RN Utilization Management Supervisor - CA Licensed
Centene Corporation
Centene Corporation is seeking a senior utilization management supervisor to oversee Prior Authorization, Concurrent Review, and Retrospective Review teams. The role requires RN licensure with CA license consideration, and remote work options are available for candidates willing to obtain CA licensure before starting. The position emphasizes enforcing UM standards, coaching staff, and driving process improvements within a remote-friendly, multi-state environment. #J-18808-Ljbffr Centene Corporation
- ...Arizona. PURPOSE OF THE JOB The Utilization Review Supervisor coordinates the activities... ...field of study Required Licenses Active, current, and... ...Arizona as a Registered Nurse (RN) Required Certifications... ...Work Experience 1 year of managed care/health plan experience...SuggestedFull timeWork experience placementRemote work2 days per week1 day per week
- TriWest Healthcare Alliance seeks a Nurse to supervise daily Utilization Management operations under the TRICARE contract. You will coordinate across teams to meet contractual metrics and ensure quality, efficient care delivery. The role builds staff capability and supports...SuggestedRemote jobContract work
- ...Directional Drill experience. The ideal candidate must have at least three years of experience operating excavation equipment in the utility industry. Candidates should have strong technical skills and be physically capable of handling demanding conditions. This role...Suggested
$59.5k - $116.6k
...UnitedHealth Group is seeking a Utilization Management Nurse RN to work remotely from anywhere in the U.S. This role involves ensuring efficient health services and requires an active RN license and 3+ years of Managed Care or Clinical experience. The successful candidate...SuggestedRemote workWeekend work$40 - $55 per hour
...is seeking an experienced and motivated Utility-Scale Horizontal Directional Drilling... ...closely with the Superintendent and Project Management team, the Horizontal Directional... ...project schedules require • Valid driver's license with an acceptable driving record • Ability...SuggestedHourly payFor contractorsFor subcontractorLocal area$82k - $93k
...The Fiber and Copper Splicing Supervisor position supervises a... ...of Pauley Construction is to manage a team of three to four splicers... ...Must possess a valid driver's license Must be able to pass a background... ...and maintenance of utility systems further offering regional...For contractorsWork at officeLocal areaShift workNight shiftWeekend work- ...assigned System Operations General Manager, this position is responsible... ..., train and develop future supervisors (succession planning) to meet... ..., Education, Certifications, Licenses, etc.): High school... .../team members Ability to utilize a personal computer....Contract workApprenticeshipWork experience placement
- TriWest Healthcare Alliance is seeking an RN to supervise daily Utilization Management operations for the DoD/TRICARE contract. The role coordinates across... .... Requirements include an active registered nurse license, 3+ years in healthcare with leadership experience, and...Remote jobContract work
- ...successfully passed the NASCLA National Association of State Contractors Licensing Agencies examinationIn addition candidates must meet the... ...and meet key milestones Scheduling & Coordination Develop and manage short term look ahead schedules aligned with the master project...Full timeTemporary workFor contractorsWork experience placementFor subcontractorWork at officeImmediate startFlexible hoursShift work
- ...Arizona, Arizona Department Name: Utilization Mgmt Work Shift: Day Job... ...in the Grand Canyon State. As an RN Utilization Management Care Reviewer, you will be an important... ...unrestricted State Registered Nursing (RN) license in good standing. MCG certification or...Full timeRemote workMonday to FridayShift work
- ...Description: Must possess a valid AZ driver license with clean record Requires ability to... ...and or coaxial cables Interprets utility locating marks Reads with understanding... ...contact the Primoris Talent Acquisition Manager directly for consideration. Primoris or its...Weekly payFor contractors
- ...Description: Must possess a valid AZ driver license with clean record Requires ability to lift 70 lbs. Successfully completes... ...with crew to pull fiber and or coaxial cables Interprets utility locating marks Reads with understanding gov't agency permit...
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure appropriate utilization of health services and coordinate plans of care. This role... ...requires strong clinical nursing experience and an RN license. You will collaborate with Clinical Services and...Remote job
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services and coordinate plans of care. This role... ...and discharge planning. The ideal candidate holds an RN license and has 3+ years of clinical nursing experience, with...Remote jobWork at office
- UnitedHealth Group is seeking an Inpatient Care Management Nurse to ensure proper utilization of health services by assessing member needs and coordinating... ...of clinical nursing in acute settings and an active RN license. You will perform reviews using criteria (MCG/...Remote job
- HonorHealth is seeking an experienced RN in the Operating Room for the Sonoran Crossing Medical Center in Phoenix, AZ. The role oversees patient care, staff development, and collaboration with physicians, with an evening shift (12:00 PM-8:30 PM) and a $20k sign-on bonus...Relocation packageAfternoon shift
$21 per hour
...Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients. CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-...Full timeWork experience placementWork at officeRemote workHome officeMonday to FridayShift workDay shift- A healthcare facility in Sun City, Arizona is seeking a dedicated Registered Nurse (RN) to join its team. The role includes supervising staff, monitoring and implementing patient care plans, and administering medications. Candidates must have current RN Licensure and CPR...
