- Humana (Phoenix, AZ)
- …and regulations across Humana Specialty and Military products. The Director manages dedicated compliance teams of associates who oversee compliance ... Compliance to develop and implement compliance programs for Humana's Specialty and Military products and contracts. The Director is responsible for … more
- Humana (Phoenix, AZ)
- …part of our caring community and help us put health first** The Medical Director relies on fundamentals of CMS Medicare Guidance on following and reviewing home ... health, DME, skilled nursing facility and waiver requests. The Medical Director provides medical interpretation and determinations whether services provided by other… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... service should be authorized. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national… more
- Humana (Phoenix, AZ)
- …a part of our caring community and help us put health first** The Medical Director relies on medical background and reviews health claims. The Medical Director ... or data requires an in-depth evaluation of variable factors. The Medical Director actively uses their medical background, experience, and judgement to make… more
- Humana (Phoenix, AZ)
- …of our caring community and help us put health first** The Medical Director actively uses their medical background, experience, and judgement to make determinations ... at the Inpatient level. All work occurs within a context of regulatory compliance , and work is assisted by diverse resources, which may include national clinical… more
- Humana (Phoenix, AZ)
- …our caring community and help us put health first** The Corporate Medical Director (CMD) relies on medical background to review health claims and preservice appeals. ... The Corporate Medical Director works on problems of diverse scope and complexity...necessity of services provided by other healthcare professionals in compliance with coverage policies, procedures, and performance standards. CMD… more
- Humana (Phoenix, AZ)
- …our caring community and help us put health first** The Corporate Medical Director relies on medical background and reviews health claims and preservice appeals. The ... Corporate Medical Director works on problems of diverse scope and complexity...appropriateness of services provided by other healthcare professionals in compliance with review policies, procedures, and performance standards. Represents… more
- Community Health Systems (Bullhead City, AZ)
- **Job Summary** The Director , Practice Management is responsible for the operational, financial, and clinical oversight of physician practices within the healthcare ... This role ensures optimal resource utilization, efficient service delivery, regulatory compliance , and financial sustainability across all managed practices. The … more
- Community Health Systems (Tucson, AZ)
- …leadership and clinical teams to enhance trauma care delivery, ensure compliance with regulatory standards, and promote program growth. **Essential Functions** + ... for program improvement and growth. + Collaborates with the Emergency Department Director , Chief Nursing Officer, Medical Director , and Quality Director… more
- Community Health Systems (Tucson, AZ)
- …Responsible for compliance with overall nursing practice standards of the specialty area. Uses established principles of delegation and supervision to direct the ... The Clinical Nurse Leader RN is responsible and accountable to the Department Director for the coordination and effective operation of the unit on the assigned… more
- Rhythm Pharmaceuticals (Phoenix, AZ)
- …for all approved indications. In Stage 1, this position will report to the National Director , ADMs, and in Stage 2, will transition to report to a US Field Sales ... Director . Responsibilities and Duties + Execute disease education to...with high levels of commitment and efficiency, including Healthcare Compliance training, expense reports and other assignments by established… more
- Community Health Systems (Tucson, AZ)
- …for patients and staff. + Participates in audits, chart reviews, and compliance checks to ensure adherence to standards of practice and regulatory requirements. ... rotations in an acute care setting required + 2+ years in specialty area (surgery/GI) strongly preferred **Knowledge, Skills and Abilities** + Strong knowledge… more
- Community Health Systems (Tucson, AZ)
- …and mentoring to new graduate nurses and nurses transitioning to a new specialty . Provides guidance and education on the hospital's standard of nursing practice, ... policies, and procedures to ensure compliance with all accrediting and regulatory agency requirements. Escalates concerns about nursing skills, patient care,… more