- Humana (Phoenix, AZ)
- …a covert Red Team Campaign is converted to a repeatable BAS test case that the BAS platform programmatically executes across all environments for continuous ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Phoenix, AZ)
- …should be independent, detail oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI solutions that will revolutionize ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Humana (Phoenix, AZ)
- …scientists, software engineers, and stakeholders to deliver high impact AI use case solutions. + Lead the development and maintenance ofcomplex machine learning ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- HonorHealth (AZ)
- …education courses, professional journals, etc., as well as DNV and Medicare requirements. Evaluates patients per the Department Operating Policy. Demonstrates sound ... needs, status, and discharge plans. Provides timely, proactive feedback to case managers and other key personnel regarding discharge needs, including recommended… more
- Humana (Phoenix, AZ)
- …should be independent, detail oriented, collaborative, and able to adapt to changing use case needs. Our goal is to create safe AI solutions that will revolutionize ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- HonorHealth (AZ)
- …education courses, professional journals, etc., as well as DNV and Medicare . Evaluates patients per the Department Operating Policy. Demonstrates sound clinical ... needs, status, and discharge plans. Provides timely, proactive feedback to case managers and other key personnel regarding discharge needs, including recommended… more
- Humana (Phoenix, AZ)
- …university. + Minimum of 3 years' experience working in clinics, hospital case management, managed care settings, Autism services and/or other healthcare settings. + ... efforts are leading to a better quality of life for people with Medicare , Medicaid, families, individuals, military service personnel, and communities at large. … more
- Banner Health (Scottsdale, AZ)
- …appropriately and not feeling "alone" in the field! We recognize that our nurse case managers are the key to a successful journey with home health. Banner Home ... measures better than the national and Arizona average in almost all Medicare Quality Compare patient satisfaction results. POSITION SUMMARY This position assesses,… more
- Cardinal Health (Phoenix, AZ)
- …point of contact for client's field team + Responsible for maintaining a daily case log of all enrollments that come into the program + Participate in meetings ... with long- and short-range changes in the reimbursement environment including Medicare , Medicaid, Managed Care, and Commercial plans while planning for various… more
- Molina Healthcare (Chandler, AZ)
- …MCG, InterQual or other medically appropriate clinical guidelines, Medicaid, Medicare , CHIP and Marketplace, applicable State regulatory requirements, including the ... Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified Professional in… more