- ...Coordinators (LPN) (NLC) (LVN) work comprehensively with providers to deliver value-based care management initiatives for their patients.CareHarmony is seeking an experienced Licensed Practical Nurse – LPN Nurse (LPN) (NLC) (LVN) with at least 3 years of direct patient-...Full timeWork experience placementRemote workMonday to FridayDay shift
- Phoenix Children's Hospital, Inc. seeks an experienced RN Supervisor to lead the Neuro Renal Transplant team on a full-time night shift (7pm-7:30am). This role focuses on clinical leadership, mentoring staff, and guiding daily operations with a family-centered approach....Full timeNight shift
$71.1k - $97.8k
...Become a part of our caring community The Utilization Management Registered Nurse uses clinical nursing skills to interpret and support... ...Required Qualifications: Must hold Compact Registered Nurse (RN) license in your state of residence Greater than one year of...Bi-weekly payFull timeTemporary workApprenticeshipWork at officeRemote workHome office- ...Communications, the Dispatch Supervisor will oversee all dispatching... ...calls to appropriate management personnel who are best suited... ...company procedure as required. Utilizes appropriate Emergency Medical... ...EMD and for other required licenses and certifications as required...Local areaShift workNight shift
$40 - $48 per hour
...within our Phoenix AZ office as a Paving Supervisor within the Construction Department... ...Must be 21 years old, have a valid driver license with clean driving record & health card... ...customer specifications, outside agencies, utility companies, Ability to communicate effectively...Full timeWork at office- ...based on employment status. Operations Management: ~ Champion perfect safety, perfect... ..., across all functional teams utilizing T1, T2 boards, identifying actions to improve... ...and new manufacturing experience ~ A&P license or previous repairmen certificate holder...Permanent employmentLocal areaFlexible hoursShift workDay shiftAfternoon shift
- Safe Site Utility Services is seeking a Private Utility Locator/SUE Technician to lead subsurface utility locating efforts with advanced... ...have at least two years in private locating, hold a valid license, and communicate clearly with clients and team members. #J-188...
- ...Job Shift: Any Job Category: Management POSITION PURPOSE To manage... ...members accordingly. Monitor and utilize property procedures for... ...requested by direct and indirect Supervisors. PHYSICAL DEMANDS... ...industry systems preferred. LICENSES OR CERTIFICATIONS Ability to...Full timeShift work
- Quail Run Behavioral Health Hospital in Phoenix seeks a dynamic Utilization Management Coordinator to join our utilization review team. This PRN role supports certification and recertification of benefits for patients during their stay and collaborates with the treatment...Relief
- ...planning, scheduling, employee oversite, and management of industrial and electrical... ...employees engaged in construction process, utilizing knowledge of equipment, techniques, procedures... ...with all Microsoft Office products. Drivers license with a clean driving record....Work at office
- Pine Park Health seeks a Remote Registered Nurse with an active California RN license to support older adults from a home office, serving California, Nevada and Arizona through a tech‑enabled primary care model. You will collaborate with PCPs and Medical Directors, triage...Remote jobHome office
$22 per hour
...Professional Security Shift Supervisor Allied Universal Services... ...between site supervisor, Account Manager/Field Operations Manager and... ...and instructions Licensing requirements are subject to state... ...Intermediate computer skills to utilize innovative, wireless technology...Work at officeLocal areaShift work
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to RN Utilization Management Supervisor - CA Licensed. Be the first to apply!
- med surg medical surgical rn registered nurse Phoenix, AZ
- full-time registered nurse rn Phoenix, AZ
- mental health rn Phoenix, AZ
- work from home rn insurance Phoenix, AZ
- wound care rn Phoenix, AZ
- outpatient clinic - rn Phoenix, AZ
- nicu rn Phoenix, AZ
- rn ambulatory surgery Phoenix, AZ
- rn transport Phoenix, AZ
- ccu rn Phoenix, AZ


