- 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
- 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
- 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
- Baylor Scott & White Health (Phoenix, AZ)
- **JOB SUMMARY** Clinical Doc Improvement Specialist 1 performs patient record reviews concurrently and/or retrospectively to determine complete, accurate and timely ... to physicians when needed to clarify ambiguous or incomplete documentation. The Clinical Doc Improv Spec 1 should have knowledge of ICD-10, Complications/Comorbid… 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 ... dialysis therapy for patients under the direct supervision of a licensed nurse in accordance with FMCNA policies, procedures, and training and in compliance… more
- Fresenius Medical Center (Goodyear, 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
- CVS Health (Phoenix, AZ)
- …enhance a member's overall wellness through integration. - Through the use of clinical tools and information/data review , conducts an evaluation of member's ... What is A1A? Aetna One Advocate is Aetna's premier service and clinical offering for Aetna nation-wide and creates industry-leading solutions for our customers… more
- Fresenius Medical Center (Peoria, 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
- 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. ... university. Major duties include but not limited to the following: Clinical , teaching and administrative responsibilities under the guidance and direction of… 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
- Dignity Health (Phoenix, AZ)
- …nursing staff in the infusion suite, offering patient education, and participating in clinical decision making. They review and create care guidelines, and ... solve through critical thinking. Staff pharmacists work collaboratively with physicians, nurse practitioners, nurses and other members of the care team. Cancer… more