- Evolent (Phoenix, AZ)
- …Evolent for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior ... policies, and clinical decision-making criteria sets. The Clinical Review Nurse serves as... medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all… more
- Banner Health (Phoenix, AZ)
- …Health, we take care of nurses. Nurses take care of everyone. Banner - University Medical Center Phoenix has been recognized on the Becker's Hospital Review 2023 ... "Great hospitals in America" list. These hospitals are renowned for clinical excellence, patient safety, innovation efforts, research and education, patient… more
- Banner Health (Phoenix, AZ)
- …role in the assessments and plans of your patients at Banner University Medical Center Phoenix. Banner University Medical Center Phoenix has been recognized ... on the Becker's Hospital Review 2023 "Great hospitals in America" list. These hospitals...hospitals in America" list. These hospitals are renowned for clinical excellence, patient safety, innovation efforts, research and education,… more
- ERP International (Luke AFB, AZ)
- … Nurse - Case Management** in support of the56th Medical Group at Luke AFB, AZ (https://www.airforcemedicine.af.mil/MTF/Luke/About-Us/) . Apply online today ... Current, full, active, and unrestricted license to practice as a Registered Nurse , any state. Clinical Certification:** Certified Case Manager by Commission… more
- CenterWell (Phoenix, AZ)
- …teamwork and providing a positive and welcoming environment for all. The Nurse Practitioner (VSP/PRN) provides health promotion and maintenance through the diagnosis ... of doctors, advanced practice professionals, Pharm D, Care Coach Nurse , MA, Behavioral health specialist, Quality based Coder, Referral...accordance with standards of care. + Follows level of medical care and quality for patients and monitors care… more
- CenterWell (Phoenix, AZ)
- …complaints. + Makes clinical level of care determination based on discussion, medical records, and any other pertinent clinical data. Matches these needs to ... to work every other holiday.** The **Care Manager, Telephonic Nurse ** helps to ensure optimal continuity of care for...Health, Hospice, and Palliative Care Services. + Assist with clinical eligibility review for alternate services +… more
- Banner Health (Phoenix, AZ)
- …Phoenix, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care This position is eligible for a $10,000 sign on bonus. ... for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both...discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a… more
- CVS Health (Phoenix, AZ)
- …Holding, Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care ... Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this role,...In this role, you'll be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to… more
- Banner Health (Sun City, AZ)
- …City, Arizona **Department Name:** Case Mgmt-Hosp **Work Shift:** Day **Job Category:** Clinical Care The future is full of possibilities. At Banner Health, we're ... for patients as assigned. This position is accountable for clinical quality of Care Coordination services delivered by both...discharge plan and updates to patients, families, and the medical team, as well as delegating tasks to a… more
- Datavant (Phoenix, AZ)
- …years of CDI experience + 3+ years of clinical experience in an academic medical center + Registered Nurse license, Bachelor's degree in Nursing + CCDS or ... realize our bold vision for healthcare. **What We're Looking For:** As a Clinical Documentation Quality Improvement (CDQI) Specialist, you will play a pivotal role… more
- BioLife Plasma Services (Phoenix, AZ)
- …You will report to the Plasma Center Manager and will perform as a Medical Support Specialist (Plasma Center Nurse ) to support plasma center operations. BioLife ... of laboratory test results, and donor notification of unsuitable test results. The Medical Support Specialist (Plasma Center Nurse ) works under the guidance of… more
- Highmark Health (Phoenix, AZ)
- …:** Allegheny Health Network **Job Description :** **GENERAL OVERVIEW:** This job performs clinical review and data abstraction of patient records to support ... Preferred + Associate's or Bachelor's Degree in Nursing + 1 year performing medical record review and data abstraction for cardiovascular registries + Proficient… more
- Health Advocates Network (Glendale, AZ)
- …of all medical records. *Assist Health Service Administrator with the review of medical files to determine all provided services are documented. ... **Must live 70+ miles from the facility for this opening** The Registered Nurse (RN) plans and provides comprehensive nursing care including, but not limited to,… more
- Humana (Phoenix, AZ)
- …effectively communicate a meaningful narrative with those findings + Proven ability to perform clinical reviews and review medical records + Ability to ... of our caring community and help us put health first** The Senior Clinical Medical /Financial Risk Evaluation Professional is responsible for supporting the… more
- CenterWell (Phoenix, AZ)
- …will collaborate with other health care givers in reviewing actual and proposed medical care and services against established CMS Coverage Guidelines/NCQA review ... Compact Nursing License + A minimum of three years clinical RN experience; + Prior clinical experience,...extends outside of work. Among our benefits, Humana provides medical , dental and vision benefits, 401(k) retirement savings plan,… more
- Select Medical (Phoenix, AZ)
- …of medical rehabilitation. They assess patients to determine individual care needs, review medical records and meet with hospital teams to coordinate safe ... **Banner Rehabilitation Hospital - Phoenix downtown** A joint venture with Select Medical & Banner Health Downtown Phoenix, AZ ** Clinical Liaison (RN,… more
- Adams and Associates (Phoenix, AZ)
- …or Equivalent (GED), and hands-on training in the various trades like Certified Nurse Assistant, Clinical Medical Assistant, Medical Administration ... o Determine, recommend, and arrange student visits to counselor; review problems related to assigned students with counselors. o...+ Competitive $20 per hour pay + Employer paid medical insurance + Dental insurance + Flexible spending account… more
- Dignity Health (Phoenix, AZ)
- …Ivy Brain Tumor Center is a non-conventional, non-profit program offering state-of-the-art clinical trials for patients with the most aggressive form of brain ... (https://www.linkedin.com/company/ivy-brain-tumor-center/) and YouTube (https://www.youtube.com/channel/UCKfECuT9bQnZ7KwQJpdsmWg) Job Summary: The Ivy Research Nurse Clinician plays an integral role for leading the… more
- Dignity Health (Phoenix, AZ)
- **Job Summary and Responsibilities** We are currently recruiting a Clinical Research Nurse to join the team at the Barrow Neurological Institute (BNI) at Dignity ... Health St. Joseph's Hospital and Medical Center. BNI is an internationally renowned ...professionals, nurses, and therapists focuses on providing the best clinical care, research, rehabilitation, education, and support. We are… more
- Oracle (Phoenix, AZ)
- …+ Excellent communication, stakeholder engagement, and leadership skills. **Preferred Qualifications:** + Clinical experience as a nurse or physician with a deep ... **Job Description** The Clinical Note AI Agent Product Management Leader will...Gather and analyze information to define product specifications and review design specifications. Envision and communicate product strategy and… more