- Mayo Clinic (AZ)
- …Practice, ANA Code of Ethics for Nurses provides the basis for practice. **Informatics Clinician - PG 137 (39.08 to 58.67 hr)** The Informatics Clinician works ... solutions that support the practice from planning through full adoption. The Informatics Clinician works on design and use of informatics solutions that support the… more
- Devereux Advanced Behavioral Health (Scottsdale, AZ)
- …day school, food services, medical/nursing, and therapy services. As a ** Clinician (non-licensed),** you will provide individual, family, and group therapy services ... and previous job experience providing direct therapy + Preferred: One (1) year Clinician experience and ability to obtain licensure through the Arizona Board of… more
- Molina Healthcare (Scottsdale, AZ)
- JOB DESCRIPTION **Job Summary** The RN Care Review Clinician provides support for clinical member services review assessment processes. Responsible for verifying ... that services are medically necessary and align with established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to… more
- Highmark Health (Phoenix, AZ)
- …and corporate standards and are within the Payment Integrity Clinician 's professional discipline.Effectively function in accordance with applicable state, federal ... laws and regulatory compliance. Implements all reviews according to accepted and established coding criteria, as well as other approved guidelines, payment and medical policies.Promote quality and efficiency in the delivery of review services. + Respect the… more
- Molina Healthcare (Scottsdale, AZ)
- …Provides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with established ... clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care. Essential Job… more
- Molina Healthcare (Scottsdale, AZ)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... For this position we are seeking a (RN) Registered Nurse who must hold a compact license. This is a Remote position, home office with internet connectivity of high speed required Work Schedule Monday to Friday - operation hours 6 AM to 6 PM (Team will work on… more
- Molina Healthcare (Tucson, AZ)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.… more
- Molina Healthcare (Phoenix, AZ)
- …Job SummaryProvides support for clinical member services review assessment processes. Responsible for verifying that services are medically necessary and align with ... established clinical guidelines, insurance policies, and regulations - ensuring members reach desired outcomes through integrated delivery of care across the continuum. Contributes to overarching strategy to provide quality and cost-effective member care.… more
- Datavant (Phoenix, AZ)
- …skills, and experience for a specific job. The estimated salary range for this role is $22 - $45 Pay ranges for this job title may differ based on location, ... responsibilities, skills, experience, and other requirements of the role. The estimated base pay range per hour for this role is: $22-$45 USD To ensure the safety of patients and staff, many of our clients require post-offer health screenings and proof and/or… more
- Molina Healthcare (AZ)
- …**Job Summary** Molina Healthcare Services (HCS) works with members, providers and multidisciplinary team members to assess, facilitate, plan and coordinate an ... integrated delivery of care across the continuum, including behavioral health and long-term care, for members with high need potential. HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and… more
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