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Utilization Management Director
Phoenix, AZ within
RN Utilization Review( work from home)
TRC Staffing Services - Phoenix, AZ, USA
Min 2 years in managed care( preferably 3 years). Prior Health Plan experience preferred * Heavy UM ... This is a DIRECT HIRE opportunity. Call Cate for more details at 602-696-8151 Mon thru...
CareerBuilder - 3 Days ago
Care Manager & Concurrent Review RN
InSync Healthcare Recruiters - Phoenix, AZ, USA
Performs re-reviews on all status changes, collaborates with the Medical Director for appropriate ... well as utilization issues; e.g., over/under utilization, delay of service issues, ...
CareerBuilder - 3 Days ago
Care Manager & Concurrent Review RN
InSync Healthcare Recruiters - Chandler, AZ, USA
Performs re-reviews on all status changes, collaborates with the Medical Director for appropriate ... well as utilization issues; e.g., over/under utilization, delay of service issues, ...
CareerBuilder - 3 Days ago
Prior Authorization RN
InSync Healthcare Recruiters - Phoenix, AZ, USA
... the utilization of appropriate services. The Prior Authorization Nurse conducts review of ... to Medical Director for review. 14. Identify and report to Quality Management Departmen...
CareerBuilder - 3 Days ago
Nursing Admin/Director - RN - Updated
Northeast Healthcare Recruitment, Inc. -
Demonstrates an understanding of facility organizational structure by utilization of appropriate ... Ability to effectively present information and respond to questions from groups of manage...
TopUSAJobs - Today
Registered Nurse / Prior Authorization
Healthcare Support - Tempe, AZ, USA
... Physician or Medical Director with recommendations for other purposes * Completing medical ... Educate providers on utilization and medical management procedures * Provide clinical ...
CareerBuilder - 3 Days ago
Medical Director (Behavioral Health - Part Time )
Aetna - Phoenix, AZ, USA
Will provide leadership for medical policy implementation and utilization management services. The Medical Director will participate in the development, implementation, and evaluation of clinical ...
HealtheCareers.com - 12 Days ago
Medical Director
Healthcare Executive Connections - Phoenix, AZ, USA
Direct, lead and provide professional oversight for medical management activities related to utilization management, case management, disease management, and quality management activities. Support&nbs...
HealtheCareers.com - 14 Days ago
Senior Medical Director
Aetna - Scottsdale, AZ, USA
Direct the utilization review process and oversee the quality of utilization determinations. * Ensure compliance with clinical goals through monitoring care management performance. * Responsible for&n...
HealtheCareers.com - 26 Days ago
Managed Care Pharmacist
Rx relief - Tempe, AZ, USA
Job Description Managed Care Pharmacist Job Description Join one of the nation’s leading pharmacy ... utilization guidelines for Prior Authorization criteria * Assists the Director of Pharma...
ZipRecruiter - 9 Days ago
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