NewPhysical Therapy Manager JobotPhysical Therapy ManagerPrescott Valley, AZ$120,000–$130,000 / yearInformation collected and processed as part of your Jobot candidate profile, and any job applications, resumes, or other information you choose to submit is subject to Jobot's Privacy Policy, as well as the Jobot California Worker Privacy Notice and Jobot Notice Regarding Automated Employment Decision Tools which are available at jobot.com/legal. monthly performance bonus up to $2K Student loan repayment & sign-on bonus 2.5 weeks PTO, CME credit ($1,700) + CME PTO Career ladder with opportunities in research or clinical instruction.
NewTravel Nurse RN - Case Manager - $2,800 to $2,850 per week in Tuba City, AZ TravelNurseSourceTravel Nurse RN - Case Manager - $2,800 to $2,850 per week in Tuba City, AZTuba City, AZ$2,800–$2,850li>The incumbent will work closely work with Providers, Nurses, Social Workers, Physicians, the PRC department, and all health care providers to ensure implementation of appropriate resources in the fulfillment of utilization goals for the hospital and third-party payors. The Social Worker/RN Case Manager is responsible for utilization review of patient cases in the inpatient and outpatient services departments, and review of medical necessity of referrals to specialty providers for services not normally provided within the facility.
Oncology Territory Manager, Breast - Phoenix N Daiichi Sankyo, Inc.Oncology Territory Manager, Breast - Phoenix NPhoenix, AZ$155,920–$233,880 / yearFull timep style="margin:0in;line-height:normal;font-size:12pt;font-family:'aptos' , sans-serif">Download Our Benefits Summary PDF. Applying knowledge of the healthcare industry, trends, applicable laws and regulations, market conditions, and the market access environment (including but not limited to pharmacy economics, payer reimbursement landscape, and patient flow/influence between academic institutions, hospitals, and community practices).
NewTravel Nurse RN - Case Manager - $3,280 to $3,400 per week in Tuba City, AZ TravelNurseSourceTravel Nurse RN - Case Manager - $3,280 to $3,400 per week in Tuba City, AZTuba City, AZ$3,280–$3,400p>The RN Case Manager works with culturally diverse patient populations and addresses barriers to care including chronic illness, mental health concerns, substance abuse, domestic violence, illiteracy, and limited access to healthcare resources. Facility Overview Tuba City Regional Health Care Corporation (TCRHCC) is a Joint Commission-accredited healthcare facility serving a 4,400-square-mile region across the western Navajo and Hopi Reservations in Northwestern Arizona.
NewTravel Nurse RN - Case Manager - $66 to $72 per hour in Fort Defiance, AZ TravelNurseSourceTravel Nurse RN - Case Manager - $66 to $72 per hour in Fort Defiance, AZFort Defiance, AZ$66–$72When you’re off-duty you can explore local cultural sites and museums, take scenic drives to Canyon de Chelly National Monument for breathtaking canyon vistas, visit nearby Window Rock for tribal history and events, browse authentic trading posts, or plan weekend trips to Monument Valley, Petrified Forest National Park, and other stunning Southwestern landscapes. Hashtags #RegisteredNurseJobs #ClinicCareCoordinator #FortDefianceAZJobs #HealthcareJobs #UHCCareers #CaseManagement #CareCoordination #OutpatientClinic #TravelNurse #RNJobs.
NewTravel Nurse RN - Nurse Manager in Tucson, AZ TravelNurseSourceTravel Nurse RN - Nurse Manager in Tucson, AZTucson, AZp>This role requires strong healthcare leadership experience, particularly in surgical or ASC settings, with proven ability to manage budgets, lead teams, and drive organizational performance. The Administrator will oversee facility performance, financial outcomes, regulatory compliance, and physician relations while ensuring high-quality patient care and operational efficiency.
