- CVS Health (Phoenix, AZ)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function + Gathers clinical information and ... at the center of everything we do. + Utilizes clinical skills to coordinate, document and communicate all aspects...to coordinate, document and communicate all aspects of the utilization /benefit management program. + Applies critical thinking… more
- CVS Health (Phoenix, AZ)
- …non-traditional, weekend shift rotation. As a Utilization Management Nurse Consultant you will utilize clinical experience and skills in a collaborative ... and external constituents in the coordination and administration of the utilization /benefit management function. - Typical office working environment with… more
- CVS Health (Phoenix, AZ)
- …time is spent at a desk and on the telephone collecting & reviewing clinical information from providers. Utilization Management nurses use specific criteria ... weekends and some rotational on-call holiday coverage (URAC and Client Requirements). Utilization Management is a 24/7 operation.** 100% attendance is required… more
- CVS Health (Phoenix, AZ)
- …years of MS office suite experience **Preferred Qualifications:** + Experience with multiple clinical systems + Utilization Management experience + Ability ... on weekends and some rotational on-call holiday coverage (URAC and Client Requirements). Utilization Management is a 24/7 operation.** Travel Required up to 5%… more
- Guardian Life (Phoenix, AZ)
- **Position Summary** The RN Clinical Consultant serves as a clinical resource for the investigation and assessment of medical information regarding ... medical reviews and analysis of long-term disability claims. The RN Clinical Consultant identifies restrictions, limitations and duration impacting functional… more
- Highmark Health (Phoenix, AZ)
- …bachelor's degree + 5-7 years of experience in the healthcare industry (hospital clinical operations/ management , physician practice management or clinical ... that are required to accelerate the achievement of goals related to clinical operations excellence and optimal, sustained patient care (as manifested by patient… more
- Molina Healthcare (Phoenix, AZ)
- …the results to senior leadership. Responsible for consulting with network and clinical management on opportunities to improve our company's discount position ... analysis of markets and network initiatives. The Medical Economics Consultant manages conflicting priorities and multiple projects concurrently. Responsible for… more
- Banner Health (Phoenix, AZ)
- … Clinical Pharmacist,** you will support the centralized anticoagulation management service physically located in a primary care clinic but conducting ... medication management and services to make a difference in people's lives. Clinical Pharmacy Services is responsible for the management of the Banner… more
- Banner Health (Queen Creek, AZ)
- …comprehensive patient education to improve medication compliance and promote patient self- management skills. Must possess clinical acumen and skills necessary ... pharmacy collaborative practice protocols, to optimize patient regimens and improve clinical outcomes. Ensures utilization of appropriate and cost-effective… more
- CommonSpirit Health (Phoenix, AZ)
- …hospitals and out in the community. **Responsibilities** As the Utilization Management Physician Advisor (PA), the PA conducts clinical case reviews referred ... and options/alternatives for care. The PA acts as a consultant to, and resource for, attending physicians regarding their...Management Teams: Makes telephonic/electronic contacts with case and utilization management to discuss clinical … more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Behavioral Health Unit (BHU). The incumbent will report directly to the Clinical Director (CD) and/or Regional Behavioral Health Consultant . The Supervisory ... under the general supervision of the Clinical Director and receives Clinical supervision from the Regional Behavioral Health Consultant . Assignments are… more
- HonorHealth (Phoenix, AZ)
- …system optimization to prevent error and patient harm. Acts as a consultant to healthcare professionals regarding utilization of pharmaceutical therapies and ... urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization,… more
- The Arora Group (Eloy, AZ)
- …emphasizes recovery goals. 16. Participates in comprehensive performance improvement and utilization management plans to include: * Quality and appropriateness ... units; urgent and emergency mental health care, public health management , case management , collaboration with an interdisciplinary...will work in concert with both facility staff and consultant specialists in various clinical areas. 23.… more
- Dignity Health (Phoenix, AZ)
- …education to staff, patient, family and community. Also, serves as a clinical consultant to staff, hospital administration, physician, patients, family and ... with departments to determine education support needs and to facilitate maximum utilization Demonstrates experience in specific area of clinical nursing that… more
- Fresenius Medical Center (Phoenix, AZ)
- …purchases and usage. + Work collaboratively with the Area Sales Manager and Clinical Consultant to identify opportunities for new business within their ... point of contact for accounts, building long-term relationships as a trusted clinical advisor/ consultant . + Provide strong customer service, responding in a… more
- Banner Health (Phoenix, AZ)
- …policies, etc. Develops and maintains competency in residency management system utilization and acts as a backup consultant . 8. Coordinates the planning ... academic medical center. The world-class hospital is focused on coordinated clinical care, expanded research activities and nurturing future generations of highly… more