1169 Utilization Management Rn jobs in Tucson,AZ

Supervisor, Healthcare Services

Molina Healthcare

Tucson, AZ 85726

At least five (5) years of healthcare experience and at least two (2) years of managed care experience in one or more of the following areas: utilization management, care management, care transitions, behavioral health, or long-term services and supports (LTSS), or an equivalent combination of relevant education and experience.
Registered Nurse (RN), Licensed Clinical Social Worker (LCSW), Licensed Professional Clinical Counselor (LPCC), or Licensed Master of Social Work (LMSW).
Clinical licensure and/or certification is required only if mandated by state contract, regulation, business operating model, or state board licensing requirements. If licensed, the license must be active and unrestricted in the state of practice.
Ability to manage conflict and lead through change.
Operational and process improvement experience.
Strong written and verbal communication skills.
Working knowledge of the Microsoft Office suite.
Ability to prioritize and manage multiple deadlines.
Excellent organizational, problem-solving, and critical-thinking skills.

Komatsu

Tucson, AZ 85706

Bachelor's degree in engineering, mathematics, quality or computer science.
A combination of education and experience will be considered in place of a degree.
Quality Management System implementation and maintenance
4 years minimum:
Utilizing various quality standards and directives
Experience interpreting and ensuring compliance to QMS requirements

AMR

Tucson, AZ 85705

High school diploma or equivalent (GED)
Valid Driver's License
Current Registered Nurse license
Minimum 2 years of ICU RN or 5 years ED/CCT/Cardiac/Trauma RN experience (Non-negotiable)
Current ACLS, PALS, BLS-C (or equivalent) provider status
PHTLS and NRP Provider Certification (must obtain within 6 months of hire)
ICS courses, refer to FEMA \- IS-100B (ICS 100), IS-700A (NIMS)
Critical care inter-facility transfer experience; CEN, CCRN, TNCC or ENC Certification; BTLS/PHTL

Department of Veterans Affairs

Tucson, AZ 85723

ShiftKey, LLC

Tucson, AZ 85701

Optum

Tucson, AZ 85726

Current and unrestricted RN licensure in the state of practice
Current CPR certification or ability to complete within 90 days of hire
Current driver's license, valid vehicle insurance, and access to a dependable vehicle, or public transportation
Ability to function in any home situation regardless of age, race, creed, color, sex, disability, or financial condition of the client