- HonorHealth (AZ)
- …Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees and staff/student preceptor ... area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- HonorHealth (AZ)
- …hand therapy rehabilitation. Participates in departmental and interdepartmental in-services and utilization review programs, and maintains a current knowledge of ... Up to $10,000 Sign-on Bonus Available Located @ Thompson Peak Medical Office Building, 20745 N Scottsdale Rd Monday-Friday 8:00am-4:30pm Hand Therapy Certificate… more
- HonorHealth (AZ)
- …area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer ... care network, outpatient surgery centers, clinical research, medical education, a foundation, an accountable care organization, community services and more. With… more
- Prime Therapeutics (Phoenix, AZ)
- …well as the development of strategic business roadmaps that integrate both medical and pharmacy solutions. This position will provide leadership and direction ... + Lead the vision, strategy, and implementation of integrating medical and pharmacy solutions, fostering collaboration across departments and ensuring… more
- HonorHealth (AZ)
- …of department needs. Participates in departmental and interdepartmental in-services and utilization review programs, and student preceptor and/or mentor ... area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- Sedgwick (Phoenix, AZ)
- …and physician filings and decisions on appropriate treatments recommended by utilization review . + Maintains professional client relationships. **ADDITIONAL ... claim files are properly documented and claims coding is correct. + May process complex lifetime medical and/or defined period medical claims which include state… more
- Cognizant (Phoenix, AZ)
- …experience. + Experience in the analysis and processing of claims for payments, utilization review /quality assurance procedures. + Must be able to work with ... UB or HCFA paper or EDI information. * Responsible for reviewing medical records when necessary to determine if service rendered was medically appropriate… more
- HonorHealth (AZ)
- …Collaborate with the Admitting Department to facilitate patient placement. Assist in the utilization review process and work closely with the Nurse Manager to ... area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- Cardinal Health (Phoenix, AZ)
- …+ Collaborate with facility EHR's to gather data to support diagnosis and medical clearances + Identify advocacy opportunities as it pertains to patient specific ... investigation as well as clinical clearance for prior authorization and medical necessity + Extensive patient education/counseling to determine eligibility for… more
- CVS Health (Tucson, AZ)
- …your understanding of patient safety and error prevention, quality assurance drug utilization review (DUR), pharmacy professional standards such as corresponding ... care by solving or escalating patient problems + Offering to counsel, fielding medical questions, and soliciting information on a patient's medical history to… more