utilization management rn jobs in Phoenix

The Utilization Management (UM) Nurse Supervisor is responsible for providing direct leadership and oversight to the UM nursing team. This role ensures team performance, accountability, and professional development by conducting regular 1:1s, managing performance reviews, and driving compliance with organizational, state, and federal requirements. The...

Highmark Health is seeking a seasoned Product Management leader for Utilization Management. You will direct strategy, roadmap, and value realization, partnering with UM operations and delivery to shape the UM portfolio and business outcomes.The role requires 7 years in product management and 5 years in leadership, plus deep knowledge of health insurance...

Become a part of our caring community The Utilization Management Clinical Pharmacist 2 (VSP/PT) is a clinical pharmacist who completes medical necessity and comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management Clinical Pharmacist 2 (VSP/PT) work assignments are varied and frequently require...

Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support the coordination, documentation and communication of medical services and benefit administration determinations. You will report to the Manager of Utilization Management and serve as a member of the One Home/Home Solutions...

Nurses needed in Scottsdale and North Phoenix!Nurses Network by Quality Home Health Care, one of Arizona’s longest-standing, privately-owned home health agencies is currently seeking dedicated and compassionate healthcare professionals to join our team of skilled home health care providers. The ideal candidate will have a strong commitment to providing...

Overview Full-time days Make a difference every day as an Amedisys registered nurse case manager Join Amedisys -one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Attractive pay $85,800.00 - $95,000.00 What's in...

Caring. Connecting. Growing together. Primary Responsibilities:         At United Health 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...

Please visit: https://qts.hrnext.com/JobApplication.aspx?jobpostingkey=e1346c9a-ed74-4443-b175-0d2b3432a1d6 Registered Nurse, Fulltime DUTIES AND RESPONSIBILITIES:Apply specific criteria for admission and re-certification to establish the patient’s eligibility and appropriate levels of care.Assess the impact of the terminal diagnosis on the patient’s...

UnitedHealth Group is seeking a Senior Clinical Admin Nurse to support UnitedHealthcare in Phoenix, helping members navigate the health care system and coordinating with clinicians and partners to improve access and reduce costs.The role focuses on case management, education for members, adverse determinations support, and precise documentation for...

Company Name: Sun Valley Home Healthcare.About Us:At Sun Valley Home Healthcare, we are committed to delivering exceptional, patient-centered care in the comfort of our patients' homes. We prioritize the well-being and independence of those we serve, offering compassionate, comprehensive home health services. As part of our growing team, you will play a key...

Job DescriptionPlease read the following job description thoroughly to ensure you are the right fit for this role before applying.PROJECT ENGINEER (Utilities) - Phoenix, AZThis role of Project Engineer is responsible for preparation of detailed design drawings and contract documents for water and wastewater infrastructure projects involving water supply...

Overview Hospital Name: Banner Rehabilitation Hospital Partnership with Select Medical Position: Case Manager ( RN / SW) Location: Phoenix, AZ Schedule: Per Diem onsite week day coverage needed Compensation: $45.00 per hour Previous experience in hospital or skilled nursing facility Case Management and Discharge Planning required. Our...

Job Summary Manages day-to-day construction activities, including supervision of craft employees and subcontractors. Schedules field activities in coordination with the project schedule. Is responsible for safety, production goals, quality control, and cost control. May supervise one or more craft groups and/or scopes of work. This position includes three...

Explore opportunities with Casa de la Luz East Valley, a part of LHC Group, a leading post-acute care partner for hospitals, physicians and families nationwide. As members of the Optum family of businesses, we are dedicated to helping people feel their best, including our team members who create meaningful connections with patients, their families, each...

CVS Health is seeking a licensed RN to join American Health Holding, Inc (AHH) as a remote Case Manager. This telephonic role serves across multiple states for fully and self-insured clients, with virtual training and ongoing support.The position requires strong case management skills, oncology experience, and active licensure. You will collaborate with care...

Select Specialty Hospital Case Manager (PRN) Requires a current licensure in a clinical discipline either as a Nurse or a Respiratory Therapist OR Social Work SW/MSW (potential license per state guidelines). And Previous discharge planning experience highly preferred. *Availability to work a minimum of 2 shifts per month on an "as needed" basis - shifts...

Amedisys in Phoenix, AZ is hiring a Registered Nurse Case Manager for full-time daytime shifts. You will perform patient assessments, develop and implement a care plan, and collaborate with the care team to help patients heal at home.This role offers competitive pay, comprehensive benefits, PTO, 401(k), and opportunities for professional growth. You will...

Sundt is seeking a Field Supervisor to manage daily construction activities, supervise craft employees and subcontractors, and align field work with the project schedule. The role emphasizes safety, cost control, quality, and coordination across teams on underground utility projects.The position supports multiple foremen/crews, with progression through three...

RN Case Manager Bristol Hospice Phoenix, AZ - Tempe, AZ 85282 Overview Salary Range $45.00 - $55.00 Hourly Position Type FT Salary Job Shift Day Description Are you a Registered Nurse who thrives on providing compassionate, whole-person care—and wants to be more than just a caregiver, but a true advocate, companion, and comfort to patients and their...

Banner Surgery Center – Camelback, operated under Atlas Healthcare Partners in Phoenix, seeks an experienced nursing leader to supervise clinical operations and Preop/PACU patients. You will manage finances, staffing, and resource allocation to ensure high-quality patient care.The role emphasizes staff development, interdisciplinary collaboration, and...