- Banner Health (Phoenix, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... discharge plans. You'll be the central communicator between patients, families, and the medical team-ensuring everyone is informed and aligned. With the support of a… more
- Banner Health (Casa Grande, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... rotation. Enjoy a flat rate $3/hour weekend shift differential Banner Casa Grande Medical Center is a 141-bed acute-care hospital located midway between Phoenix and… more
- Banner Health (Queen Creek, AZ)
- …and regulatory agencies. MINIMUM QUALIFICATIONS Must possess knowledge of case management or utilization review as normally obtained through the completion of a ... rotation. Enjoy a flat rate $3/hour weekend shift differential. Banner Ironwood Medical Center is committed to meeting the ever-changing needs of the southeast… more
- Adelante (Phoenix, AZ)
- …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... EXPERIENCE: Health Care Delivery + Reports to the Regional Medical Director + Provide high quality health care services...protocols and procedures + Review results of utilization and quality monitoring and participate in the analysis… more
- Adelante (Surprise, AZ)
- …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... ESSENTIAL SKILLS AND EXPERIENCE: + Graduate of an accredited medical school program + Completion of an accredited United...protocols and procedures + Review results of utilization and quality monitoring and participate in the analysis… more
- Adelante (Goodyear, AZ)
- …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... ESSENTIAL SKILLS AND EXPERIENCE: + Graduate of an accredited medical school program + Completion of an accredited United...protocols and procedures + Review results of utilization and quality monitoring and participate in the analysis… more
- Adelante (Wickenburg, AZ)
- …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... ESSENTIAL SKILLS AND EXPERIENCE + Graduate of an accredited medical school program + Completion of an accredited United...protocols and procedures + Review results of utilization and quality monitoring and participate in the analysis… more
- Adelante (Buckeye, AZ)
- …growth by involvement in quality improvement programs and the participation in peer review , medical record audits, continuing education, and the review ... ESSENTIAL SKILLS AND EXPERIENCE + Graduate of an accredited medical school program + Completion of an accredited United...protocols and procedures + Review results of utilization and quality monitoring and participate in the analysis… more
- Centene Corporation (Phoenix, AZ)
- …external groups and providers regarding clinical information from the Operations and Medical Management teams. Assesses and performs review of member clinical ... for our 28 million members as a clinical professional on our Medical Management/Health Services team. Centene is a diversified, national organization offering… more
- CVS Health (Phoenix, AZ)
- …advocates for members who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current case management and ... required compliance driven timelines.- Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department Utilization … more