UNKNOWN

FEED

Mental: Clear and conceptual thinking ability; excellent judgment, troubleshooting, problem solving, analysis, and discretion; ability to handle work-related stress; ability to handle multiple priorities simultaneously; and ability to meet deadlines Physical: Computer keyboardingAuditory/Visual: Hearing, vision and talking. Responsible for helping to ensure injured employees receive appropriate level and intensity of care through use of medical and disability duration guidelines, directly related to the compensable injury and/or assist adjusters in managing medical treatment to drive resolution.

YEAR

Amtrust Financial Services Inc

Medical Case Manager

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Any employee operating a motor vehicle on State business must possess and retain a current, valid class-appropriate driver's license, complete all required training, and successfully pass all necessary driver's license record checks. Knowledge, Skills & Abilities (KSAs): Knowledge of: Principles and practices of correctional healthcare management and supervision as set forth by the United States Constitution, Arizona Revised Statutes, the National Commission on Correctional Health Care.

State of Arizona

CHIEF MEDICAL OFFICER

FULL_TIME

OTHER

In support of TRICARE beneficiaries enrolled in the Autism Care Demonstration (ACD), the Autism Services Navigator (ASN) collaborates and oversees the assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services for TRICARE beneficiaries diagnosed with autism spectrum disorder (ASD). • Current unrestricted licensure in an appropriate state or territory of the United States, as a Licensed Independent Clinical Social Worker (LICSW), Licensed Clinical Social Worker (LCSW), Registered Nurse, or other licensed mental health professionals who possess a Certification in Case Management (CCM).

TriWest Healthcare Alliance

Autism Services Navigator

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Functions as an advocate for the beneficiary by ensuring access to necessary care and maintaining Beneficiary's safety, locating specialized services outside the network by identifying providers, exploring nature of services offered, and facilitating process. Independent Thinking / Self-Initiative: Resourceful critical thinker who is able to prioritize tasks essential to achieving desires outcomes, demonstration a proactive commitment to task completion and the ability to identify and secure necessary resources.

Case Manager

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Audit Manager

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient''s journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For Award, among other accolades, which is nothing short of amazing.

Encompass Health Corp

Makes initial and/or comprehensive nursing evaluation visits, ensures patients meet home health eligibility and medical necessity guidelines, determines primary focus of care, develops the plan of care within State guidelines with the physician, and submits accurate documentation. We are committed to creating an inclusive workplace where everyone feels welcomed, valued, heard and respected, empowering people to bring their authentic selves to work and strengthening our collective impact through diverse talents, backgrounds, experiences and perspectives.

HOUR

UnitedHealth Group is a health care and well-being company that’s dedicated to improving the health outcomes of millions worldwide. We are comprised of two distinct and complementary businesses, UnitedHealthcare and Optum, working to build a better health system for all. Here, your contributions matter as they will help transform health care for years to come. Make an impact with a diverse team that shares your passion for helping others.

What we do

Gain insights on how we work to help people live healthier lives and help make the health system work better for everyone by watching this video.

<a href="https://www.youtube.com/watch?v=5PbNyi2IDkY">https://www.youtube.com/watch?v=5PbNyi2IDkY</a> 

Caring. Connecting. Growing together. 

Being a part of UnitedHealth Group means working to improve health outcomes for everyone, including yourself. Here is how:

• Caring. Your total health and well-being are important to us. Whatever matters most to you — we have resources to help you be your best at work and at home. The benefits range from free Peloton courses to financial counseling. <a href="https://careers.unitedhealthgroup.com/culture/what-we-offer/">Learn more about what we offer.</a> 

• Connecting. We recognize our collective power to make an impact across our communities because we believe the health of any society is measured by the overall health of its people. <a href="https://careers.unitedhealthgroup.com/culture/">Learn more about our culture.</a> 

• Growing together. UnitedHealth Group is full of inspiring career stories, and we offer a lifetime of opportunities. <a href="https://careers.unitedhealthgroup.com/career-areas/">Discover all the ways you can learn, grow and develop.</a>

UnitedHealth Group Inc.

Weekend RN Home Health Peoria

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The Transition of Care Coordinator provides clinical oversight and coordination for beneficiaries moving between levels of care, supports discharge planning, conducts post-discharge follow up, completes assessments and reassessments as needed, identifies barriers to care, and reviews and processes authorization and referral requests according to policy. Technical Skills: Thorough knowledge of internal policies and procedures, utilization management principles, managed care concepts, medical terminology, and medical management system, clinical decision support tools, International Classification of Diseases, and Current Procedural Terminology.

