- CVS Health (Phoenix, AZ)
- …internal and external constituents in the coordination and administration of the utilization /benefit management function. + Gathers clinical information and ... skills to coordinate, document, and communicate all aspects of the utilization /benefit management program. + Applies critical thinking and knowledge in… more
- CVS Health (Phoenix, AZ)
- … solutions that promote high-quality healthcare for members. We are seeking a dedicated Utilization Management (UM) Nurse Consultant to join our remote team. ... listening, and use of a computer. + Flexibility to provide coverage for other Utilization Management (UM) Nurses across various UM specialty teams as needed,… more
- CVS Health (Phoenix, AZ)
- …a difference in the lives of patients facing complex medical journeys. As a Utilization Management (UM) Nurse Consultant specializing in Oncology and ... Inc. (AHH), a division of Aetna/CVS Health, is a URAC-accredited medical management organization founded in 1993. We provide flexible, cost-effective care … 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 (Phoenix, AZ)
- …provided in the least restrictive, most cost-effective manner, through use of outpatient utilization management criteria, clinical practice guidelines and ... improvement process and initiatives as well as customer service programs. Clinical Registered Nurse (RN) Consultant executes position responsibilities that… more
- Adelante (Mesa, 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 - Mesa, AZ Job Details Job Location...and encourages personal responsibility for health. Provides consultation and co- management in the co-treatment of mental disorders and psychosocial… more
- CVS Health (Phoenix, AZ)
- …and every day. **Position Summary** CVS Aetna is seeking a dedicated **Appeals Nurse Consultant ** to join our remote team. In this role, you will play a critical ... role in ensuring fair and accurate resolution of clinical appeals by applying sound clinical judgment and regulatory knowledge. **Key Responsibilities** +… more
- Abbott (Phoenix, AZ)
- …and expert teams to support diagnostic testing that informs treatment and disease management . We are hiring a **Technical Consultant ** to support our ... up to **75% travel** within the territory. The Technical Consultant will play a key role in account activation,...**What You'll Work On** + Deliver on-site technical and clinical training for Abbott Infectious Disease products. + Support… more
- Highmark Health (Phoenix, AZ)
- …**Job Description :** **JOB SUMMARY** Dynamic and results-oriented Pharmacy Benefit Consultant , serving as the client-facing expert, driving growth and retention of ... Consultation: Provide in-depth pharmacy benefit expertise, offering strategic guidance, clinical recommendations, and solutions tailored to individual client needs.… more
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …educational needs to facilitate learner development and skill training of clinical staff. Responsibilities Duties include but not limited to: Utilizes innovative ... for the coordination of education focused on staff education, self- management , and customer satisfaction throughout the healthcare continuum. Follows procedures… more
- CommonSpirit Health (Phoenix, AZ)
- …strategy, ensuring bidirectional communication and shared accountability. **Test Stewardship & Utilization Management ** * Direct the design and implementation of ... regions and facilities. **Test Method Evaluation & Innovation** * Serve as a clinical consultant for evaluating new test methods, emerging diagnostics, and novel… 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
- Veterans Affairs, Veterans Health Administration (Phoenix, AZ)
- …(EER) Committee. The Chief of SPS functions as an administrator, educator, and consultant utilizing management theory in collaboration with Patient Care Service ... following committees: Infection Prevention/Control; Water Safety Committee (Biomedical Engineering); Clinical Executive Council (CEC); Veterans Integrated Services Network (VISN)… more
- Sonora Quest (Queen Creek, AZ)
- …the appropriate use of supplies and materials and assists with inventory management . Ensures efficient utilization of reagents and supplies. Recognizes and ... of technical knowledge and application of that knowledge to department testing, clinical relevance, and complex problem-solving skills. This position serves as a… more