, inspiring Gifted's mission to help nurses thrive and advance their careers by providing. Endoscopy Nurse (Endo RN) assists doctors with endoscopic procedures. Perform pre-procedure assessment, reviewing

Join Our Innovative Healthcare Team as a Nurse Navigator – Registered Nurse (RN)!. We're seeking a dedicated Nurse Navigator - RN - to be part of this exciting movement, helping to bring much-needed support and guidance to underserved populations across the community. Being a Nurse Navigator RN pr

Whether you are an experienced traveler, or this is your first travel position, SkyBridge Healthcare puts our Nurses first and ensures a seamless travel experience. SkyBridge Healthcare is currently seeking Registered Nurse with Endoscopy experience for a 13-week contract in AZ.

License to practice as a Registered Nurse in the State of Arizona. Post-partum, Nursery, L&D: NRP required upon orientation completion. Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in pati

Join our dedicated healthcare team where compassion meets innovation! As a Registered Nurse with us, you'll have the opportunity to make a meaningful impact in patients' lives while enjoying a supportive work environment that fosters professional growth and work-life balance. The Registered Nurse pr

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

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

Nursing\RN - Registered Nurse - State Licensure And/Or Compact State Licensure Current RN (AZ or State Compact Licensure) - Required. Performs concurrent review of patient treatment plans in accordance with the hospital policies and third party reimbursement systems. Assists in the maintenance of de

Client Address: 775 East Willetta Street.

CorVel Corporation is hiring a caring, self-motivated, energetic and independent registered nurse to fill a Field Nurse Case Manager position in Phoenix AZ. For further information, please review the Know Your Rights notice from the Department of Labor. As a Field Nurse Case Manager you will make a

Own the full lifecycle of new account onboarding—from application review to transfer completion.

Maintains communication, coordination, and connections with all Clinical Team participants. Performs out-of-office case management services and administrative tasks in accordance with agency procedures and the Arizona Principles for working with SMI clinical teams.

As an essential service provider, we value all our employees and their careers in the clinical field.

Collaborating with recipients and their families to implement effective service plans, explaining available clinical options, and coordinating care with the clinical team and other healthcare providers.