Current jobs related to Preservice Review Nurse RN - Phoenix - UnitedHealth Group
-
Care Manager RN
6 days ago
Phoenix, United States Providence RN Full timeDescription Care Manager RN at Providence Medford Medical Center, in Medford, OR. Full-Time/Day Shift The RN Case Manager is an expert professional registered nurse who is responsible for developing and managing patient care outcomes for an entire patient case load. The RN Case Manager may perform assessment, treatment or care for patients of all ages,...
-
Clinical Utilization Review Nurse
1 week ago
Phoenix, Arizona, United States Innovative Care Management, Inc. Full timePosition Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise evaluation of initial medical necessity assessments throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...
-
Clinical Utilization Review Nurse
1 week ago
Phoenix, Arizona, United States Innovative Care Management, Inc. Full timePosition Overview:Under the guidance of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is primarily remote; however,...
-
Clinical Utilization Review Nurse
1 week ago
Phoenix, Arizona, United States Innovative Care Management, Inc. Full timePosition Overview:Under the supervision of the Manager of the Utilization Review Program, the Utilization Review (UR) Nurse plays a crucial role in ensuring the efficient and precise management of initial medical necessity evaluations throughout the preauthorization and retrospective review processes.Work Environment:This position is remote; however, due to...
-
Infusion Quality Monitoring and Review RN
2 weeks ago
Phoenix, United States AIS Healthcare Full timeAIS Healthcare is the leading provider of Targeted Drug Delivery (TDD) and Immunology/Infusion Care With our diverse culture, and our values around Innovation, Stewardship, and Unity, we are committed to Advancing Quality, and Improving Lives. We are dedicated to doing more for our patients by providing quality products and services that enhance the entire...
-
RN Fellow PMMC
6 days ago
Phoenix, United States Providence RN Full timeDescription Providence is calling for applications for our RN Medical Surgical - Cardiac Telemetry - Clinical Decision Unit - Float Pool Unit Fellowship at Providence Medford Medical Center . An RN Fellow at Providence St Joseph Health will experience a guided transition into their new specialty through structured curriculum, experienced preceptors and...
-
PreServices Financial Counselor
4 weeks ago
Phoenix, United States HonorHealth Full timeOverview: $1,500 New Hire Bonus Monday - Friday 9am - 5:30pm Looking to be part of something more meaningful? At HonorHealth, youll be part of a team, creating a multi-dimensional care experience for our patients. Youll have opportunities to make a difference. From our Ambassador Movement to our robust training and development programs, you can select where...
-
RN - Home Health
1 week ago
Phoenix, United States Providence RN Full timeDescription RN- Medford Home Health $5,000 hiring bonus for eligible external hires that meet required qualifications and conditions for payment. Registered Nurses (RNs) work alongside an interdisciplinary team to provide whole-person quality care to patients in need. Nurses are empowered by our shared governance model that includes nursing staff in the...
-
Utilization Review Specialist
2 hours ago
Phoenix, Arizona, United States Neuropsychiatric Hospitals Full timeAbout UsNeuropsychiatric Hospitals is a leading healthcare provider with a unique approach to patient care. Our hospitals offer a comprehensive range of services, including neuropsychiatric and complex medical care, to patients with diverse needs.Job SummaryWe are seeking a highly skilled Utilization Review Specialist to join our team. As a Utilization...
-
RN Resident PMMC
6 days ago
Phoenix, United States Providence RN Full timeDescription Providence is inviting current nursing students and recent graduates to apply for our RN Residency Program at Providence Medford Medical Center . This is an excellent opportunity to gain real-world acute care experience under the guidance of preceptors, mentors, and clinical educators. An RN Residency with Providence St Joseph Health will provide...
-
RN Fellow
2 days ago
Phoenix, United States Providence RN Full timeDescription Providence is calling for applications for our RN Emergency Services Fellowship at Providence Medford Medical Center . An RN Fellow at Providence St Joseph Health will experience a guided transition into their new specialty through structured curriculum, experienced preceptors and hands-on learning. If you are an RN ready to transition to a new...
-
Clinical Review Nurse
1 week ago
Phoenix, Arizona, United States Innovative Care Management, Inc. Full timePosition Overview:Under the supervision of the Manager of the Utilization Review Program, the Clinical Review Nurse is tasked with ensuring timely and precise evaluation of initial medical necessity assessments throughout the preauthorization and retrospective review processes.Work Environment:This role is designated as remote; however, due to payroll and...
-
RN Fellow
6 days ago
Phoenix, United States Providence RN Full timeDescription Providence is calling for applications for our RN Intensive Care Unit Fellowship at Providence Medford Medical Center . An RN Fellow at Providence St Joseph Health will experience a guided transition into their new specialty through structured curriculum, experienced preceptors and hands-on learning. If you are an RN ready to transition to a new...
-
RN Fellow
2 days ago
Phoenix, United States Providence RN Full timeDescription Providence is calling for applications for our RN Intensive Care Unit Fellowship at Providence Medford Medical Center . An RN Fellow at Providence St Joseph Health will experience a guided transition into their new specialty through structured curriculum, experienced preceptors and hands-on learning. If you are an RN ready to transition to a new...
-
Phoenix, United States Providence RN Full timeDescription RN - TeleNeuro Hospitalist Nurse Facilitator - Admit Discharge Transfer Resource Nurse at Providence Medford Medical Center in Medford, Oregon. This is a combined position that will be dedicated to two separate programs; the TeleNeuro Hospitalist program and the ADT program. TeleNeuro Hospitalist Nurse Facilitator Designated TelePresenter nurse...
