- Humana (Phoenix, AZ)
- **Become a part of our caring community and help us put health first** The Care Manager , Telephonic Nurse 2 employs a variety of strategies, approaches and ... business there is limited day to day flexibility in care manager 's schedule. **Duties:** + Telephonically assess...skills to make an impact** **Required Qualifications** + Active Registered Nurse ( RN ) license with… more
- Molina Healthcare (AZ)
- …**Required License, Certification, Association** Nevada licensure must be Active, unrestricted State Registered Nursing ( RN ) license in good standing. **NV is ... REMOTE , Nevada residents preferred. Candidates who do not...assess, facilitate, plan and coordinate an integrated delivery of care across the continuum, including behavioral health and long… more
- Sharecare (Phoenix, AZ)
- … more accessible and affordable for everyone. To learn more, visit www.Sharecare.com. The Care Manager supports the implementation of the Value Based Care ... telephonic Case or Care Management with CareFirst members. The Care Manager partners with members, caregivers, providers, and the interdisciplinary… more
- CVS Health (Phoenix, AZ)
- …. + Perform medical necessity reviews. **Required Qualifications** + 5+ years' experience as a Registered Nurse with at least 1 year of experience in a hospital ... position consists of working intensely as a telephonic case manager with patients and their care team...setting. + A Registered Nurse that holds an active, unrestricted… more
- CVS Health (Phoenix, AZ)
- …populations + Familiarity with QuickBase or similar data management platforms **Education** Registered nurse , BSN or MSN preferred **Anticipated Weekly Hours** ... all with heart, each and every day. **The Senior Manager , Quality of Care ** is responsible for...culture of safety and excellence. This is a fully remote position. Eligible candidates must live in Arizona. **Key… more
- Molina Healthcare (Scottsdale, AZ)
- …and/or coding experience, or equivalent combination of relevant education and experience. + Registered Nurse ( RN ). License must be active and unrestricted ... to overarching strategy to provide quality and cost-effective member care . **ESSENTIAL JOB DUTIES:** + Facilitates clinical/medical reviews of retrospective… more
- CenterWell (Phoenix, AZ)
- …**Use your skills to make an impact** **License/Certifications:** + Active and unrestricted Registered Nurse ( RN ) license with authorization to practice in ... individual circumstances and company policy. **This is not a remote or work-from-home position. This position requires you to...insurance and reliable transportation. + Two years as a Registered Nurse ( RN ) with at… more
- Somatus (Tucson, AZ)
- Overview As the largest and leading value-based kidney care company, Somatus is empowering patients across the country living with chronic kidney disease to ... This position is responsible for ensuring the continuity of care in both the inpatient and outpatient setting utilizing...telephonically as the need arises. **This is a fully remote role where compact licensure is strongly preferred.** **The… more
- Humana (Phoenix, AZ)
- …Care Navigator) must meet **one** of the following requirements: **Active unrestricted Registered Nurse , ( RN ) license without disciplinary action with the ... for beneficiaries receiving services under the TRICARE program. The Care Manager , Telephonic Behavioral Health 2 (Focus...best for your schedule. Travel: While this is a remote position, occasional travel to Humana's offices for training… more
- Highmark Health (Phoenix, AZ)
- …established industry, corporate, state, and federal law standards and are within the care manager 's professional discipline. + For assigned case load, create ... in case management including but is not limited to: developing a care plan, encouraging behavior changes, identifying and addressing barriers, helping members to… more
- Molina Healthcare (AZ)
- …initiating and managing member and/or community interventions (eg, removing barriers to care ) and other federal and state-required quality activities + Monitors and ... within the organization + Supports provision of high-quality clinical care and services by facilitating/building strategic relationships with community-based… more
- Molina Healthcare (AZ)
- …NCQA-related) requirements are documented during the year + Works with the Manager and/or Director to maintain up-to-date addendums to quality policies and ... activities and results to identify opportunities for improvement + Surfaces to the Manager and/or Director any gaps in processes that may require remediation + Other… more
- Sedgwick (Phoenix, AZ)
- …to Work(R) Fortune Best Workplaces in Financial Services & Insurance Field Case Manager -Sign-On Bonus Eligible **We are growing all across the US and are looking ... on the health and lives of others, and a remote work environment that allows face to face interaction...more. + Access diverse and comprehensive benefits to take care of your mental, physical, financial and professional needs.… more
- CenterWell (Phoenix, AZ)
- …initiatives. **Use your skills to make an impact** + Current and unrestricted Registered Nurse licensure (in the state of practice) _preferred_ + Minimum ... operations to ensure the following: operational efficiencies, quality of patient care , regulatory compliance, support of business development & patient base growth,… more
- Banner Health (AZ)
- …settings by including remote and hybrid opportunities. As a **Licensed Practical Nurse (LPN)** for **Banner Health Plans** , you will be an integral part of ... Independently review patient medical charts to assess whether the care provided may have contributed to the cause of...tracks Corrective Active Plans (CAPs), in collaboration with the Manager , Supervisor or QM RN and communicates… more
- Humana (Phoenix, AZ)
- …Strategy and Analytics. This role is not a traditional software product manager role. Instead, it requires demonstrated expertise in healthcare delivery, provider ... with high-performing provider groups to understand clinical workflows, transitional care processes, and operational drivers that contribute to lower readmission… more
- CenterWell (Phoenix, AZ)
- …in KPI-driven performance management. **Preferred Certifications:** * Certified Healthcare Access Manager (CHAM) * Certified Revenue Cycle Professional (CRCP) * Lean ... Belt or higher) * Project Management Professional (PMP) * Nursing license ( RN or LPN/LVN) preferred but not required **Additional Information:** To ensure Home… more
- CenterWell (Phoenix, AZ)
- …experience in a supervisory or teaching role + Thorough knowledge of health care policy, industry and related clinical practice + Knowledge in the interpretation and ... assigned **Preferred Qualifications** + Master's Degree preferred + Licenses/Certification: RN , PT or OT preferred + More than 3...PHI / HIPAA information. Travel: While this is a remote position, occasional travel to Humana's offices for training… more