- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Staff Utilization Management Pharmacist is a clinical expert responsible for conducting ... holiday per calendar year** **Job Description:** The Staff Utilization Management Pharmacist is a clinical professional responsible for conducting… more
- CVS Health (Phoenix, AZ)
- …making a meaningful difference in the lives of patients? Join Mercy Care as a Utilization Management Clinical Consultant and become part of a mission-driven ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CommonSpirit Health (Phoenix, AZ)
- …contribute to high-level organizational decision-making, working closely with other executives and clinical leaders to align utilization management practices ... **Job Summary and Responsibilities** The System Vice President of Utilization Management is a key member of...guidance and mentoring to UM team members, including physicians, clinical staff , and administrative staff .… more
- Banner Health (Tucson, AZ)
- …services to our patients 24 hours a day, 7 days a week. As an **Acute Clinical Staff Pharmacist** joining the team, you will become part of an elite professional ... our patients. We work in unison with outstanding pharmacists and dedicated nursing staff . At BUMCT you will have the opportunity to gain experience inpatient… more
- Banner Health (Casa Grande, AZ)
- …and festivals celebrating local, regional, and Native American cultures. As an **Acute Clinical Staff Pharmacist** at Banner Casa Grande Medical Center, you will ... delivery of pharmaceutical care to patients using the medication use process. A Clinical Staff Pharmacist is accountable for documentation of all components of… more
- Banner Health (Phoenix, AZ)
- …pharmaceutical knowledge through education, research, and innovation. As an **Acute Clinical Staff Pharmacist** at **Banner University Medical Center Phoenix** ... to our smallest patients in the Level IV neonatal ICU pharmacy. Our clinical services include a multitude of specialties, including critical care, internal medicine,… more
- CenterWell (Prescott, AZ)
- …for review of the appropriate number of Case Managers and clinical staff documentation to include starts-of-care, resumption-of-cares, and re-certifications, ... documentation in addition to feedback and recommendations by Utilization Review staff . Upon completion of the...systems and process. Competently performs patient care assignments and staff management activities. + Provides direct patient… more
- Humana (Phoenix, AZ)
- …Lead- Florida develops, maintains, and/or operationalizes formularies related to coverage, utilization management edits, or clinical coverage policies ... Develops corporate communications to be shared with senior leadership. Supports trend management by conducting analysis of drug spend, utilization , and/or… more
- Banner Health (Tucson, AZ)
- …Improvement background, and a demonstrated ability to mentor and develop clinical staff . Understanding of reimbursement models and documentation requirements ... members. Your day-to-day responsibilities will encompass supervising and supporting clinical staff , reviewing documentation, triaging patient phone calls, and… more
- Highmark Health (Phoenix, AZ)
- …and financial stakeholders **Preferred** + Experience with medical policy and utilization management functions + Medical coding experience **LICENSES or ... Utilize robust, data-driven insights from complex healthcare datasets (eg, claims, clinical , utilization , pharmaceutical) to inform policy development, identify… more