Transition of Care Coordinator RN/LCSW

With 391 licensed beds, the hospital provides a wide range of services, including acute medical and surgical services as well as intensive care, emergency and urgent care, inpatient/outpatient surgery, cardiac catheterization, neurology, orthopedics, oncology, urology, pulmonary, obstetrics and gynecology, outpatient diagnostic services, and adult behavioral services. Assesses overall staffing effectiveness and adequate throughput by ensuring the appropriate number, competency and skill mix of staff are involved in the provision of needed health care services according to census, acuity, and responsible use of labor budget.

Banner Health

Senior Manager RN Charge Registered Nurse Acute Care Units

Working closely with healthcare vendors and facility operations, you'll analyze information, identify opportunities for improvement, and help strengthen the quality, timeliness, and effectiveness of care provided to incarcerated individuals. Employees who drive on state business are subject to driver's license record checks, must maintain acceptable driving records, and must complete any required driver training (see Arizona Administrative Code R2-10-207.12).

HEALTHCARE COORDINATOR

Manages and facilitates patient centered nursing care for designated patient populations by serving as a real-time clinical expert for unit staff and physicians for escalated problem-solving on patients, processes, and family issues. Employees working at Banner Behavioral Health Hospital, BTMC Behavioral or BUMG, BUMCT in a Behavioral Health clinical setting that serves children must possess an Arizona Fingerprint Clearance Card at the time of hire and maintain the card for the duration of their employment.

Associate Director Registered Nurse RN CVOR

Knowledge, Skills & Abilities (KSAs): Knowledge of: Principles and practices of correctional healthcare management and supervision as set forth by the United States Constitution, Arizona Revised Statutes, the NCCHC and the American Correctional Associations; laws, rules, regulations, policies and procedures pertaining to the privatization and administration of inmate medical, mental health and dental care. A master's degree from an accredited institution in psychology, counseling, social work, or a related field, plus at least two years of healthcare administration experience as indicated above and; Hold a Certified Correctional Healthcare Professional (CCHP) certification.

MENTAL HEALTH MANAGER

This position works independently, receiving supervision of work activities from the Lead CM team, Supervisor of Case Management and Manager of Case Management and is accountable for the quality of clinical services delivered by both them and community partners and identifies/resolves barriers which may hinder effective patient care. Reviews the patient daily for appropriate patient status, level of care and goal length of stay per established Case Management daily prioritization protocol, utilizing MCG criteria and communicates goal length of stay to clinical care team, patient and family.

Phoenix Children's Hospital

Assists the Manager, Case Management with the daily operational activities by monitoring quality and effectiveness of workflow, problem resolution and troubleshooting issues, and processes to ensure optimum efficiency and compliance with all regulatory and licensing requirements. Reviews the patient daily for appropriate patient status and goal length of stay per the established Case Management prioritization protocol and per MCG criteria and communicates goal length of stay to clinical care team and patient and family.

Ld Case Manager

Under general supervision of the Clinical Documentation Integrity Program Manager, the Clinical Documentation Specialist is responsible for improving overall quality and completeness of clinical documentation to accurately reflect patient severity of illness and risk of mortality through extensive interaction with physician, case management, nursing staff, other patient caregivers and coding staff. Tenet's hospital operations segment includes 52 acute care and specialty hospitals in nine states, as well as other facilities such as primary and specialty care clinics, diagnostic imaging centers, micro-hospitals and off-campus emergency departments.

Tenet Healthcare Corporation is a diversified healthcare services company with 115,000 employees united around a common mission: to help people live happier, healthier lives. Through its subsidiaries, partnerships and joint ventures, including United Surgical Partners International, the Company operates general acute care and specialty hospitals, ambulatory surgery centers, urgent care centers and other outpatient facilities. Tenet's Conifer Health Solutions subsidiary provides technology-enabled performance improvement and health management solutions to hospitals, health systems, integrated delivery networks, physician groups, self-insured organizations and health plans. Since 2003, Tenet's Commitment to Quality has improved the quality of medical care and patient safety at its hospitals and other businesses by evaluating processes and promoting best practices. As the world in which Tenet operates continues to change, Tenet's Commitment to Quality will remain focused on quality, the growing quality gap relative to top performers in the industry, and the fact that payers and employees use quality as a distinguishing factor. Visit the Quality Care page for more information. Tenet has taken the lead in addressing the needs of the uninsured through its Compact With Uninsured Patients. Established in 2003, the Compact focuses on treating patients without insurance fairly and with respect during and after their treatment, regardless of their ability to pay. Tenet also is committed to working with its patients through financial counseling and alternative payment options.