NewTravel Nurse RN - Case Manager - $1,876 per week in Phoenix, AZ TravelNurseSourceTravel Nurse RN - Case Manager - $1,876 per week in Phoenix, AZPhoenix, AZ$1,876.40–$1,876.40TravelNurseSource is working with THP Healthcare Staffing to find a qualified Case Manager RN in Phoenix, Arizona, 85015! Our Client is currently seeking RN - Case Manager positions in , for a 5x8 Days shift.
NewTravel Nurse RN - Case Manager in Phoenix, AZ TravelNurseSourceTravel Nurse RN - Case Manager in Phoenix, AZPhoenix, AZWe value teamwork, continuous growth, and creating a respectful, drama-free environment where people feel supported and empowered to do meaningful work. ATC Healthcare is seeking a skilled and compassionate Registered Nurse (RN) - Case Manager to join our growing clinician community.
NewCare Manager Assistant - LPN Life Care Center of ScottsdaleCare Manager Assistant - LPNScottsdale, AZPromotes quality care using a collaborative process that coordinates, monitors, and evaluates services according to the needs of and interpersonal contact with patients. Sit, stand, bend, lift, push, pull, stoop, walk, reach, and move intermittently during working hours.
Laboratory Manager - Banner Gateway Sonora Quest LaboratoriesLaboratory Manager - Banner GatewayGilbert, AZThis includes participating in the development and implementation of processes, procedures, matrix and programs to increase operational efficiency, compliance and effectiveness, as well as ensure the delivery of quality patient and customer care by using Six Sigma and Lean. 3. Accountable for the laboratory or laboratories maintaining applicable accreditation to demonstrate compliance with Clinical Laboratory Improvement Amendments (CLIA) for patient care and nursing.
Genetics/Genomics Clinical Director Sonora Quest LaboratoriesGenetics/Genomics Clinical DirectorPhoenix, AZInteracts with internal (Client Services, Support Services, Lab staff, Sales and Marketing) and external customers of the organization to facilitate and foster increased transfer of information related to medicine and science; works closely with Sales staff to provide appropriate medical scientific support as well. This role offers the opportunity to deepen expertise across cytogenetics, including chromosome analysis, FISH, and microarray and molecular genetics/genomics, including PCR, NGS, and pharmacogenomics (PGx), while contributing to the growth of our genetics/genomics service line.
NewMedical Director CommonSpirit HealthMedical DirectorPrescott, AZp/>What started as a simple community hospital, is today a state-of-the-art healthcare system with two acute care hospitals, a network of primary and specialty care clinics, outpatient health and wellness centers, cardiac diagnostic centers, and outpatient medical imaging centers.As you build your career at DH-YRMC, you’ll find Prescott is an inspiring place to live, work and to enjoy the outdoors. Our compassion and commitment to quality care has earned awards, such as the Stroke Care Excellence Award (2022), Neuroscience Excellence Award (2021, 2020) and America’s 100 Best Hospitals for Stroke Care Awards (2020, 2021) and has placed us at the top of the charts in community and nationwide in healthcare.
Clinical Manager - Optometrist (OD) MyEyeDr IncClinical Manager - Optometrist (OD)Phoenix, AZul>Build relationships with doctors in assigned geographic area; communicate behaviors and actions needed to achieve clinical excellence, meet patient demand, or achieve other business-related initiatives; explain relationships to the broader organization's mission, vision, and values; motivate doctors to commit to new behaviors required to achieve results. Set and manage schedule expectations with doctors in assigned geographic area to ensure appointment slot needs provided by Operations are fulfilled; communicate proactively with PSA (Professional Services Analyst) to identify and address potential gaps in availability.
Clinical Manager - Optometrist (OD) MyEyeDr.Clinical Manager - Optometrist (OD)Phoenix, AZFull timeul style="margin:0pt;padding-left:0pt">Build relationships with doctors in assigned geographic area; communicate behaviors and actions needed to achieve clinical excellence, meet patient demand, or achieve other business-related initiatives; explain relationships to the broader organization’s mission, vision, and values; motivate doctors to commit to new behaviors required to achieve results. Set and manage schedule expectations with doctors in assigned geographic area to ensure appointment slot needs provided by Operations are fulfilled; communicate proactively with PSA (Professional Services Analyst) to identify and address potential gaps in availability.
