- Immigration and Customs Enforcement (Eloy, AZ)
- …health assessment, evaluation, and diagnosis of detained non-citizens (including the utilization of the DSM-V to formulate findings). Provides supportive counseling, ... as appropriate (may be delivered in-person or virtually). Utilizes the electronic medical record (EMR) to complete clinical documentation, and to review … more
- Evolent (Phoenix, AZ)
- …focusing on appeals and post-determination requests. We maintain the principles of utilization management by adhering to Evolent and Client policies and procedures ... work with a group of nurses, providing appeal intake review for one dedicated client. They interact with coordinators...Be Doing:** + Practices and maintains the principles of utilization management and appeals management by adhering to company… more
- HonorHealth (AZ)
- …area. The comprehensive network encompasses six 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
- Molina Healthcare (Phoenix, AZ)
- …healthcare claims data, pharmacy data, and lab data regarding network utilization and cost containment information. Evaluates, writes, and presents healthcare ... utilization and cost containment reports and makes recommendations based...ensure appropriate creation of reports and analyses. Uses peer-to-peer review process and end-user consultation to reduce report writing… more
- Indian Health Service (Kayenta, AZ)
- …and agencies involved in the patient care plans. Works closely with the Utilization Review Coordinator and Contract Health staff for necessary follow-up on ... patients. Collects relevant data for program evaluation including service utilization , identified problems and status of resolutions, patient satisfaction, etc.… more
- Fujifilm (Phoenix, AZ)
- …courses, and grant requests received by Fujifilm from industry societies, Academic Medical Centers, and other health-related organizations in the West and South ... received by the Fujifilm Endoscopy Division from industry societies, Academic Medical Centers, and other health-related organizations in the West and South-Central… more
- Banner Health (Mesa, AZ)
- …operations of a facility procedural department(s). Tracks and manages budgets to review utilization and expenditures ensuring operational efficiency and revenue ... specialties and advanced technology that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as one of the top 50… more
- HonorHealth (AZ)
- …in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal ... area. The comprehensive network encompasses nine acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- HonorHealth (AZ)
- …in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital policy and state/ federal ... area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more
- Community Health Systems (Bullhead City, AZ)
- …administration of the activities of clinical review , discharge planning, resource utilization and utilization review . **Candidates need acute hospital ... Day shift** **in Case Management supporting various departments at Western Arizona Regional Medical Center** **What you'll do:** As a Registered Nurse you'll play a… more
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