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Utilization Management Nurse (RN)

APN Staffing & Employment Solutions Phoenix ,AZ
  • Expired: over a month ago. Applications are no longer accepted.
Job Description

Utilization Management Registered Nurse (RN)
Phoenix, Arizona

As a Utilization Management RN, you will be responsible for performing health care utilization management, prior authorization, concurrent hospital review and care coordination (specialized course of treatment and regular care monitoring) for children with qualifying chronic health/medical conditions in foster care throughout the State of Arizona.

Responsibilities

  • Gather and analyze documentation from various entities that can include health plans, behavioral health, providers, protective agencies and other involved parties.
  • Review medical evaluations, member files, protective agency reports and provider records.
  • Analyze incidents that indicate abuse, neglect, training and/or systemic issues within the Division or associated providers.
  • Conduct trending to determine the success of interventions; make recommendations for continuous improvement.
  • Prepare and present cases to the Peer Review Committee.
  • Conduct Root Cause Analyses to determine facts/cause of negative outcomes.
  • Participate in annual audits and develops/revises policy and procedures.

Requirements

  • Day shift positions.
  • Must have an active AZ RN license.
  • Must be able to pass a 7 year background check.

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Company Description
APN Staffing and Employment Solutions is a recruiting firm specialized in working with clients and candidates in the healthcare and automotive industry. While hiring employees can be an extremely rewarding experience, it takes time and attention that companies don’t often have.

Since 1991, APN has placed over 15,000 candidates by listening to the needs, personality and style of clients and candidates to find the right fit for the team. Working with companies of all sizes in the private, non-profit and government sectors to provide permanent placements, temporary-to-permanent placements and contract staffing, APN prides itself on our ability to retain client and candidate relationships. What was originally a small business with one employee specializing in the automotive industry is now a profitable company spanning multiple industries, working with clients and candidates across the country.

Nearly 30 years later, our mission still stands strong – “To provide our clients with the best”, and we will do that for you with honesty and integrity.

We are an equal opportunity employer and welcome applications from all suitably qualified persons regardless of their race, sex, disability, religion/belief, sexual orientation or age.

Please contact us for more information!

APN Staffing & Employment Solutions

APN Staffing and Employment Solutions is a recruiting firm specialized in working with clients and candidates in the healthcare and automotive industry. While hiring employees can be an extremely rewarding experience, it takes time and attention that companies don’t often have. Since 1991, APN has placed over 15,000 candidates by listening to the needs, personality and style of clients and candidates to find the right fit for the team. Working with companies of all sizes in the private, non-profit and government sectors to provide permanent placements, temporary-to-permanent placements and contract staffing, APN prides itself on our ability to retain client and candidate relationships. What was originally a small business with one employee specializing in the automotive industry is now a profitable company spanning multiple industries, working with clients and candidates across the country. Nearly 30 years later, our mission still stands strong – “To provide our clients with the best”, and we will do that for you with honesty and integrity. We are an equal opportunity employer and welcome applications from all suitably qualified persons regardless of their race, sex, disability, religion/belief, sexual orientation or age. Please contact us for more information!

Address

Phoenix
Phoenix, AZ
USA

Website