Clinical Review Nurse

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   This is a remote role - MTN or PST preferred. Position Purpose: ...

You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering competitive benefits including a fresh perspective on workplace flexibility.   This is a remote role - MTN or PST preferred. Position Purpose: ...

Demonstrates fiscal responsibility related to patient needs, resource utilization, payer requirements and organizational goals. Screens patients for admission criteria (medical necessity/patient status/level of care) utilizing InterQual® criteria and documenting the review in the CERME® software system. Conducts reviews as established by CMS guidelines and...

ESSENTIAL FUNCTIONS: Provide consultation and guidance regarding admissions and patient length of stay to a variety of payers. Secure authorizations with insurance companies for inpatient treatment and continue to obtain authorizations for duration of patient stay. Evaluate the utilization program for compliance with regulations, policies and...

**Primary City/State**: Tucson, Arizona **Department Name**: PPA-Cortaro-Clinic **Work Shift**: Day **Job Category**: Nursing **$10,000 sign on bonus!** - Eligibility for the sign-on requires 1 or more years of experience and a 24 month commitment. Nurses are the heartbeat of health care and we are committed to keeping our nurses’ hearts happy and...

JOB SUMMARY The Clinical Team Lead is responsible for ensuring that patient care is coordinated and managed appropriately. The Clinical Team Lead is responsible for ensuring that care and services are delivered appropriately and for the supervision of clinical personnel. DUTIES & RESPONSIBILITIES 1. Ensures a Clinical Manager/Supervisor is available during...

Clinical Pharmacist Per Diem - Clinical Pharmacy Job CategoryProfessional SchedulePer Diem ShiftRotating Shift SUMMARY: Clinical Pharmacist is responsible for providing clinical services in an inpatient setting. Responsibilities include collaboration with nursing and medical staff with medication chart reviews that will assist in the optimization of...

Clinical Pharmacist Per Diem - Clinical Pharmacy Job CategoryProfessional SchedulePer Diem ShiftRotating Shift SUMMARY: Clinical Pharmacist is responsible for providing clinical services in an inpatient setting. Responsibilities include collaboration with nursing and medical staff with medication chart reviews that will assist in the optimization of...

Job Description:Develops, plans, implements, analyzes, and organizes clinical operations for a specific location managed.Conducts/delegates the assessment and reassessment of patients, including updating of care plans and interpreting patient needs, while adhering to Company, physician, and/or health facility procedures/policies.Manages the assignment of...

**Company Description** MGA Homecare has been providing Private Duty Nursing, Skilled Nursing Visits, Occupational Therapy, Physical Therapy, and Speech Therapy services within the home and community-based setting for over a decade. In 2022 MGA has opened its doors to MGA Behavior Therapy which offers Applied Behavior Analysis (ABA) and early behavior...

**Primary City/State**: Tucson, Arizona **Department Name**: Banner Staffing Services-AZ **Work Shift**: Day **Job Category**: Nursing **This is a Monday through Friday, Day shift, the RN must be able to work 8 hour shifts, our clinic is offering flexibility (the RN must be able to work at least 3 days a week).** The RN will be responsible for helping...

Primary City/State:Tucson, ArizonaDepartment Name: C/P-OB/GYN-Clinic-NCWork Shift: DayJob Category:Nursing$10,000 sign on bonus! *Eligibility for the sign-on requires 1 or more years of experience and a 24 month commitment.Nurses are the heartbeat of health care and we are committed to keeping our nurses’ hearts happy and healthy. This means investing in...

POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing...

POSITION SUMMARY This position assesses, plans, implements, evaluates and documents nursing care of patients in accordance with organizational policies and in accordance with standards of professional nursing practice utilizing the framework for professional nursing practice and development. This position is accountable for the quality of nursing...

Are you a registered nurse with a passion for improving the quality of patient care? And are you looking for better work-life balance — without having to work nights and weekends, and with paid holidays? If so, this may be the ideal career for you. As a clinical performance nurse (CPN) with Sound’s hospitalist team. You’re a collaborative team member...

Are you a registered nurse with a passion for improving the quality of patient care? And are you looking for better work-life balance — without having to work nights and weekends, and with paid holidays? If so, this may be the ideal career for you. As a clinical performance nurse (CPN) with Sound’s hospitalist team. You’re a collaborative team member...

**Primary City/State**: Tucson, Arizona **Department Name**: PBC-FP Alvernon-Clinic **Work Shift**: Day **Job Category**: Nursing **$10,000 sign on bonus!** - Eligibility for the sign-on requires 1 or more years of experience and a 24 month commitment. Nurses are the heartbeat of health care and we are committed to keeping our nurses’ hearts happy and...

R4374458 Primary City/State:Tucson, ArizonaDepartment Name: C/P-PPA-BUM-Dermatology-ClinicWork Shift: DayJob Category:Nursing$10,000 sign on bonus! *Eligibility for the sign-on requires 1 or more years of experience and a 24 month commitment.Nurses are the heartbeat of health care and we are committed to keeping our nurses’ hearts happy and healthy. This...

R4374458 Primary City/State:Tucson, ArizonaDepartment Name: C/P-PPA-BUM-Dermatology-ClinicWork Shift: DayJob Category:Nursing$10,000 sign on bonus! *Eligibility for the sign-on requires 1 or more years of experience and a 24 month commitment.Nurses are the heartbeat of health care and we are committed to keeping our nurses’ hearts happy and healthy. This...

**BAYADA Home Health Care** is currently seeking a full-time** Registered Nurse** to be a Clinical Associate in our Medicare certified home health office in **Tucson, AZ. **As the Clinical Associate you will be on a fast-track to become a Clinical Manager. You will learn to lead the field staff in providing exceptional client service, clinical excellence,...