RN: Prior Authorization & Care Coordination Expert
4004 Aetna Medicaid Administrators
4004 Aetna Medicaid Administrators is looking for an experienced RN to review prior authorizations for healthcare services. This full-time role involves documentation, care coordination for members with disabilities, and critical evaluation of medical necessity. The ideal candidate has over 5 years of clinical experience, a valid RN license in Arizona, and strong communication skills. A comprehensive benefits package is offered, including medical, dental, and retirement options. #J-18808-Ljbffr
- A global medical assistance provider is seeking a Coordinating Nurse in Phoenix, Arizona. The ideal candidate will manage routine medical activities... ...and triage experience are essential, along with a valid RN license in Arizona. This role may involve travel for other...Suggested
- ...of drug therapies to include review of prior authorization requests according to FEP member benefits... ...or more experience in the managed care pharmacy field Required Education Doctor... ...implementation of corrective actions as requested. Coordinate activities between multiple divisions...SuggestedFull timeWork experience placementWork at officeRemote workFlexible hoursShift work1 day per week
- ...Community Bridges in Arizona is seeking a Health Care Case Manager to serve as a liaison for veterans, providing essential case management and care coordination services. This role involves collaboration with a multidisciplinary team to deliver veteran-centered care. The...Suggested
$156.42k - $161.63k
...Akicita Federal, LLC is seeking a qualified Outpatient Registered Nurse (RN) to provide nursing services at the Hopi Health Care Center in Polacca, AZ. The ideal candidate will have an active RN license, a minimum of 2 years of experience, and certifications in BLS, ACLS...SuggestedMonday to Friday- ...Arthritis and Rheumatology Research, PLLC is seeking an ambitious and compassionate Infusion RN to join our team in Phoenix, Arizona. The ideal candidate will assist with patient care, administer medications, and work closely with the providers in the infusion suites. This...Suggested
- ...-time Registered Nurse PreOp/PACU at Mountain View Surgery Center in Glendale, Arizona. The role involves providing quality patient care and supporting surgical procedures while ensuring the highest standards of health and safety. Candidates must have a valid Arizona Nursing...Full time
- ...United Surgical Partners International, Inc is hiring a full-time RN PACU to provide comprehensive nursing care in Scottsdale, Arizona. This role involves continuity of care, assisting physicians, and managing patient safety during recovery from anesthesia. Qualified candidates...Full time
- ...seeking a Registered Nurse for the Preoperative and Post-Anesthesia Care Unit (PACU) in Phoenix, Arizona. This role involves providing... ...anesthesia. The ideal candidate must be a graduate of an accredited RN School, possess an active RN license in Arizona, and have...
- 20 Deer Valley Medical Center in Phoenix, Arizona seeks a Registered Nurse for their Critical Care Unit. The role involves various responsibilities, including assessing patient needs, creating care plans, and ensuring high-quality patient care. Candidates are required...Relocation packageNight shift
- ...is looking for a dedicated Registered Nurse to provide exceptional patient care in the Medical/Surgical Unit. Ideal candidates will have an associate's degree in nursing and at least 1 year of RN experience. The role requires Arizona RN licensure and BLS certification,...Relocation package
$36.94 - $54.49 per hour
...Valleywise Health is seeking an experienced Ostomy/Wound Care RN in Phoenix, AZ. This role focuses on developing patient care plans, conducting education, and serving as a resource for care teams. Candidates must have a bachelor's degree in nursing, appropriate nursing...Hourly pay- ...Catheterization Lab in Phoenix, Arizona. The role involves assessing, planning, implementing, and evaluating nursing care for patients. Candidates should possess an RN license and certifications in BLS and ACLS. Previous critical care experience is preferred. This position...Relief
- ...the opportunity to perform advanced aesthetic procedures, ensuring exceptional patient care through thorough consultations and meticulous record-keeping. Ideal candidates will have an RN license in Arizona and at least 2 years of experience in a MedSpa or clinical setting...
- ...planning, implementing, and documenting nursing care for patients. Candidates must hold an... ...’s Degree in Nursing and possess a valid RN license. This role emphasizes continuity of... ...environment. An ideal candidate will have prior nursing experience and a commitment to...
