- Banner Health (Phoenix, AZ)
- …for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card ... hire-on incentive and relocation package available!** Pharmacy careers are better at Banner Health . We are committed to developing the careers of our team members.… more
- Banner Health (Phoenix, AZ)
- …for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card ... education, research, and innovation. As an Outpatient Infusion Pharmacist at Banner Health , you will play a vital role in delivering specialized pharmaceutical care… more
- Banner Health (Phoenix, AZ)
- …for coverage under the company's auto insurance policy. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card ... Medical Center is a 353-bed acute care hospital providing a full range of health care services to the fast growing communities of west Phoenix. Opened in 2005,… more
- Molina Healthcare (Phoenix, AZ)
- …State Registered Nursing (RN) license in good standing. + Utilization Management Certification (CPHM) Certified Professional in Health Care Quality (CPHQ), ... plan and coordinate an integrated delivery of care across the continuum, including physical health and behavioral health , for members with high need… more
- Sevita (Tucson, AZ)
- …program including delivery of supports, implementation of person-centered plans, health care, advocacy, customer engagement, regulatory compliance and when ... implements Sevita compliance plan; manages individual rights implementation. 6. Management of Individuals' Assets: When assigned, assures safety of individual's… more
- Highmark Health (Phoenix, AZ)
- …AI techniques, assessing their applicability to core healthcare payer operations (eg, utilization management , claims processing, member services). 3. Modeling & ... **Company :** Highmark Health **Job Description :** **SUMMARY OF JOB RESPONSIBILITIES**...position adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- CenterWell (Phoenix, AZ)
- …**Additional Information** Will report to the Director of Physician Strategy at Utilization Management . The Medical Director conducts Utilization review ... a focus on collaborative business relationships, value-based care, population health , or disease or care management . **Use...and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral … more
- Molina Healthcare (AZ)
- …plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. ... Previous experience in Hospital Acute Care, ER or ICU, Prior Auth, Utilization Review / Utilization Management and knowledge of Interqual / MCG guidelines.… more
- Centene Corporation (Tempe, AZ)
- …or quality improvement experience.** Experience in public sector managed care/managed behavioral health care preferred. Experience with standard statistics ... for our 28 million members. Centene is transforming the health of our communities, one person at a time....analysis of performance data to include HEDIS measures, service utilization and member/provider complaint trends + Develop HEDIS measures,… more
- Somatus (Tucson, AZ)
- …+ Monitors and coaches patients using techniques of motivational interviewing and behavioral change to maximize self- management . + Oversees provisions for ... to health plan. + Participates actively in assigned Care Management Coordination Committee (CMCC) meetings. + Documents pertinent patient information and Care… more