- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Behavioral Health Medical Director responsible for behavioral health care ... strategy and/or operations. The Behavioral Health Medical Director work assignments involve moderately complex to...clinical services . Experience in utilization management review and case management in a health plan setting… more
- Humana (Phoenix, AZ)
- …caring community and help us put health first** The Manager, Utilization Management Behavioral Health utilizes behavioral health knowledge and skills ... services and/or benefit administration determinations. The Manager, Utilization Management Behavioral Health works within specific guidelines and procedures;… more
- CenterWell (Glendale, AZ)
- …Care/ Case Management is responsible for managing a team of nurses, community health workers, and behavioral health resources who engage high risk/high ... / license + 5 years or more prior nursing, case management, disease management and/or social work experience +...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- Banner Health (Phoenix, AZ)
- …in the Insurance Division.) Employees working at BUMG, BUMCT, or BUMCS in a Behavioral Health clinical setting that serves children must possess an Arizona ... be part of, apply today. As the Transitional Care Associate , you will assist Case Managers on...duration of their employment. Employees working at the Banner Behavioral Health Hospital must possess an Arizona… more
- Devereux Advanced Behavioral Health (Phoenix, AZ)
- **Description** **Devereux Advanced Behavioral Health Arizona's Community Based Services** program provides in-home remedial intervention for at-risk youth and ... planning process. We are looking for talented individuals who have experience working in Behavioral Health , with families and at-risk youth, to be a positive… more
- Devereux Advanced Behavioral Health (Phoenix, AZ)
- **Description** **Devereux Advanced Behavioral Health Arizona's Community Based Services** program provides in-home remedial intervention for at-risk youth and ... planning process. We are looking for talented individuals who have experience working in Behavioral Health , with families and at-risk youth, to be a positive… more
- Highmark Health (Phoenix, AZ)
- …of member specific information to improve individual outcomes as an adjunct to health coaching. If acting in the capacity as a clinical pharmacist the incumbent ... may also review UM requests; provide consultation into the case and disease management identification process, and consult with the Organization's Associate … more
- Molina Healthcare (Phoenix, AZ)
- …years in case , disease or utilization management; managed care; or medical/ behavioral health settings. + One year of training delivery and/or development ... in case , disease or utilization management; managed care; or medical/ behavioral health settings. **PREFERRED LICENSE, CERTIFICATION, ASSOCIATION** : Active,… more
- Highmark Health (Phoenix, AZ)
- **Company :** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** Performs all related internal, concurrent, prospective and retrospective coding ... works with external resources to create and monitor inpatient case mix reports and the top 25 assigned DRGs/APCs...of Ethical Coding as set forth by the American Health Information Management Association and Corporate Compliance Coding Guidelines.… more
- CenterWell (Phoenix, AZ)
- …management programs in partnership with PCP care team members including community health workers, pharmacists, and behavioral health specialists. **Duties ... outcomes. Experience will ideally include prior care or case management work with transitions of care and high-risk...well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up… more
- CenterWell (Phoenix, AZ)
- …that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more ... nursing care plans, and maintains medical records. May advise patients on health maintenance and disease prevention or provide case management. Understands… more
- Humana (Phoenix, AZ)
- …(LTSS). + Experience compiling NCQA File Review Universes. + Registered Nurse or Behavioral Health professional. + Managed care, Medicaid health plan ... part of our caring community and help us put health first** Humana Healthy Horizons is seeking a Senior...and Long-Term Services and Supports, Long Term Care, or Case Management. + 2+ years of experience with continuous… more