- UnitedHealth Group (Phoenix, AZ)
- …a AZ Network Medical Director to join our AZ Network team. Optum is a clinician -led care organization that is changing the way clinicians work and live. As ... a member of the Optum Care Delivery team, you'll be an integral part of...management (UM), prior authorization determinations, oversight and direction of inpatient and skilled nursing facility utilization, oversight and direction… more
- Molina Healthcare (Tucson, AZ)
- …(RN) license in good standing. **Preferred Experience** Previous experience in Hospital Acute Care , ER or ICU, Prior Auth, Utilization Review / Utilization ... team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care ,… more
- Molina Healthcare (AZ)
- …team members to assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long term care , ... staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of… more
- Humana (Phoenix, AZ)
- …key enterprise leader, with responsibility for evolving Humana's Utilization Management of medical review by physician or nurse, with a focus on our 5+ million ... you will need to be well versed in CMS knowledge of outpatient, inpatient and appeal criteria including regulation and policies. You much also be passionate… more
- Banner Health (Tucson, AZ)
- …Banner Health. We are committed to developing the careers of our team members. We care about you, your career today and your future. If you are looking to leverage ... with approximately half of those beds dedicated to the care of patients with psychiatric diagnoses, an ED with...will have many opportunities to be a successful pharmacy clinician . The objective of the program is to provide… more
- HonorHealth (AZ)
- …limited to, the oversight of the clinical nursing/provider outpatient practices and care rendered in inpatient hospitals. The APCPM collaborates with multiple ... you'll be part of a team, creating a multi-dimensional care experience for our patients. You'll have opportunities to...motivated and able to work independently. Serving as a clinician , supervisor, and program leader, functions as a mentor,… more
