- Monte Nido (Wickenburg, AZ)
- …treatment continuity. 6. Coordinates with the Primary Therapist on any insurance review information needed. 7. Works collaboratively with medical and psychiatric ... providing the opportunity for people to realize their healthy selves. ** Nurse (overnights)** **Monte Nido Rosewood** **Wickenburg, Arizona** At Monte Nido Rosewood,… more
- BroadPath Healthcare Solutions (Tucson, AZ)
- …motivated and results-driven **UM RN Appeals Coordinator.** This role collaborates with clinical review staff, medical directors/physician reviewers, network ... of criteria application, benefit use, and the appeal, External Medical Review (EMR), and Fair Hearing processes...to address pharmacy-related denials + Educates physician reviewers and clinical review staff on managed care and… more
- Evolent (Phoenix, AZ)
- …scheduled. + Determines medical necessity and appropriateness of services using clinical review criteria. + Accurately documents all review ... for the mission. Stay for the culture. **What You'll Be Doing:** The Nurse Reviewer is responsible for performing precertification and prior approvals. Tasks… more
- Molina Healthcare (Mesa, AZ)
- …will work on set schedule) Looking for a RN with experience with appeals, claims review , and medical coding. **Job Summary** Provides support for medical ... and cost-effective member care. **ESSENTIAL JOB DUTIES:** + Facilitates clinical / medical reviews of retrospective medical ...nursing experience, including at least 1 year of utilization review , medical claims review , long-term… more
- Fresenius Medical Center (Show Low, AZ)
- **About this role:** As a Clinical Manager with Fresenius Medical Care, you will ensure that quality patient care is delivered while maintaining clinical ... kidney disease. **Training and advancement:** You will enter our Clinical Leadership Program that creates and supports a culture...a tremendous asset that sets us apart. At Fresenius Medical Care, you will truly make a difference in… more
- Banner Health (Gilbert, AZ)
- …nursing experience in oncology and in the acute care setting. Knowledge of medical and clinical terminology. Excellent organizational and task management skills ... place to work and receive care. As a **RN Clinical Research Specialist in Outpatient Infusion** , you will...research protocols. This position requires a skilled and compassionate nurse who can assess, plan, implement, and evaluate patient… more
- Humana (Phoenix, AZ)
- …Manager, Fraud and Waste Investigator: Nurse Audit/ Review performs clinical audit/validation processes to ensure that medical record documentation and ... approach, resources, schedules and goals. The Manager, Fraud and Waste Investigator: Nurse Audit/ Review validates and interprets medical documentation to… more
- Dignity Health (Phoenix, AZ)
- …and Responsibilities** **Job Summary:** Manages and coordinates all facets of assigned clinical protocols from IRB preparation through query and data seal; ensuring ... state regulations, guidelines, and policies governing the conduct of clinical trials. + Ensures study documents are maintained in...activities relating to assigned studies + Assists in the review and development of proposed study budgets + Ensures… more
- Banner Health (Mesa, AZ)
- …better pay, better benefits, better opportunities and a better community. As a ** Medical Intensive Care Registered Nurse ** , you will have the opportunity ... weekend shift differential. **If you are a New Graduate Nurse with less than 12 months of experience, please...that includes the da Vinci Surgical System. Becker's Hospital Review named Banner Desert Medical Center as… more
- Vighter Medical Group (Mesa, AZ)
- …CPR and AED for healthcare providers and professional responders. + Application of medical principles, clinical procedures, and techniques. + Alertness and skill ... Flight Registered Nurse (RN) - Mesa, AZ Job Details Job...Deputy Program Manager while performing healthcare services under the medical direction of the National Medical Director… more
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