- Adelante (Phoenix, AZ)
- … health issues and providers education to assist with enhancing primary care utilization of behavioral health interventions + Promotes a smooth interface ... will be responsible to complete initial intakes for the behavioral health program. The therapist will make...recommendations for a portion of these patients by record review without actually seeing the patients. The therapist will… more
- Highmark Health (Phoenix, AZ)
- …NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review , the incumbent participates as the physician member of the ... **JOB SUMMARY** This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most… more
- Adelante (Mesa, AZ)
- …Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations POSITION REPONSIBILITIES + Reports to the Regional Medical ... Women's Health Nurse Practitioner - Mesa, AZ Job Details...the review of protocols and procedures + Review results of utilization and quality monitoring… more
- Molina Healthcare (Phoenix, 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. ... multidisciplinary integration and collaboration to enhance the continuity of care including Behavioral Health and Long-Term Services & Supports for Molina… more
- Banner Health (Queen Creek, AZ)
- …to work with common office software and equipment. Employees working at Banner Behavioral Health Hospital must possess an Arizona Fingerprint Clearance Card at ... Day **Job Category:** Clinical Support Find your path in health care. We want to change the lives of...medical staff positions. Provides leadership and oversight for peer review , credentialing, and other required medical staff functions. CORE… more
- Highmark Health (Phoenix, AZ)
- **Company :** Highmark Health **Job Description :** **JOB SUMMARY** This role is responsible for designing, developing, implementing, supporting, and optimizing ... stakeholder concerns. **Key Responsibilities:** + Lead and participate in Architecture Review Board processes, providing expert guidance on cloud-based solutions and… more
- CenterWell (Phoenix, AZ)
- …medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... that impact patient well-being. Our integrated care teams, which include physicians, nurses, behavioral health specialists and more, spend up to 50 percent more… more
- Highmark Health (Phoenix, AZ)
- …Wholecare's pharmacy programs with a focus on medication adherence and optimizing member health outcomes. This role involves a high volume of daily contacts with ... address medication-related issues, promote adherence, and ensure appropriate medication utilization . **ESSENTIAL RESPONSIBILITIES** + Communicate effectively with physicians and… more
- Highmark Health (Phoenix, AZ)
- …**Preferred** + 5 years of experience with communications + 3 years of experience in Utilization Review + 3 years of experience in Account Support + 1 year ... **Substitutions** + 6 years experience in pharmacy or managed health care setting in lieu of Bachelor degree **Preferred**...job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of… more
- Highmark Health (Phoenix, AZ)
- **Company :** Highmark Health **Job Description :** Entirely Remote Work From Anywhere Role! We are seeking an experienced Software Engineering Manager to lead our ... have budgetary responsibility and authority. + Understand budget and resource utilization across the product teams. Escalate any issues regarding product delivery… more