- CVS Health (Phoenix, AZ)
- …all with heart, each and every day. **Position Summary** The **Care Management Associate (Autism Spectrum Disorder)** is responsible for driving and supporting care ... management and care coordination activities across the continuum of...critical thinking skills to facilitate appropriate member physical and behavioral healthcare through assessment and care planning. They will… more
- Adelante (Buckeye, AZ)
- …Behavioral Change Planning + Cultivate education, administration, and self- management skills for targeted populations with psychological issues impacting physical ... recommendations for a portion of these patients by record review without seeing the patients. The therapist will contact...and provider's education to assist with enhancing primary care utilization of behavioral health interventions + Promote… more
- Adelante (Phoenix, AZ)
- …Behavioral Change Planning + Cultivates education, administration, and self- management skills for targeted populations with psychological issues impacting ... recommendations for a portion of these patients by record review without actually seeing the patients. The therapist will...and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promotes… more
- Molina Healthcare (Phoenix, AZ)
- …integrated) performing one or more of the following activities: care review / utilization management (prior authorizations, inpatient/outpatient medical ... an integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high...years in one or more of the following areas: utilization management , case management , care… more
- Sharecare (Phoenix, AZ)
- …change techniques, the nurse helps to drive cost effective and appropriate resource utilization and desired clinical outcomes. The Disease Management Nurse is ... learn more, visit www.sharecare.com . **Job Summary:** The Disease Management Nurse has the responsibility for supporting the goals...and to take the pre and post tests to review competency during orientation. Yearly competency tests are required… more
- Sevita (Phoenix, AZ)
- …every day. Join us today, and experience a career well lived. **Operations Management Area Director** Everybody needs a job but only extraordinary people work here. ... Responsible for the financial performance of the area business unit, review financial statements, oversee purchasing, assure billing compliance, and documentation. +… more
- CenterWell (Phoenix, AZ)
- …providing medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the ... care being provided meets appropriate standards and to ensure cost-effective utilization practices. + Oversee the development, revision, and implementation of… more
- Highmark Health (Phoenix, AZ)
- …:** **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and ... and DOL regulations at all times. In addition to utilization review , the incumbent participates as the...member of the multidisciplinary team for case and disease management . They will advise the multidisciplinary team on cases,… more
- Adelante (Goodyear, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... comprehensive obstetrical and gynecological health care services through the identification, management and/or referral of the health problems and maintenance of… more
- Adelante (Mesa, AZ)
- …audits, continuing education, and the review of protocols and procedures + Review results of utilization and quality monitoring and participate in the ... for providing comprehensive primary health care services through the identification, management and/or referral of the health problems and the maintenance of… more
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