- Molina Healthcare (Scottsdale, AZ)
- …NCQA accreditation surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Manager , Health Plan Quality Interventions is ... responsible for developing, implementing, and monitoring the success of quality improvement interventions . The Manager works to coordinate resources and… more
- Molina Healthcare (Phoenix, AZ)
- …surveys and federal/state QI compliance activities. **KNOWLEDGE/SKILLS/ABILITIES** The Specialist, Quality Interventions / QI Compliance contributes to one or ... more of these quality improvement functions: Quality Interventions ...and Visio (flow chart equivalent). **Preferred Education** Preferred field: Clinical Quality , Public Health or Healthcare. **Preferred… more
- HonorHealth (Scottsdale, AZ)
- …because it does. Learn more at HonorHealth.com. Responsibilities Job Summary The Clinical Quality Improvement Program Manager will facilitate ... Supports the development of specific clinical indicators for service line, clinical specialty, and medical staff quality scorecards. Serves as a resource… more
- Sharecare (Phoenix, AZ)
- …support in an appropriate, efficient and cost-effective manner while ensuring high quality care. The Clinical Registered Nurse coordinates with the Primary ... total healthcare management and ensure cost effective, appropriate resource utilization and quality outcomes. The Clinical Registered Nurse is also responsible… more
- Highmark Health (Phoenix, AZ)
- …referral to a Health Coach/case management, and identification and resolution of quality issues. Monitors and analyzes the delivery of health care services; educates ... and member satisfaction. Responds to customer inquiries and offers interventions and/or alternatives. **ESSENTIAL RESPONSIBILITIES** + Implement care management… more
- Public Consulting Group (Phoenix, AZ)
- …* Document all care activity via case management software system * Promotes quality and cost-effective interventions and outcomes * Assesses and addresses ... a qualified Registered Nurse to perform as a Case Manager . The Case Manager will be responsible...accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes +… more
- Highmark Health (Phoenix, AZ)
- …to appropriate multi-disciplinary resources. In addition to identifying the appropriate clinical interventions and referrals, the incumbent will manage an ... performing ongoing assessment of members' health management needs, identifying the right clinical interventions to address member needs and/or triaging members… more
- Select Medical (Scottsdale, AZ)
- …planning process. The primary job functions in Case Management include: Clinical Interventions /Discharge and Care Planning Management; Fiscal Management; and ... Hospital** In affiliation with Select Medical Scottsdale, AZ **Case Manager (RN or MSW)** Monday- Friday at the hospital...experience _Current Licensure in Social Work or in a clinical or related discipline (RN preferred), per state guidelines… more
- Sharecare (Phoenix, AZ)
- …2025** **Salary:** **$85,000 annually, plus comprehensive benefits package** The Care Manager supports the implementation of the Value Based Care Management program ... in an appropriate and efficient manner by providing high- quality telephonic Case or Care Management with CareFirst members. The Care Manager partners with… more
- Dignity Health (Mesa, AZ)
- …care coordination, discharge planning, utilization review and social work interventions resulting in quality patient care. \#CareCoordinationCSH ... Summary:** Under the guidance of the Department Director, the Care Coordination RN Manager is responsible for oversight of daily operations to ensure the efficient… more
- Select Medical (Phoenix, AZ)
- …planning process. The primary job functions in Case Management include: Clinical Interventions /Discharge and Care Planning Management; Fiscal Management; and ... venture with Select Medical & Hospital Phoenix, AZ **Case Manager (RN or SW)** **Full-time Float Position** **Salary range...case loads + Impact on patient's recovery process and quality of life + High success rate of patients… more
- Select Medical (Mesa, AZ)
- …planning process. The primary job functions in Case Management include: + Clinical Interventions /Discharge Planning + CarePlanning Management + Fiscal Management ... with Select Medical & Banner Hospital Mesa, AZ **Case Manager ** **(RN or SW)** **_Previous hospital or SNF discharge...case loads + Impact on patient's recovery process and quality of life + High success rate of patients… more
- Molina Healthcare (Scottsdale, AZ)
- …HCS staff work to ensure that patients progress toward desired outcomes with quality care that is medically appropriate and cost-effective based on the severity of ... timelines and determines who may qualify for case management based on clinical judgment, changes in member's health or psychosocial wellness, and triggers identified… more
- Public Consulting Group (Phoenix, AZ)
- …complete accurately all necessary forms and produce statistical reports Promotes quality and cost-effective interventions and outcomes + Assesses and ... informed decisions by acting as their advocate regarding their clinical status and treatment options + Develops effective working...management, including as a nurse, medical, mental health care manager or a related job + Excellent knowledge of… more
- Centene Corporation (Phoenix, AZ)
- …populations with primarily medical/physical health needs, to enable quality , cost-effective healthcare outcomes. Performs assessments, develops personalized care ... health needs such as airway management, artificial hydration/nutrition, seizure interventions , medication administration, etc., in addition to functional assessments… more
- Adelante (Phoenix, AZ)
- …clinical interventions /objectives/goals that are observable and measurable. + Provides quality clinical consultation to providers and staff in areas of ... + Provides on-site availability for crisis triage and intervention + Documents the clinical behavioral health aspect of patient interventions and tracks the… more
- Adelante (Phoenix, AZ)
- …clinical interventions /objectives/goals that are observable and measurable. + Provide quality clinical consultation to providers and staff in areas of ... + Provide on-site availability for crisis triage and intervention + Document the clinical behavioral health aspect of patient interventions and tracks the… more
- ERP International (Luke AFB, AZ)
- …* Develop treatment plans including preventive, therapeutic, rehabilitative, psychosocial, and clinical interventions to ensure continuity of care toward the ... active, and unrestricted license to practice as a Registered Nurse, any state. Clinical Certification:** Certified Case Manager by Commission for Case Management… more
- Banner Health (Mesa, AZ)
- …questions and challenges), an in office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is designed ... for a specialized patient population. CORE FUNCTIONS 1. Manages and influences the quality of patient outcomes and clinical care through application of… more
- Banner Health (Scottsdale, AZ)
- …questions and challenges), an in-office team of QI specialists, telehealth resources, clinical manager and in office triage support. This structure is ... **four-star home care agency with a track record for quality and excellence and is the largest skilled home...Registered Nurse,** you will join the Banner Home Health Clinical Team providing exceptional, expert care in your community.… more