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HonorHealth
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SCOTTSDALE, Arizona
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quality provision of care coordination, transitional planning and utilization management considering the ... . Position develops and oversees the ICP Utilization Management and Prior Authorization department. Develops
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CVS Health
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Phoenix, Arizona
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opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Consults ... , document and communicate all aspects of the utilization/benefit management program.
Utilizes
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CVS Health
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Phoenix, Arizona
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opportunities to promote quality effectiveness of healthcare services and benefit utilization.
Consults ... , document and communicate all aspects of the utilization/benefit management program.
Utilizes
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HonorHealth
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SCOTTSDALE, Arizona
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in utilization review, medical management Required ... honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare
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CommonSpirit Health
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Phoenix, Arizona
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● Communicates PDP effectiveness to National Real Estate Services senior management through periodic meetings the ... sessions and generating senior management reports for each review.
● Ensures effective utilization of
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CommonSpirit Health
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Phoenix, Arizona
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● Communicates PDP effectiveness to National Real Estate Services senior management through periodic meetings the ... sessions and generating senior management reports for each review.
● Ensures effective utilization of
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Humana
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Phoenix, Arizona
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comprehensive medication reviews for prescriptions requiring pre-authorization. The Utilization Management ... independent determination of the appropriate courses of action.The Utilization Management Clinical Pharmacist
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Humana
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Phoenix, Arizona
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Experience with Pharmacy Benefit Manager, Pharmacy, or Healthcare data, in particular drug utilization ... company. Through our Humana insurance services and CenterWell healthcare services, we make it easier for
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Humana
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Phoenix, Arizona
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healthcare system. The Utilization Management Strategy Lead role works closely with internal and external ... that will generate tangible value for all stakeholders.
Within the Utilization Management (UM
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SCRAM Systems
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Phoenix, Arizona
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services for eligible individuals.
· Prepare reports on indigent program utilization, trends, and ... , or a related role within social services, legal, or healthcare settings.
· Experience working with
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HonorHealth
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SCOTTSDALE, Arizona
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RN Specialist reviews and monitors utilization of health care services with the goal of maintaining ... honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare
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Dignity Health
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Prescott, Arizona
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of Participation by active involvement in the facility utilization management processes.
Work ... (MEC), and assist in facilitation on Facility Utilization Management Committee.
**Inpatient
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Banner Health
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Arizona, Arizona
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knowledge to assess outcomes related to delivery of Case Management services.
CORE FUNCTIONS
1 ... and utilization management. Must have a working knowledge of hospital operations, medical/nursing
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Humana
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Phoenix, Arizona
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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Banner Health
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Arizona, Arizona
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Medical Director of Transfer Services will lead and oversee the transfer process within our healthcare ... .
Banner Health was recognized on Becker's Healthcare 2024 list of 150+ top places to work in healthcare
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Banner Health
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Arizona, Arizona
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Services is a recognized leader in healthcare and trusted partner in proactively providing innovative pharmacy services through excellence in integration, care coordination, medication management and services
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Highmark Health
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Phoenix, Arizona
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captures all inbound phone inquires for utilization management review from providers and pharmacies. The ... Highmark's Utilization Management system for Prior Authorization clinical review, status research, etc
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Banner Health
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Gilbert, Arizona
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, and other healthcare team members to ensure needed services are received at the correct level of care ... , including home healthcare, extended care-services, medical equipment, and transportation.
**This is a
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Humana
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Phoenix, Arizona
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, other healthcare providers, clinical group practice management.
Utilization management experience ... medical interpretation and determinations whether services provided by other healthcare professionals are
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CVS Health
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Scottsdale, Arizona
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— our purpose sends a personal message that how we deliver our services is just as important as what we ... goal of this team is to provide accurate, relevant data and analysis for utilization and unit cost
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A.T. Still University
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Mesa, Arizona
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, management of facilities, utilization of equipment and staff.
Manages rental agreements, service ... must provide the leadership required to ensure services are delivered within the scope, time, quality
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Banner Health
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Phoenix, Arizona
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on Becker's Healthcare 2024 list of 150+ top places to work in healthcare. This list highlights hospitals, health systems and healthcare companies that prioritize workplace excellence and the happiness
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Banner Health
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Arizona, Arizona
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well as utilization review, prior authorization, and claims and contract management.
Partners ...
Work Shift:
Day
Job Category:
Administrative Services
Help move
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Humana
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Phoenix, Arizona
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insurance, other healthcare providers, clinical group practice management.
Utilization management ... interpretation and determinations whether services provided by other healthcare professionals are in agreement
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Highmark Health
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Phoenix, Arizona
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implements the effective utilization management strategies including: review of appropriateness of health care services, application of criteria to assure appropriate resource utilization, identification of
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Humana
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Phoenix, Arizona
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Utilization Management operating model. The Advisor must exercise independent judgment and decision-making on ... Clinical - Utilization Management (UM) domain**
Serve as the primary point of contact (POC) to discuss
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HonorHealth
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PHOENIX, Arizona
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more. Join us. Let’s go beyond expectations and transform healthcare together. HonorHealth is one of Arizona’s largest nonprofit healthcare systems, serving a population of five million people in the greater
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Humana
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Phoenix, Arizona
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medical interpretation and determinations whether services provided by other healthcare professionals are ... in teams focusing on quality management, utilization management, case management, discharge planning
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TRIWEST HEALTHCARE ALLIANCE CORP
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PHOENIX, Arizona
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Population Health (PH) and Disease Management (DM) program services and interventions for our beneficiaries under the direction of the Manager of Disease Management. The Supervisor is responsible for applying
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Humana
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Phoenix, Arizona
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determinations whether services provided by other healthcare professionals are concordant with national ... , with prior experience participating in teams focusing on quality management, utilization management
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