- 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 (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
- 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
- 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
- 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
- ZOLL Medical Corporation (Phoenix, AZ)
- …record with sales projects, assignments and providing clinical and relationship management support to physicians and staff . + Excellent organization and ... post sale implementation and execution inclusive of customer training, and project management responsibilities. + Is the clinical "subject matter expert" for… more
- Community Health Systems (Tucson, AZ)
- …Care Unit at Northwest Medical Center.** **What you'll do:** The Registered Nurse Clinical Nurse Leader participates in increased levels of care in a dynamic Acute ... efficient delivery of high-quality patient care. This role supervises nursing staff , coordinates care with healthcare teams, and maintains compliance with healthcare… more
- Community Health Systems (Oro Valley, AZ)
- **$10,000 bonus for eligible, experienced RN's!** **This is a full time Clinical Nurse Leader position working night shift in the Med Surg unit at Oro Valley ... efficient delivery of high-quality patient care. This role supervises nursing staff , coordinates care with healthcare teams, and maintains compliance with healthcare… more
- Community Health Systems (Tucson, AZ)
- …efficient delivery of high-quality patient care. This role supervises nursing staff , coordinates care with healthcare teams, and maintains compliance with healthcare ... development. **Essential Functions** + Supervises and supports nursing and support staff , delegating tasks and responsibilities to appropriate personnel. + Evaluates… more
- Evolent (Phoenix, AZ)
- …for the mission. Stay for the culture. **What You'll Be Doing:** The Clinical Review Nurse is responsible for performing precertification and prior approvals. Tasks ... independent nursing judgement and decision-making, physician-developed medical policies, and clinical decision-making criteria sets. The Clinical Review Nurse… more
- Prime Therapeutics (Phoenix, AZ)
- …and timely fashion. + Demonstrates the value of pharmacy solutions (unit cost, utilization management & patient care enhancement). + Identifies opportunities for ... visa or residency sponsorship **Additional Qualifications** + 3-5 years' experience in clinical operations, quality, network, pharmacy or project management OR a… more
- Molina Healthcare (Chandler, AZ)
- …at least 3 or more years in one or more of the following areas: utilization management , care management , care transitions, behavioral health, or equivalent ... work of external vendors. * Focuses on process improvement, organizational change management , program management and other processes relative to business needs.… more
- Banner Health (Queen Creek, AZ)
- …Arizona **Department Name:** Medical Staff Svcs-Hosp **Work Shift:** Day **Job Category:** Clinical Support Find your path in health care. We want to change the ... ** Preferred candidate must have at least 5 years of Medical Staff Services (ie credentialing, regulatory requirements, meeting management ) experience in… more
- Evolent (Phoenix, AZ)
- … Reviewer, Interventional Pain Management , you will be a key member of the utilization management team. We can offer you a meaningful way to make a ... better health outcomes. **Collaboration Opportunities:** + Routinely interacts with leadership and management staff , other Physicians, and staff whenever a… more
- ERP International (Luke AFB, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... Management Society of America (CMSA); American Accreditation Healthcare Commission/ Utilization Review Accreditation Commission (URAC); CAMH; (AAAHC); Health Services… more
- Highmark Health (Phoenix, AZ)
- …per week (Tuesday-Thursday).** This role supports the full application product lifecycle for ** clinical and utilization management software** , with a ... and technical teams. They function as a pivotal bridge, translating high-level ** clinical and utilization management software** business needs into… more