Senior Clinical Admin Nurse: Care Navigator & Appeals
IntelliResume
UnitedHealth Group in Phoenix, AZ is seeking a Senior Clinical Admin Nurse to provide individualized attention to UMR members and assist with navigation of the health care system. The successful candidate will collaborate with healthcare teams and families to coordinate care transitions and ensure member understanding of options. The role requires an RN license, 4+ years of acute nursing experience, and 2+ years in case management, with a preference for med-surg, critical care, or ER #J-18808-Ljbffr IntelliResume
$60.2k - $107.4k
...'re simplifying the health care experience, creating healthier... .... Growing together The Senior Clinical Admin Nurse will be responsible for providing... ...and serves to assist with navigation of the health care system.... ..., including the appeal process Teach members how...SeniorRemote jobMinimum wageFull timeWork experience placementLocal areaMonday to Friday- UnitedHealthcare is hiring a Senior Clinical Admin Nurse to support UMR members and their families by coordinating care and guiding navigational support through the health system. Responsibilities... ...education, discharge planning, appeals support, and documenting activities...Senior
- UnitedHealthcare is seeking a Family Advocate Support CARE - Senior Clinical Admin Nurse to play a pivotal role in guiding UMR CARE Clinical members... ...coordination with multiple partners to support care and navigation while maintaining thorough documentation and compliance....SeniorRemote jobMonday to Friday
$60.2k - $107.4k
...UnitedHealthcare, we're simplifying the health care experience, creating healthier... ...across the continuum of care as a registered nurse providing guidance and education as appropriate... ...this program is to provide a front line clinical resource to provide education and support...SeniorRemote jobMinimum wageFull timeWork experience placementLocal areaWeekday work- ArchWell Health in Sun City, AZ is seeking a Care Navigator to create a welcoming experience for members and families from arrival through departure, guiding them to their care needs with empathy and professionalism. The role emphasizes strong customer service, teamwork...Senior
- ArchWell Health in Phoenix, AZ is seeking a Care Navigator to welcome members and guide them through the check-in process, ensuring a positive... ...brings a strong customer-service mindset, experience in a clinical setting, and proficiency with EMR systems, with Spanish...Senior
- Community Bridges, Inc. is seeking a Lead Navigator in Arizona to support individuals experiencing homelessness by conducting outreach, case management, and wrap-around services. The position requires recovery from substance use and/or mental health, along with 1-3 years...Senior
- ...during the pre-admission process. This full-time role from Monday to Friday requires collaboration with clinical teams to assess patient needs and coordinate care plans with families and physicians. A successful candidate will hold an RN or RT license, possess strong...Full timeMonday to Friday
- RN Oncology Navigator at Mayo Clinic in Phoenix coordinates care for cancer patients across multi-modality treatments, working with a multidisciplinary team... ...coordinate appointments, and support families, while meeting nursing standards and pursuing certifications; this role...Flexible hours
- ArchWell Health in Phoenix, AZ is seeking a Referral Coordinator to help members navigate the healthcare system, ensuring they meet with the right specialists in a timely manner. The ideal candidate will understand Medicare criteria, CPT/ICD-10 codes, EMR systems such...Senior
- .... You will oversee infusion staff, ensure efficient patient flow, and collaborate with leadership to maintain high-quality oncology care. The role requires BSN, Arizona RN license, 3 years oncology infusion experience, and BLS/ons credentials. You will drive staffing schedules...Senior
- Global Medical Response seeks a Nurse Navigator RN to guide patients through complex care journeys in a fast-paced, mission-driven environment. You will coordinate... ...between settings. Responsibilities include clinical assessments, patient and family education, and addressing...
