- CVS Health (Phoenix, AZ)
- …be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to ensure members receive appropriate, evidence-based care. You'll ... Apply critical thinking and evidence-based clinical criteria specific to Behavioral Health to evaluate inpatient and outpatient...intensive outpatient programs. + At least 1 year of Utilization Management experience in concurrent review or… more
- Molina Healthcare (Mesa, AZ)
- …dependency services - working closely with regional medical directors to standardize behavioral health utilization management policies and procedures to ... -related regional medical necessity reviews and cross coverage. * Standardizes behavioral health -related utilization management, quality, and financial… more
- Centene Corporation (Phoenix, AZ)
- …a fresh perspective on workplace flexibility. **Position Purpose:** Assist the Sr Behavioral Health Medical Director to direct and coordinate the medical ... management, cost containment, and medical quality improvement activities. + Performs medical review activities pertaining to utilization review , quality… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Suicide Risk management, etc.) and work collaboratively to address the same. Participates in review of behavioral health processes and procedures within the ... Summary The Supervisory Behavioral Health Provider oversees behavioral...identified as having a serious mental illness using Mental Health Review form (IHSC-883). Works in conjunction… more
- Humana (Phoenix, AZ)
- …care management, provider relations, quality of care, audit, grievance and appeal and policy review . The Behavioral Health Medical Director will develop and ... part of our caring community and help us put health first** The Behavioral Health ...insurance, other healthcare providers, clinical group practice management + Utilization management experience in a medical management review… more
- Banner Health (Glendale, AZ)
- …will oversee the senior leader's team at **Banner Thunderbird Medical Center and Behavioral Health Hospital** with responsibility over the Behavioral ... Name:** Admin-Hosp **Work Shift:** Day **Job Category:** General Operations Banner Health believes leadership matters. We value and celebrate through a rich… more
- Molina Healthcare (Scottsdale, AZ)
- **JOB DESCRIPTION** **Job Summary** Molina's Behavioral Health function provides leadership and guidance for utilization management and case management ... and chemical dependency services and assists with implementing integrated Behavioral Health care management programs. **Knowledge/Skills/Abilities** Provides… more
- CenterWell (Phoenix, AZ)
- …best care, when needed most, and for the lowest cost. We go beyond physical health - addressing the social, emotional, behavioral and financial needs that can ... part of our caring community and help us put health first** Conviva Care Solutions is seeking a RN...medical care and services against established CMS Coverage Guidelines/NCQA review criteria and who is interested in being part… more
- CVS Health (Phoenix, AZ)
- …the direction of the Lead Director, Service Operations, this position will focus on utilization , quality and fraud waste and abuse review for individual cases ... review guidelines, and clinical criteria based on extensive knowledge of health care delivery systems, utilization methods, reimbursement methods, and… more
- Adelante (Phoenix, AZ)
- Medical Assistant ( Behavioral Health ) - Phoenix, AZ Job Details Job Location Adelante Healthcare West Phoenix - Phoenix, AZ Position Type Full Time Education ... the Arizona Department of Public Safety for all specialty behavioral health locations + Has one or...to patients regarding obtaining and collecting of specimens. + Review patient plan and educates patient on discharge instructions… more
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