- Centene Corporation (Phoenix, AZ)
- …the one who changes everything for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, ... LPN license or Compact RN license.** **Position Purpose:** Analyzes all prior authorization requests to determine medical necessity of service and appropriate… more
- Indian Health Service (Phoenix, AZ)
- Summary This is a Direct Hire Open Continuous Announcement for Nurse (Case Managers) positions at the Phoenix Indian Medical Center in multiple specialties, ... primary responsibility to provide case management, discharge planning, and utilization review services in assigned department in Phoenix, AZ. Responsibilities Serves… more
- Molina Healthcare (Phoenix, AZ)
- …compliance with all state and federal regulations and guidelines. + Analyzes clinical service requests from members or providers against evidence based clinical ... and eligibility for requested treatments and/or procedures. + Conducts prior authorization reviews to determine financial responsibility for Molina Healthcare… more
- Indian Health Service (Phoenix, AZ)
- …the medical center's improvement methodology and framework, and external review standards. Works within general programmatic authority delegated by Department ... agency requirements. Analyzes risk assessment data utilizing electronic health records to review patient medical treatment and plan of care. Reviews clinically based… more
- Evolent (Phoenix, AZ)
- …Participates in the development and implementation of new strategies to make the clinical review process more efficient through people, processes, and technology ... will be the single point of responsibility for all clinical operations inclusive of nurse , physician, and...highly desirable. + High level of financial acumen, with prior P&L responsibility preferred. + Proficiency creating and leading… more
- Indian Health Service (Phoenix, AZ)
- …unless submitting updated and/or missing information.** Performs a wide range of clinical laboratory tests/examinations per requests by medical staff for use in ... clinical diagnosis, patient screening, monitoring patient therapy, and status and other authorized purposes. Performs qualitative and quantitative analysis of blood… more
- Select Medical (Phoenix, AZ)
- …highly effective level of care. **Qualifications** **What we're looking for in a Clinical Liaison** **Required Skills:** + Registered Nurse (RN) or Respiratory ... License. + Will consider other designations like LPN, PT, OT etc., upon further review . + Ability to complete clinical assessments of medically complex patients.… more
- Fresenius Medical Center (Glendale, AZ)
- …+ Monitor patients' response to dialysis therapy and report any unusual findings to nurse supervisor. + Obtain vital signs prior to reinfusion; perform all ... for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies procedures and training...dialysis treatment according to established procedures + Evaluate patient prior to termination of venous access - standing &… more
- Fresenius Medical Center (Phoenix, AZ)
- …dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with organization policies, procedures, and training and in compliance ... + Monitor patients' response to dialysis therapy. + Obtain vital signs prior to reinfusion; perform all relevant functions necessary for the discontinuation of… more
- Indian Health Service (Phoenix, AZ)
- …Physician Assistant in Emergency services provides professional direct health care clinical duties within emergency and urgent care medicine. Assess, evaluate, ... The selected individual is required to obtain and maintain medical staff clinical privileges, including any licensure requirements. If privileges are not obtained or… more
- Indian Health Service (Phoenix, AZ)
- …complex and extensive surgical procedures. This position reports to the Supervisory Clinical Nurse . Responsibilities **This position is being re-advertised to ... surgical professionals and ensure that all supplies and equipment are available prior to the surgical procedures. Utilize universal precautions and follow infection… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …determined by the VHA Education Loan Repayment Services program office after review of the EDRP application. Former EDRP participants ineligible to apply. ... of the cardiology section including cardiology physicians, physician assistants, nurse practitioners, nurses, diagnostic radiology technicians, medical instrument technicians,… more
- CAI (Phoenix, AZ)
- …Manager, RN ready to take us to the next level! If you have prior experience with coordinating, implementing, and evaluating effective treatment and are looking for ... as assigned/requested **What You'll Need** Required: + Current Registered Nurse , licensed in the state of Delaware + 2+...(LBSW) + Licensed Master's Social Worker (LMSW) + Licensed Clinical Social Worker (LCSW) + Experience working with HIV/AIDS… more