-
RN- Home Health
7 days ago
Phoenix, United States Providence RN Full timeDescription The Registered Professional Nurse, under the direction of the Home Health Clinical Supervisor and on order of the physician, is accountable for direct and indirect quality care for patients of all ages, according to the individualized needs of the patient, following the nursing process and in accordance with the Oregon State Board of Nurse...
-
Phoenix, Arizona, United States RN Staff Full timeOverviewRN Staff is a leading healthcare staffing agency that connects compassionate professionals with rewarding career opportunities. We're dedicated to shaping the future of healthcare together.Job Details• Category: Travel Nursing• Location: Phoenix, Arizona• Position: Registered Nurse (RN) - PCU• Shift: Days/Nights Available• Duration: 13...
-
Utilization Review Specialist
3 days ago
Phoenix, Arizona, United States NeuroPsychiatric Hospitals Full timeAbout UsNeuroPsychiatric Hospitals is a leading healthcare provider with a unique approach to patient care. Our hospitals offer a comprehensive range of services, including neuropsychiatric and complex medical care, to patients with diverse needs.Job SummaryWe are seeking a highly skilled Utilization Review Coordinator to join our team. As a key member of...
-
Clinic RN
1 day ago
Phoenix, United States Providence RN Full timeDescription The Journey Clinic RN provides comprehensive nursing care for patients in an ambulatory care environment based on individual physical, emotional, spiritual needs, and appropriate care strategies throughout the lifespan. This position facilitates care coordination by using the nursing process to assess, identify, plan, implement, and evaluate all...
-
RN - Infusion
6 days ago
Phoenix, United States Providence RN Full timeDescription RN - Infusion at Providence Medford Medical Center - 0.8 FTE, Part-Time on a Day shift Join our team at Providence Medford Medical Center. As a Providence caregiver, you’ll apply your specialized training to deliver world-class health with human connection and make a difference every day through your extraordinary care. Required Qualifications:...
Preservice Review Nurse RN
1 month ago
Optum is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with our team will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come make an impact with an Early Careers research analyst opportunity on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. The Integrated Care Team leverages a cross-functional approach, supporting the member end to end, with close collaboration and co-management. Generally, work is self-directed and not prescribed; is able to work with less structured and more complex issues. The Preservice Review/Prior Authorization RN will manage the full array of health care services, spanning both outpatient and Inpatient settings and with support from some specialized clinical teams, serves as a resource to others. This new cross-functional collaboration provides an opportunity to deliver the next generation clinical model, integrating services from precertification, inpatient concurrent review, post-acute review, discharge planning, medical and behavioral care management and prevention to improve quality of care and patient outcomes. Candidates for this position would be required to support cross-training to multiple roles: Prior Authorization (PA), Post-Acute Care Management (PACM), Inpatient Care Management (ICM) and Discharge Care Management (DCM) to support fluctuating inventory within the Integrated Care Team. You’ll enjoy the flexibility to work remotely * from anywhere within the U.S. as you take on some tough challenges. Primary Responsibilities: Perform initial and ongoing reviews pertaining to primary role (PA, ICM, DCM, PACM), appropriately applying clinical criteria (InterQual, policies, National and Local Coverage Determinations) for approval and sending to Medical Directors if review is necessary for determining an adverse determination Collaborate with Medical Directors, clinical peers and Health Plan partners on performing appropriate clinical decision making and/or referrals Apply clinical expertise when discussing case with internal and external Case Managers and Physicians Follow all Standard Operating Procedures in end-to-end management of cases Participate in team meetings, education discussions and related activities Maintain compliance with Federal, State and accreditation organizations You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Current, unrestricted RN license in State of residency 3+ years of RN experience Proficient computer skills including Microsoft Office Suite (Teams, Word, Excel, and Outlook) Demonstrated ability to work independently Demonstrates effective verbal and written communication skills Ability to work weekends Preferred Qualifications: Prior Authorization experience Bachelor of Science degree in Nursing or a Master of Science degree in Nursing Compact RN License 2+ years of Case Management experience Clinical experience in an inpatient/acute setting, long-term care, acute rehabilitation, or skilled nursing facilities Experience performing Discharge Planning Experience with InterQual Utilization Review experience *All employees working remotely will be required to adhere to UnitedHealth Group’s Telecommuter Policy California, Colorado, Connecticut, Hawaii, Nevada, New Jersey, New York, Rhode Island, or Washington Residents Only: The hourly range for this role is $28.03 to $54.95 per hour. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. UnitedHealth Group complies with all minimum wage laws as applicable. In addition to your salary, UnitedHealth Group offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). No matter where or when you begin a career with UnitedHealth Group, you’ll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At UnitedHealth Group, our mission is to help people live healthier lives and make the health system work better for everyone. We believe everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately experienced by people of color, historically marginalized groups and those with lower incomes. We are committed to mitigating our impact on the environment and enabling and delivering equitable care that addresses health disparities and improves health outcomes — an enterprise priority reflected in our mission. Diversity creates a healthier atmosphere: UnitedHealth Group is an Equal Employment Opportunity/Affirmative Action employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. UnitedHealth Group is a drug - free workplace. Candidates are required to pass a drug test before beginning employment.