Tenet Healthcare Corp

Clinical Documentation Specialist

Medical nursing practice, medical case management protocols, quality management and utilization review protocols as related to all populations including Maternal and Child Health services, preventive health, family planning, sterilization, and pregnancy termination, EPSDT, acute, LTC, chronic long-term elderly and physical disabled, developmentally disabled, behavioral/mental health, and Tribal. Selective Preference(s): Minimum: Must maintain a current Arizona medical license (RN or higher) or Arizona Behavioral Health license (Associate or higher) and 3 years of relevant healthcare experience.

Arizona Department of Administration

Claims Medical Review Nursing Consultant

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ADAPTED_NOW

Our organization is a URAC accredited leader in IME and Record Review services, currently working with over 170 Work Comp, Disability, Group Health, Auto Liability Carriers, Third Party Administrators, Managed Care Organizations, Employers, Pharmacy Benefit Managers, and Medicare Set-Aside providers to provide customized peer review and IME programs which assist their RN's and adjustors in reaching appropriate medical determinations as part of the claims management process. We process over 200,000 insurance claims annually for leading national and regional Workers’ Compensation, Disability, Auto and Group Health Carriers, Third-Party Administrators, Managed Care Organizations, Employers and Pharmacy Benefit Managers.

Dane Street

REMOTE IME AND PEER REVIEW OPPORTUNITIES FOR PHYSICIANS ONLY (Neurosurgeon)

Join Encompass Health, where being a Case Manager goes beyond just a job; it positions you as a vital link between exceptional care and the transformative impact on each patient's journey. Our achievements include being named one of the "World's Most Admired Companies" and receiving the Fortune 100 Best Companies to Work For® Award, among other accolades, which is nothing short of amazing.

Encompass Health Rehabilitation Hospital of West Valley

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Maximus compensation is based on various factors including but not limited to job location, a candidate's education, training, experience, expected quality and quantity of work, required travel (if any), external market and internal value analysis including seniority and merit systems, as well as internal pay alignment. *********Minimum Requirements: - High School Degree and 2+ years clinical experience required; Associate's Degree preferred or equivalent combination of education or experience.

MAXIMUS provides business services to help governments operate health and human services programs, mostly at the state and national levels. The company's health services segment offers outsourced program management and administrative services,

Maximus

Clinical Review Lead Coordinator, LPN/RN

Job Summary: The Nurse Care Manager is responsible for helping coordinate and evaluate the management of patients with acute and chronic conditions, across the care continuum, to achieve high quality care measured by positive patient outcomes. In our medical clinics, we provide comprehensive primary care for senior adults with traditional Medicare and Medicare Advantage plans, focused on delivering improved quality, better patient experience and lower total cost of care.

Utilization Management Nurse Jobs in Phoenix, AZ

Medical Case Manager Amtrust Financial Services Inc

CHIEF MEDICAL OFFICER State of Arizona

Autism Services Navigator TriWest Healthcare Alliance

Case Manager TriWest Healthcare Alliance

Audit Manager State of Arizona

Case Manager Encompass Health Corp

Weekend RN Home Health Peoria UnitedHealth Group Inc.

Transition of Care Coordinator RN/LCSW TriWest Healthcare Alliance

Senior Manager RN Charge Registered Nurse Acute Care Units Banner Health

HEALTHCARE COORDINATOR State of Arizona

Associate Director Registered Nurse RN CVOR Banner Health

MENTAL HEALTH MANAGER State of Arizona

Case Manager Phoenix Children's Hospital

Ld Case Manager Phoenix Children's Hospital

Clinical Documentation Specialist Tenet Healthcare Corp

Claims Medical Review Nursing Consultant Arizona Department of Administration

REMOTE IME AND PEER REVIEW OPPORTUNITIES FOR PHYSICIANS ONLY (Neurosurgeon) Dane Street

Case Manager Encompass Health Rehabilitation Hospital of West Valley

Clinical Review Lead Coordinator, LPN/RN Maximus

CRN Care Manager - Phoenix Market ArchWell Health LLC

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