- ...Ceridian HCM is hiring a part-time Circulating Registered Nurse (RN) at the Banner Surgery Center in Phoenix, Arizona. This role involves... ...patient assessments, planning, implementing, and evaluating care according to professional standards. Candidates must have an associate...Part time
- ...Fresenius Medical Care is seeking a Staff Registered Nurse in Glendale, Arizona, to provide quality patient care as part of the hemodialysis healthcare team. The role includes directing patient care technicians, educating patients on renal disease, and ensuring compliance...
- ...Mountain Park Health Center in Phoenix, Arizona, is seeking a dedicated Registered Nurse (RN) to work collaboratively with the care team in providing efficient and effective care. This role involves assessing and supporting patients, leading educational programs for staff...
- ...for a qualified Registered Nurse to provide comprehensive patient care. The role involves assessing patient needs, formulating care... ...services in a collaborative environment. Applicants must have a current RN license and at least one year of experience in an acute care...
$90.6k - $136.01k
...more specialties than any other care provider according to U.S.... ...Responsibilities The Transplant Coordinator Nurse is accountable for the... ...Minimum 1 year of clinical RN experience required, 3 years... ...'s Form I-9 to confirm work authorization. Recruiter Adisa...Full timeMonday to FridayFlexible hoursWeekend work- ...A healthcare provider in Phoenix, AZ is seeking a Registered Nurse (RN) to deliver and coordinate patient care in an office setting. The RN will assess diverse patient needs, implement nursing care plans, and collaborate with other healthcare professionals to ensure optimal...Work at office
$71.1k - $97.8k
...Utilization Management Registered Nurse to support the coordination and determination of medical services. The role... ...healthcare providers and ensuring appropriate care for members. Candidates should hold a Compact RN license and possess over a year of clinical nursing...Remote work$26.41 - $51.49 per hour
...members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including... ...a candidate with an Arizona RN licensure. The ideal candidate will have experience with UM and prior authorization with both inpatient and outpatient....Hourly payWork experience placementWork at officeRemote workMonday to FridayWeekend work- ...The Mayo Foundation for Medical Education and Research in Phoenix, Arizona is seeking a Registered Nurse (RN) to coordinate patient care. This role requires excellent communication and critical thinking skills, along with the ability to work flexible hours in a dynamic...Flexible hours
- ...opportunity to work with a caring team and positively impact patient... ...of Intake, the Intake RN is responsible for the timely... ...of inquiry/referral calls, coordination of all admissions processes... ...responsible for the verification and prior authorization of insurance benefits as...Daily paidFull timeReliefLocal areaNight shift
$60.2k - $107.4k
...members through telephonic outreach, assisting in health care navigation and care coordination. This role requires clinical expertise and strong customer... ...service skills. The ideal candidate must hold a current RN compact license and have at least 2 years of nursing experience...Remote work- ...Blick Rothenberg (Previously Greenback Alan LLP) is seeking a Registered Nurse (RN) in Phoenix, Arizona, responsible for delivering and coordinating outstanding patient care. The RN will assess patient needs, supervise care delivery, and collaborate with healthcare teams...
- ...Dignity Health Medical Group is looking for a Navigator RN in Phoenix, Arizona. In this role, you will provide expert nursing guidance to patients navigating healthcare journeys, assess their needs, and coordinate care across providers. This position requires a Bachelor's...
$21.96 - $31.01 per hour
...As our Surgery Procedure Coordinator, you will be a central pivot,... ...pre/post-op information, and expertly managing financial/insurance details to secure prior authorizations. To be successful in this... ...providing a basic level of patient care and treatment. Assists with...Work at office$45.33 - $68.03 per hour
...ranked in more specialties than any other care provider according to U.S. News & World... ...The Procurement Transplant RN Coordinator coordinates all aspects of solid organ... ...new employee's Form I-9 to confirm work authorization. Recruiter Adisa Velic #J-18808-Ljbffr...Full timeImmediate startRemote workFlexible hoursNight shiftRotating shiftDay shift- ...staffing company is seeking a PRN Nurse Coordinator in Phoenix, AZ. The role requires providing... ...per policies. Candidates must possess an RN license and BLS certification, with a... ...hours and various responsibilities focused on patient care and safety. #J-18808-Ljbffr...ReliefFlexible hours
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