- CVS Health (Phoenix, AZ)
- … clinical skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Conduct clinical reviews for adult ... internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and… more
- CVS Health (Phoenix, AZ)
- …promote high-quality healthcare for members. **Position Summary** We are seeking a dedicated Utilization Management (UM) Nurse to join our remote team. In this ... role, you'll be at the forefront of clinical decision-making, applying your expertise in Behavioral Health to...a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …center's UM Program. The UMC possesses knowledge of InterQual Acute Criteria, utilization management best practices, clinical documentation requirements, ... Care System is looking for a Registered Nurse - Utilization Management to join the Quality &...is a registered professional nurse who serves as a consultant to the facility for evaluating and recommending appropriate… more
- Highmark Health (Phoenix, AZ)
- …needs and the analytical technology team. The Senior Decision Support Consultant will leverage technical, analytical, and business expertise to design, develop, ... while also being capable of developing technical solutions. The consultant will act as a senior resource within the...the impact of Highmark's business decisions on Informatics, personnel utilization , and the use and planning of technology. The… more
- Adelante (Phoenix, AZ)
- …degree Job Category Health Care Description POSITION SUMMARY The Behavioral Health Consultant is responsible for the management of psychosocial aspects of ... Behavioral Health Consultant Job Details Job Location Adelante Healthcare West...and encourages personal responsibility for health. Provides consultation and co- management in the co-treatment of mental disorders and psychosocial… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …responsible for supporting the clinical staff in selection, implementation, and utilization of medical equipment. The incumbent advises management staff in ... standards of professional service. The incumbent is a professional consultant and advisor on healthcare technology matters to PVAHCS...Management ; HTM has a direct impact on all clinical services provided by PVAHCS by ensuring all medical… more
- HonorHealth (AZ)
- …nurse practitioners, management , staff, patients, and families to promote clinical expertise, patient safety, resource utilization and adherence to ... patient population served. The CRN serves as a coordinator, clinical nurse, educator, consultant , and leader in...CRN continues to enhance their knowledge in the nursing management and care of patient problems and conditions as… more
- Veterans Affairs, Veterans Health Administration (Prescott, AZ)
- …a consultant for intensive medication therapy management services. Responsibilities Total-Rewards-of-an-Allied-Health-VA-Career-Brochure.pdf The Clinical ... pharmacy practice. The incumbent will routinely provide and support leadership and management oversight as it related to clinical programs and activities.… more
- HonorHealth (AZ)
- …facilitate client profiles, clinical service utilization and profitable revenue management . + Serves as a consultant or participant as needed: Care ... and delivery of quality patient care. The PA conducts clinical reviews on cases referred by case management...and optimal reimbursement. + Attends JOC as requested by Utilization Management or Managed Care: Works with… more
- Immigration and Customs Enforcement (Eloy, AZ)
- …Behavioral Health Unit (BHU). The incumbent will report directly to the Clinical Director (CD) and/or Regional Behavioral Health Consultant . The Supervisory ... under the general supervision of the Clinical Director and receives Clinical supervision from the Regional Behavioral Health Consultant . Assignments are… more
- CenterWell (Phoenix, AZ)
- …medical guidance and expertise. + Develop, implement and monitor the outcomes of utilization review and disease management programs to meet the quality and ... for achieving results. + Clinical Knowledge: You understand clinical program design, implementation, management /monitoring to support choice in… more
- ERP International (Yuma, AZ)
- …algorithms, CM software, and databases for community resources. * Integrate CM and utilization management (UM) and integrating nursing case management with ... algorithms, CM software, databases for community resources, etc. + Integrate CM and utilization management (UM) and integrate nursing case management with… more
- HonorHealth (AZ)
- …with providers to provide guidance on appropriate use of medications, clinical pharmacology, pharmacokinetics, disease state management , and nutrition. ... per pharmacy guidelines and communicates therapeutic recommendations. + Acts as a consultant to healthcare professionals and patients regarding utilization of… more
- Banner Health (Gilbert, AZ)
- …care. POSITION SUMMARY This position is responsible for accurate assembly and full utilization of various data bases and data sources for the operation. Duties ... data outcomes analysis, creates data reports and works on special data management projects as assigned. 3. Maintains and updates department specific databases.… more