- Why Mayo Clinic Mayo Clinic is top-ranked in more specialties than any other care provider according to U.S. News & World Report. As... ...AZ Remote NO Department Nursing Why Mayo Clinic Mayo Clinic... ...Responsibilities The RN Oncology Navigator is accountable for the...Remote workMonday to FridayFlexible hoursShift workDay shiftAfternoon shift
- New Freedom seeks a Clinical Department Supervisor III (Intake Supervisor) to provide clinical oversight, supervision, and operational leadership... ...partner with leadership to ensure high-quality, trauma-informed care across the organization, driving #J-18808-Ljbffr New Freedom...Senior
$186 per hour
" Licensed Psychiatric Nurse Practitioner Wage: Up to $186... ...boost your earnings, and focus on care - without the administrative... ..., and support to help you navigate insurance, streamline operations... ..., handling billing and admin paperwork, and helping you earn...Bi-weekly payFull timeFor contractorsPrivate practiceFlexible hours- Curana Health, Inc. is seeking a Psychiatric Nurse Practitioner (PMHNP) to deliver geriatric psychiatric care across SNF, LTC, AL, and IL settings. You will join a... ..., work-life balance, and opportunities to impact senior health outcomes in a growing value-based care organization...Senior
- Paycom recruits an Experienced Research Nurse to mentor, train, and lead a growing private practice research department in Arizona/Peoria... ...PIs, Sub-Is, and study teams. The role requires 4-6 years of clinical trials experience, RN licensure, and proficiency with EMR/CTMS...SeniorPrivate practice
- Blue Shield of CA is seeking a Senior Care Management Nurse to perform case management and develop care plans based on thorough assessments, coordinating with clinical nurses and treating physicians. The role requires a California RN license, BSN or higher preferred, CCM...SeniorWork at office
$34.15 - $50.37 per hour
...compassionate, high-quality healthcare as a Clinical Nurse . Working under the direction of a... ...professional, skilled, and age-specific care. In this role, you will collaborate with... ...email, internet searches, etc.) to navigate through an electronic medical record using...Hourly payTemporary work$34 - $45 per hour
...of Phoenix, a HumanGood community, is hiring a Nurse Supervisor LPN to lead the Wellness Team. You will oversee nursing care for residents, coordinate assignments with... ....00 per hour (DOE). Join HumanGood to support seniors and lead a compassionate team. #J-18808-Ljbffr...SeniorHourly payFull timeDay shift$114.5k - $119.5k
Soar Autism Center is seeking an experienced Clinical Director (BCBA), or Partner Clinician, to serve as a senior clinical leader for one to three centers, specializing... .... Roles focus on clinical outcomes, mentorship, and data-driven care. #J-18808-Ljbffr Tier1usaSenior- GI Alliance seeks an Experienced Research Nurse to mentor staff and lead complex clinical trials within a growing research department. You will ensure protocol adherence, regulatory compliance, and high-quality data collection while collaborating with PIs and Sub-Is. You...Senior
- ...is hiring a full-time Licensed Practical Nurse to work Sunday-Thursday, 9am-5pm in Peoria... ...supervising staff, implementing resident-centered care, and delivering nursing services such as... ...to physicians. Strong management and senior-care experience are preferred. #J-18808-Ljbffr...SeniorFull time
- Atlantic MEDsearch is seeking an experienced Geriatric Nurse Practitioner for a full-time outpatient position near Phoenix, AZ. The role focuses on geriatric primary care, with collaboration across cardiology, imaging, nutrition services, and on-site medication support....SeniorFull timeWork at officeRelocation package
- ...We have a full time position open for a clinical nurse in the GI/Hepatology Clinic. The ideal... ...hepatology/gastro providers to provide the best care possible for the families and patients.... ...support and guidance related to navigating ambulatory services and processes,...Full timeFlexible hours
- ...Fri, Days, 8am-5pm Category: Nursing Posting #: 1053687 Employee Type... ...Your Career and Patient Care Are you passionate about providing... ...gastro RN experience in a clinic and/or hospital environment.... ...support and guidance related to navigating ambulatory services and...Full timeShift work
- ...busiest and most dynamic outpatient clinics at Phoenix Children's, where our skilled nursing team provides infusion... ...will deliver compassionate, expert care in a fast-paced environment while... ...support and guidance related to navigating ambulatory services and processes...
$50k - $55k
Senior Medical Claims Processor (Hybrid) Healthcare shouldn’t be something... ...you worry about when taking care of your family. That’s why... .... We help real people navigate a system that is often confusing... ...coordinated claims Review and process appeals, accident letters, and medical...SeniorContract work- ...Arizona Department Name: Surg-Hosp Work Shift: Day Job Category: Clinical Care A rewarding career that fits your life. Those who have joined... ...of highly trained medical professionals. Our commitment to nursing excellence has enabled us to achieve Magnet recognition by the...SeniorPrice workFull timeWork at officeMonday to FridayShift workNight shiftWeekend work
- Phoenix Children's Hospital, Inc. is seeking an experienced clinical nurse for the Plastic/Hand Surgery clinic. The role is primarily at the... ...surgery plans, create orders, develop detailed follow-up care plans, and triage calls. The position is M-F, 8 AM - 4 PM, with...Weekend work
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