- BroadPath Healthcare Solutions (Tucson, AZ)
- **Overview** BroadPath is seeking a highly motivated and results-oriented ** Utilization Management (UM) Nurse** . Our ideal **UM Nurse** will ensure timely ... authorization requests with supporting documentation for review with the Medical Director . + Assume responsibility for ensuring timely reviews of authorization… more
- Avnet (Phoenix, AZ)
- …contributes to the development of functional strategies. Responsible for efficient utilization of significant resources within the function. + Objectives are defined ... in collaboration with senior management and results assessed with a long-term perspective. Decisions...by functional strategy and priorities. + Collaborates with senior management and others concerning matters of significance to the… more
- Daiichi Sankyo, Inc. (Phoenix, AZ)
- …is comprised of nurses working under the general direction of the Regional Director of Clinical Nurse Managers. The OCE is responsible for educating HCPs/clinics ... strong, long-term relationships with clinical personnelEnsures appropriate and compliant utilization of product and disease state education as it relates… more
- Jobleads-US (Scottsdale, AZ)
- …grants, exercises, releases, cancellations, monthly reconciliations, and monitoring share utilization in collaboration with Accounting, Finance, Payroll, People Ops, ... Review Forms 3 & 4 to report Section 16 officer and director transactions in SEC filings. Prepare financial statement footnote disclosures, reconcile balance… more
- Avnet (Phoenix, AZ)
- …possibilities of technology. Experience what's next at Avnet! **Job Summary:** This Director level position reports to the Vice President, General Counsel Americas. ... legal matters on employment, litigation, and commercial matters; will advise senior management on complex legal matters. + Provides counsel to the organization to… more
- Rain for Rent (Chandler, AZ)
- …and the high value we deliver to organizations facing critical liquid management challenges. Our experienced teams, supported by skilled engineers, are continually ... and environmentally incident-free workplace. + Develop staff through effective utilization of all available personnel options including hiring, training, coaching,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …of Texas or compact license + 3+ years Nursing experience + 1+ years Utilization Management and Appeals experience + Excellent verbal, written and computer ... managed care and Medicaid policies and procedures D. Conducts staff and medical director audits on appeal activities + Assists with appeal file preparation for NCQA… more
- Humana (Phoenix, AZ)
- …to the Lead Medical Director - North Central Medicaid Markets. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Phoenix, AZ)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... community and help us put health first** The Medical Director relies on medical background and reviews health claims....with prior experience participating in teams focusing on quality management , utilization management , case … more
- Humana (Phoenix, AZ)
- … Director , depending on size of region or line of business. The Medical Director conducts Utilization Management of the care received by members in ... with prior experience participating in teams focusing on quality management , utilization management , case ...management operational improvements, including those within the medical director area + Participate in call rotation + Develop… more
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