- HonorHealth (Scottsdale, AZ)
- …across Arizona. Learn more at HonorHealth.com. Responsibilities Job Summary Reviews and monitors utilization of health care services with the goal of maintaining ... high quality cost-effective care . Ensures appropriate level of care through comprehensive review for medical necessity of extended stay, outpatient… more
- HonorHealth (Scottsdale, AZ)
- …of services and coordinates the timely completion of the authorization process for Utilization Management Department. The PA Specialist will review referral and ... meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference.… more
- HonorHealth (Scottsdale, AZ)
- …Required Experience 5 years in healthcare with experience in pre-certification Required 3 years experience in utilization review , medical management Required ... meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference.… more
- HonorHealth (Scottsdale, AZ)
- …meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. ... individual contributors, coming together to embody HonorHealth's iCare values: Innovation , Collaboration, Accountability, Respect, and Empathy. HonorHealth is one of… more
- GetWellNetwork, Inc. (Phoenix, AZ)
- …in hospital staff nursing and steering committee meetings promoting interactive patient care + Monitor system utilization daily; identify and address any ... the Phoenix, AZ VA hospital location.. Opportunity: If outcomes improvement and patient-centered care are your passion, then we want to speak with you! We're looking… more
- CVS Health (Scottsdale, AZ)
- …of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at ... accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. **Position Summary** As a Manager, Medical… more
- Humana (Phoenix, AZ)
- …health insurance, other healthcare providers, clinical group practice management. + Utilization management experience in a medical management review ... fast-paced, team-oriented environment. + Commitment to a culture of innovation , including being facile with using technology to improve...region or line of business. The Medical Director conducts Utilization Management of the care received by… more
- Mayo Clinic (Phoenix, AZ)
- … is delivered. The Care Management RN Supervisor effectively resolves utilization review issues, provides leadership in resolving psychosocial issues, and ... Clinic is top-ranked in more specialties than any other care provider according to US News & World Report....other payer sources, benefits, and limitations. + Strong inpatient utilization review knowledge related to status and… more
- Adelante (Phoenix, AZ)
- …health outcomes reporting, clinical audits, and programmatic evaluation. + Assist in clinical care by providing utilization of resources, and development of new ... Time Education Level HS Diploma from accredited school Job Category Health Care Description POSITION SUMMARY The Medical Assistant provides direct patient care… more
- Adelante (Mesa, AZ)
- …patient behavioral health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promotes a smooth ... Education Level HS Diploma from accredited school Job Category Health Care Description POSITION SUMMARY This position requires excellence in performing multiple… more
- Adelante (Phoenix, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... Type Exempt Education Level NP (Nurse Practitioner) Job Category Health Care Description POSITION SUMMARY The Adult Nurse Practitioner is primarily responsible… more
- Adelante (Phoenix, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... POSITION SUMMARY Primarily responsible for providing comprehensive primary health care services through the identification, management and/or referral of the… more
- Black & Veatch (Phoenix, AZ)
- …challenges in an ever-evolving world. With over 100 years of innovation in sustainable infrastructure and our expertise in engineering, procurement, consulting ... as well as wellness and voluntary benefits plans + Review and rationalize global benefits programs to meet local...our consulting partners + Prepare and analyze cost and utilization reports to evaluate the effectiveness of plans and… more
- Adelante (Phoenix, AZ)
- …team on data collection, health outcomes reporting, clinical audits, and programmatic evaluation. + Review and take action on care team tasks and inbox messages. ... limited to POCT items (flu, strep, UA, HCG testing) + Helps evaluate clinical care , utilization of resources, and development of new clinical tools, forms, and… more
- Republic Services (Phoenix, AZ)
- …of our customers: recycling and waste, environmental solutions and sustainability innovation . With our integrated approach, strengthening our position in one area ... offerings, including PFAS remediation, an increasing customer need. **SUSTAINABILITY INNOVATION ** Republic's recent innovations to advance circularity and decarbonization… more
- Banner Health (Phoenix, AZ)
- …Name:** Technology Mgmt-Bio-Med **Work Shift:** Day **Job Category:** Clinical Support Health care is constantly changing, and at Banner Health, we are at the ... front of that change. We are leading health care to make the experience the best it can...Instrumentation and Technology/AAMI Bright Idea finalist award for their innovation and empowering organizational structure. In addition, the commercial… more
- HonorHealth (Scottsdale, AZ)
- …meaningful? At HonorHealth, you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to make a difference. ... the greater Phoenix metropolitan area. The comprehensive network encompasses six acute- care hospitals, an extensive medical group with primary, specialty and urgent… more
- HonorHealth (Scottsdale, AZ)
- Overview Looking to be part of something more meaningful? At HonorHealth and Innovation Care Partners, you'll be part of a team, creating a multi-dimensional ... care experience for our patients. You'll have opportunities to...communication, and practice-level engagement efforts to achieve established quality, utilization and cost goals Participate in Health Information data… more
- Banner Health (Queen Creek, AZ)
- …**Department Name:** Banner Staffing Services-AZ **Work Shift:** Day **Job Category:** Pharmacy Innovation and highly trained staff. Our Pharmacy team members play a ... critical role in ensuring the best care for our patients. Join a nationally recognized leader...osteoporosis, tobacco cessation. You may also provide comprehensive med review and general patient education, including but not limited… more