- CVS Health (Phoenix, AZ)
- …meal delivery, assists with securing DME, and helps to ensure timely physician follow-up. - Understands Payer/Plan benefits, policies, procedures, and can articulate ... who cannot advocate for themselves. The TOC team will review prior claims to address potential impact on current...driven timelines.- Utilizes weekly and daily reporting to identify utilization for the purpose of reducing Emergency Department … more
- Community Health Systems (Tucson, AZ)
- …clinical nursing experience required + 3-5 years of experience in care management or utilization review required + 1-3 years of leadership experience in a ... outcomes. **What We Offer** + Comprehensive Benefits Package + Medical , Dental, Vision & Life Insurance + Generous Paid...planning. + Refers cases not meeting criteria to the Physician Advisor or Utilization Management Committee and… more
- HonorHealth (AZ)
- …of department needs. Participates in departmental and interdepartmental in-services and utilization review programs, and student preceptor and/or mentor ... Up to $10,000 Sign-on Bonus Available Located @ Deer Valley Medical Office Building, 27th Ave & Beardsley Rd Flexible Scheduling! Overview Looking to be part of… more
- Prime Therapeutics (Phoenix, AZ)
- …clinical experience. + Experience in managed care, specialty drugs, care management and utilization review . + Meets Credentialing criteria. + At minimum must ... Under supervision, is responsible for performing referral services to support independent physician offices with maintaining member drug infusions in office or to… more
- 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)
- …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
- HonorHealth (AZ)
- …reports. Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, 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
- HonorHealth (AZ)
- …relationships. Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, and student preceptor ... Up to $10,000 Sign-on Bonus Available Located @ Deer Valley Medical Office Building, 27th Ave & Beardsley Rd 5 x 8hr shifts Preferred, Rotating Weekends and Holidays… more
- HonorHealth (AZ)
- …relationships. Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, and student preceptor ... 2 weekend shifts required per month Located at Shea Medical Center - Shea Blvd & 92nd St Inpatient...prior level of function. They act in accordance with physician referral guidelines, state and national organizational standards, regulatory… more
- HonorHealth (AZ)
- Location: Osborn Medical Center, 7400 E. Osborn Rd, Scottsdale Hours: Full-Time Days, Varied Hours Prior Inpatient Experience Strongly Preferred $5,000 Sign-on-Bonus ... area. The comprehensive network encompasses six acute-care hospitals, an extensive medical group with primary, specialty and urgent care services, a cancer… more