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Adobe Population Health
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Phoenix, Arizona
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, transitional
care, and social work services. As one of the country\'s few fully
integrated healthcare providers ... care. The IHA NP
will promote the effective utilization of tools and monitor healthcare
resources while
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Molina Healthcare
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Phoenix, Arizona
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leadership in the development and execution of the Plan’s disease management, case management, utilization ... , including such programs as Quality Improvement, Utilization Management, Care Management, Predictive Modeling
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Centene Corporation
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Phoenix, Arizona
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on our Medical Management/Health Services team. Centene is a diversified, national organization ... addressed properly and in the contractual timeline. Aids utilization management team to document
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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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HonorHealth
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PHOENIX, Arizona
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assigned ITSM process. Develops management metrics to track adoption, utilization and adherence to the ... honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare
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HonorHealth
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PHOENIX, Arizona
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assigned ITSM process. Develops management metrics to track adoption, utilization and adherence to the ... honorhealth.com/benefits to learn more. Join us. Let’s go beyond expectations and transform healthcare
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Humana
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Phoenix, Arizona
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healthcare providers, clinical group practice management.
Utilization management experience in a medical ... medical interpretation and determinations whether services provided by other healthcare professionals are
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Humana
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Phoenix, Arizona
...
medical interpretation and determinations whether services provided by other healthcare professionals are ... participating in teams focusing on quality management, utilization management, case management, discharge
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Humana
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Phoenix, Arizona
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, utilization management, case management, discharge planning and/or home health or post acute services such as ... 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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patient, and then creates the case (data entry) in Highmark's utilization management system for clinical ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
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US Tech Solutions
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Phoenix, Arizona
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holistic approach consults with utilization management clinicians, hospital discharge planning staff ... to secure appropriate options and services necessary to meet the member’s benefits and/or healthcare
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Highmark Health
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Phoenix, Arizona
...
patient, and then creates the case (data entry) in Highmark's utilization management system for clinical ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
...
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Humana
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Phoenix, Arizona
...
and determinations whether services provided by other healthcare professionals are in agreement with ... prior experience participating in teams focusing on quality management, utilization management, case
...
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HonorHealth
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PHOENIX, Arizona
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honorhealth.com/benefits to learn 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
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Centene Corporation
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Phoenix, Arizona
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on our Medical Management/Health Services team. Centene is a diversified, national organization ... services related to mental health and substance abuse are medically appropriate.
**Education
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Humana
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Phoenix, Arizona
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Coordinator 2 contributes to administration of utilization management. The UM Administration Coordinator 2 ... Humana insurance services and CenterWell healthcare services, we make it easier for the millions of
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UnitedHealth Group
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Phoenix, Arizona
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Enterprise Clinical Services Medical Directors on performing utilization management
Participation in ... care services are delivered.
As an Inpatient Care Management Nurse, you will be responsible for
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Centene Corporation
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Phoenix, Arizona
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Limited in state travel.
Education/Experience: Master’s degree in Healthcare Management ... recommendations to assure the delivery of quality services
Lead case reviews to assess the clinical
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Banner Health
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Phoenix, Arizona
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families, physicians, and other healthcare team members to ensure needed services are received at the ... -discharge services, including home healthcare, extended care-services, medical equipment, and transportation
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CBRE
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Phoenix, Arizona
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facets of project management (budget, schedule, procurement, quality & risk) for individual healthcare ... Senior Project Manager, Healthcare (Phoenix, AZ)
Job ID
166186
Posted
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Highmark Health
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Phoenix, Arizona
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then creates the case (data entry) in Highmark's utilization management system for clinical review ... utilization management system.
Use knowledge of process and judgement to evaluate identified cases that
...
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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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TRIWEST HEALTHCARE ALLIANCE CORP
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PHOENIX, Arizona
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Disease Management (DM) services to TRICARE beneficiaries. The DM nurse will collaboratively assess, plan ... a healthcare system or managed care organization (MCO)
Preferred:
Disease Management experience
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Adelante
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Phoenix, Arizona
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primary health care services through the identification, management and/or referral of the health problems ...
Job Details
Job Location
Adelante Healthcare West Phoenix - Phoenix, AZ
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Humana
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Phoenix, Arizona
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participating in teams focusing on quality management, utilization management, case management, discharge ... Systems, health insurance, other healthcare providers, clinical group practice management
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Oracle
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Phoenix, Arizona
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Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
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Oracle
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Phoenix, Arizona
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
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HonorHealth
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PHOENIX, Arizona
...
honorhealth.com/benefits to learn 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
...
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HonorHealth
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PHOENIX, Arizona
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Technology Management, construction, environmental services, security operations, and other system processes ... utilization and decrease cost of services through process improvement tools and activities. Develops and
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Oracle
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Phoenix, Arizona
...
Energy & Utilities
Financial Services
Healthcare
Strategic Accounts/Pursuits
Direct ... and management of OCI resources, ensuring consistency and efficiency.
**Security and Compliance
...
