Registered Nurse RN - Arizona

A company is looking for a Registered Nurse RN Medical Management Services. Key Responsibilities Manage health plan consumer/beneficiaries across the healthcare continuum to achieve optimal outcomes Provide pre-service determinations, concurrent reviews, and case management functions Collaborate with internal and external customers regarding prior authorization and utilization management issues Required Qualifications Registered Nurse (R.N.) licensure in the state of practice Bachelor's degree or equivalent experience Five years of clinical experience Working knowledge of care management and resource/utilization management Ability to work flexible hours and take rotating call after hours

Feb 12, 2025 - 12:35

A company is looking for a Registered Nurse RN Medical Management Services. Key Responsibilities Manage health plan consumer/beneficiaries across the healthcare continuum to achieve optimal outcomes Provide pre-service determinations, concurrent reviews, and case management functions Collaborate with internal and external customers regarding prior authorization and utilization management issues Required Qualifications Registered Nurse (R.N.) licensure in the state of practice Bachelor's degree or equivalent experience Five years of clinical experience Working knowledge of care management and resource/utilization management Ability to work flexible hours and take rotating call after hours