• Master Social Worker Care Coordination

    Banner Health (Sun City West, AZ)
    …need. Banner Registry and Travel positions require a minimum of one year Case Manager experience in an acute care hospital. PREFERRED QUALIFICATIONS ... across the continuum of care. 4. Maintains knowledge of Medicare , Medicaid and other program benefits to assist patients...Certification for CCM (Certified Case Manager ) preferred. Additional related education and/or… more
    Banner Health (06/01/25)
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  • National Director, Care Integration Strategy…

    CenterWell (Phoenix, AZ)
    …Senior Primary Care's) highest need and complexity patients with care and case management services. The Director is response for the strategic direction, execution ... Transitions of Care Management (TCM) program, and Episodic Consult (single-use case specific offerings) programs designed to improve quality and reduce costs… more
    CenterWell (08/15/25)
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  • Facility Coding Inpatient Complex Coder

    Banner Health (AZ)
    …of accounts for specific patient types and specialties in combination with the Case Mix Index and case financial information to formulate productivity standards, ... both the Banner Coding Education team and your hiring manager , with continued support throughout your career here! _*This...to regulatory agencies for state Medicaid plans, Center for Medicare Services (CMS), Office of the Inspector General (OIG)… more
    Banner Health (07/10/25)
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  • Closure Sales Associate (Phoenix, AZ)

    Cordis (AZ)
    …and works in partnership with the Territory Manager and Associate Territory Manager to achieve daily sales objectives through case support and product ... Responsible for direct revenue generation (transactional Business) through direct case support. Reports to National Clinical Sales Director. **Responsibilities** +… more
    Cordis (07/15/25)
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  • Director Field Reimbursement West - Tzield

    Sanofi Group (Phoenix, AZ)
    …to coordinate activities in support of patient access + Partner with Field Sales, Case Management and Market Access teams to ensure FRMs are working in close ... (ie medical benefit coverage) + 5-10 years of prior case management experience or healthcare experience + 5-10 years...healthcare experience + 5-10 years of prior field reimbursement manager experience + 3 years or more of team… more
    Sanofi Group (08/17/25)
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  • RN Lead, HCS (Clinical) Remote with field travel…

    Molina Healthcare (Tucson, AZ)
    …that involve clinical HCS staff. Communicates findings to the Supervisor or Manager , HCS Department for resolution. + Maintains a minimal caseload as determined ... guidelines and support staff who have an ongoing member case load for regular outreach and management. + As...staff workload for adherence to the Policies, Procedures, Guidelines, Medicare Model of Care, and deadlines. Assures oversight and… more
    Molina Healthcare (08/15/25)
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  • Benefits Analyst - I, II, Senior or Lead

    Tucson Electric Power (Tucson, AZ)
    …quality of life in the communities we have served for generations, and in TEP's case , since the 1890s. We're building a cleaner, greener grid, with more wind and ... bodies and assists in the execution thereof (eg, ACA reporting, Medicare Notice of Creditable Coverage, PCORI fees, conducting monthly pension reconciliation… more
    Tucson Electric Power (06/09/25)
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  • Lead, IT Product Management

    Humana (Phoenix, AZ)
    …us put health first** We are seeking a highly skilled Lead IT Product Manager to help drive forward the vision, strategy, and delivery of Enterprise Network Services ... * Governance & Financial Management * Own the business case , financial models, and total cost of ownership (TCO)...to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities… more
    Humana (08/20/25)
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  • Registered Nurse RN Home Care

    Banner Health (Eloy, AZ)
    …and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed to assist field ... "alone" in the field! We recognize that our nurse case managers are the key to a successful journey...than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This… more
    Banner Health (08/17/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Chandler, AZ)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the… more
    Molina Healthcare (08/15/25)
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