- CVS Health (Phoenix, AZ)
- …Arizona time zone. No weekends, holidays are required. **Preferred Qualifications** : + Utilization management experience + Clinical experience in Emergency ... time zone. No weekends, holidays are required. The UM Clinical Consultant utilizes clinical skills...external constituents in the coordination and administration of the utilization /benefit management function. Gathers clinical … more
- Molina Healthcare (Scottsdale, AZ)
- …or LMHC) * Minimum of 6 years' experience in health care * Understanding of clinical operations: utilization management , case management , etc. * Ability ... connectivity of high speed required. **Job Summary** The Sr. Clinical Performance Consultant is responsible for the...remediation or improvement. * Conduct interviews with staff and management to assess internal clinical business processes… more
- Adelante (Phoenix, AZ)
- …degree Job Category Health Care Description POSITION SUMMARY The Behavioral Health Consultant is responsible for the management of psychosocial aspects of ... Behavioral Health Consultant - Central Phoenix Job Details Job Location...and encourages personal responsibility for health. Provides consultation and co- management in the co-treatment of mental disorders and psychosocial… more
- Cardinal Health (Phoenix, AZ)
- **_What Specialty Networks contributes to Cardinal Health_** Specialty Networks creates clinical & economic value for independent specialty providers & partners in ... Networks in creating value to the members in their clinical , operational, and economical goals. This individual will be...Member Profiles and overall success of membership network with utilization and optimization of Salesforce keeping up to date… more
- Molina Healthcare (Scottsdale, 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 (Sun City, AZ)
- …services in acute care, with a focus on staff development, formulary management , patient safety, interprofessional education, and clinical committee membership ... adverse drug reactions. Accurately and completely documents patient assessment data and clinical interventions. 2. Functions as a therapeutic consultant in areas… more
- HonorHealth (Scottsdale, AZ)
- …nurse practitioners, management , staff, patients, and families to promote clinical expertise, patient safety, resource utilization and adherence to ... / Chandler Metro area *Sign-on Bonus: $5,000.00 Job Location: Management will discuss if interviewed, new-hire will float between...patient population served. The CRN serves as a coordinator, clinical nurse, educator, consultant , and leader in… more
- Edwards Lifesciences (Phoenix, AZ)
- …related field plus 8 years of previous related experience with direct healthcare management of large clinical organizations required + Master's Degree or ... 6 years of previous related experience with direct healthcare management of large clinical organizations preferred. **What...to work in a team environment, including serving as consultant to management . + Ability to interact… 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
- CenterWell (Phoenix, AZ)
- …Director is responsible for building a strong partnership with clinical -operational divisional dyads (Division CMO/Division Ops Leader) on care integration ... and coordinating care to reduce acute and post-acute care utilization . The Divisional Director role is a hybrid with...supervisors. The Divisional Director will also be a key consultant partner to market dyad leaders in understanding and… more
- 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 ... Directors) + Provides feedback and education to the Care Management and Clinical Documentation Departments through written...such as Joint Operating Committee (JOC), as requested by Utilization Management or Care Management .… 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
- HonorHealth (Scottsdale, AZ)
- …with providers to provide guidance on appropriate use of medications, clinical pharmacology, pharmacokinetics, disease state management , and nutrition. ... per pharmacy guidelines and communicates therapeutic recommendations. Acts as a consultant to healthcare professionals and patients regarding utilization of… more
- Sedgwick (Phoenix, AZ)
- …assessment, planning, coordination, implementation, and reporting of complex clinical data; to complete complex submissions revisions/updates in preparation ... final determination based on applicable coverage policies, coding guidelines and utilization and practice guidelines. + Reviews medical claims and completes complex… more
- Cardinal Health (Phoenix, AZ)
- …payers, pharmacists and manufacturers for integrated care coordination and better patient management . Backed by nearly 100 years of experience, with more than 40,000 ... currently have a career opening for a Reimbursement Solutions Analyst. **What Clinical Operations contributes to Cardinal Health** Clinical Operations is… more
- HonorHealth (Scottsdale, AZ)
- …urgent care services, a cancer care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, ... the program must possess skills in leadership and personnel management . Program are expected to serve as subject matter...accreditation and program development. Supports and serves as a consultant to the Program Director with duties which directly… 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