• Physician Advisor

    Dignity Health (Prescott, AZ)
    …www.yrmc.org #hellohumankindness **Responsibilities** **Position Summary:** Reporting to our CMO, the Physician Advisor plays a critical role in promoting ... align with facility utilization initiatives (ie leverage the leadership influence of Physician Advisor by mobilizing other physicians and staff). Provide… more
    Dignity Health (12/11/24)
    - Save Job - Related Jobs - Block Source
  • Physician Advisor Denials Management

    CommonSpirit Health (Phoenix, AZ)
    …our hospitals and out in the community. **Responsibilities** The Utilization Management Physician Advisor II (PA) conducts clinical case reviews referred by ... and understanding of documentation importance + Assists in communications of internal physician advisor services in the hospital newsletters and other… more
    CommonSpirit Health (01/12/25)
    - Save Job - Related Jobs - Block Source
  • System Physician Advisor

    CommonSpirit Health (Phoenix, AZ)
    …our hospitals and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... Understand the intricacies of the Medicare Inpatient Prospective Payment System (IPPS) to make medical determinations on severity of...+ Minimum of 1 year of experience as a Physician Advisor preferred. + Minimum of 5… more
    CommonSpirit Health (12/23/24)
    - Save Job - Related Jobs - Block Source
  • Lead RN Specialist Clinical Documentation

    HonorHealth (Phoenix, AZ)
    …resolving mismatched DRGs. Coordinates with the HIM/CDI Director, CDI Manager and the CDI Physician Advisor to identify physician and service line education ... together. HonorHealth is one of Arizona's largest nonprofit healthcare systems , serving a population of five million people in...to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities… more
    HonorHealth (01/01/25)
    - Save Job - Related Jobs - Block Source
  • RN Utilization Review Specialist

    HonorHealth (Scottsdale, AZ)
    …reviews, conducts follow-up reviews, and escalates secondary reviews to Physician Advisor as necessary. Maintains a system to identify admissions with ... to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities...to contract guidelines. Works with medical records, finance and physician groups to develop systems to facilitate… more
    HonorHealth (12/03/24)
    - Save Job - Related Jobs - Block Source
  • Nurse Medical Case Manager - Workers Compensation

    Travelers Insurance Company (Phoenix, AZ)
    …+ Engage specialty resources as needed to achieve optimal resolution (Dial-a-doc, physician advisor , peer reviews, MCU). + Partner with Claim Professional ... an overall strategy to achieve an optimal outcome. + Utilize internal Claim Platform Systems to manage all claim activities on a timely basis. + Utilize Preferred… more
    Travelers Insurance Company (01/09/25)
    - Save Job - Related Jobs - Block Source
  • Sr. Advisor , Practice Performance

    Evolent (Phoenix, AZ)
    Advisor will be primarily responsible for primary care physician IPA (Individual Practice Association and/or MSO (Management Services Organization) engagement ... seek to connect the pieces of fragmented health care system and ensure people get the same level of...journey. We are hiring for a Senior Practice Performance Advisor to join our Provider Relations Team. **Collaboration Opportunities:**… more
    Evolent (11/27/24)
    - Save Job - Related Jobs - Block Source
  • Pediatric Faculty Physician

    Dignity Health (Phoenix, AZ)
    …pursuit of excellence through scholarly activities. As part of the Dignity Health hospital system , DHMG has full access to the staff and all facilities on our ... residency and clinical leadership. + Serve roles as Mentor and Faculty Advisor + Participation on clinical, quality, administrative and medical education committees… more
    Dignity Health (01/04/25)
    - Save Job - Related Jobs - Block Source
  • Patient Access Coord - PRN

    LifePoint Health (Bullhead City, AZ)
    …required payments including co-pays and deductibles, or refer them to the Benefits Advisor , when appropriate. Use the hospital computer system for making account ... number, notify medical records for any duplicate medical record number. Checks the physician order(s) for patient name, date of birth, physician signature, test,… more
    LifePoint Health (01/05/25)
    - Save Job - Related Jobs - Block Source
  • APP Clinical Program Manager - Cardiothoracic…

    HonorHealth (Scottsdale, AZ)
    …transform healthcare together. HonorHealth is one of Arizona's largest nonprofit healthcare systems , serving a population of five million people in the greater ... care, HonorHealth strives to go beyond the expectations of a traditional healthcare system to improve the health and well-being of communities across Arizona. Learn… more
    HonorHealth (12/04/24)
    - Save Job - Related Jobs - Block Source
  • Sr. Director, Medicaid Quality Management

    Banner Health (Tucson, AZ)
    …managed care systems . CORE FUNCTIONS 1. Serves as the primary advisor to the organization's senior management; Leads leaders. 2. Sets the department budget ... are highly desirable. Located in Arizona, and an Arizona-licensed RN, physician , physician assistant in good standing or CPHQ certification through the National… more
    Banner Health (12/07/24)
    - Save Job - Related Jobs - Block Source
  • Aviation Safety Inspector (General…

    Federal Aviation Administration (Scottsdale, AZ)
    …programs for organizations which utilize the newest, most complex aircraft, systems , and equipment. Because of organizational complexity or technology incorporated ... in the aircraft, systems , and equipment, employees must exercise originality to resolve...completed staff work. Provides staff assistance and serves as advisor to the manager on all matters pertaining to… more
    Federal Aviation Administration (01/05/25)
    - Save Job - Related Jobs - Block Source
  • Housing Specialist, Phoenix AZ area

    Molina Healthcare (AZ)
    …: + Bilingual based on community need. + Familiarity with healthcare systems /processes, NCQA, and Interqual a plus. + Knowledge of community-specific culture. + ... Managed Care, MCO, Medicaid, Medicare, HEDIS, CAPHS, equity community health advisor , family advocate, advocacy, health educator, liaison, promoter, outreach worker,… more
    Molina Healthcare (12/21/24)
    - Save Job - Related Jobs - Block Source
  • Consulting Senior Director - Healthcare, Supply…

    Huron Consulting Group (Phoenix, AZ)
    …growth, optimize internal processes and deliver better consumer outcomes. Health systems , hospitals and medical clinics are under immense pressure to improve ... clinical outcomes, create a more consumer-centric healthcare experience, and drive physician , patient and employee engagement across the enterprise. Join our team… more
    Huron Consulting Group (11/28/24)
    - Save Job - Related Jobs - Block Source