Home Health Clinical Manager Humana IncHome Health Clinical ManagerPhoenix, AZ$77,200–$106,200 / yearOur care teams include nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers all working together to help patients rehabilitate, recover and regain their independence so they can live healthier and happier lives. As the largest provider of senior-focused primary care, a leading provider of home healthcare and a leading integrated home delivery, specialty, hospice and retail pharmacy, CenterWell is focused on whole health and addressing the physical, emotional and social wellness of our patients.
Manager - Clinical Trials 30 Shea Medical CenterManager - Clinical TrialsArizonaUsing clinical research, and leadership skills, this position will be responsible for monitoring the many aspects of the trial portfolio assigned including timely activation of the new clinical trials, accrual performance for all trials within the portfolio, escalating concerns and issues to the HRI operational and Scientific leadership when challenges and barriers are experienced then facilitate the proactive resolution of the issue. The Manager will work in collaboration with the Research Division Medical Director, HRI Directors of Operations, and the service line management team to ensure successful integration of research within the patient care setting and that the scientific, financial and community benefit success for HonorHealth.
Clinical Manager Tucson DermatologyClinical ManagerTucson, Arizonadiv class="col col-xs-7 description" id="job-description">The Clinical Manager at Tucson Dermatology leads and manages the daily operations of the clinical team, including Medical Assistants, Lab Technicians, and Support Specialists. The Clinical Manager acts as a liaison between clinical and administrative teams, oversees inventory, facilitates training, and supports QMS initiatives.
Cath Lab/Cardiac Services Clinical Manager - Flagstaff, AZ Northern Arizona Healthcare CorporationCath Lab/Cardiac Services Clinical Manager - Flagstaff, AZFlagstaff, ArizonaMaintains an “open door” policy for the timely resolution of issues/concerns with physicians and staff members.
Cath Lab/Cardiac Services Clinical Manager Flagstaff, AZ Northern Arizona HealthcareCath Lab/Cardiac Services Clinical Manager Flagstaff, AZFlagstaff, AZThe role is responsible for maintaining the technical infrastructure components and software applications/tools necessary to provide uninterrupted patient services within the health system departments including: image acquisition, storage and retrieval; clinical data acquisition and management; inventory management; and other equipment required for patient preparation/recovery, and the provision of diagnostic/therapeutic procedures. Current, unrestricted RN license in the State of Arizona or ARRT or ARDMS or Registered Cardiac Sonographer (RCS)- RequiredBLS (American Heart Assoc.)- RequiredACLS (American Heart Assoc.)- RequiredEmployee will obtain and maintain appropriate clinical competencies for the roles assigned by their departmental leader.
RN Clinical Manager Amedisys IncRN Clinical ManagerTucson, AZ$95,000–$109,000 / yearp>Join Amedisys-one of the largest and most trusted home health and hospice companies in the U.S.-where flexibility, purpose and growth come together to help patients heal where they feel most comfortable, at home. Our compensation reflects the cost of labor across several U.S. geographic markets and may vary depending on location, job-related knowledge, skills, and experience.
Clinical Manager / RN Supervisor Pennant ServicesClinical Manager / RN SupervisorTucson, ArizonaProven supervisory or nurse management experience leading clinical teams in home health OR extensive critical care experience including ICU or emergency medicine settings, experience with Level I or Level II trauma centers is highly desirable. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US.
Clinical Manager Tucson Dermatology, Ltd.Clinical ManagerTucson, AZFull timep>The Clinical Manager at Tucson Dermatology leads and manages the daily operations of the clinical team, including Medical Assistants, Lab Technicians, and Support Specialists. The Clinical Manager acts as a liaison between clinical and administrative teams, oversees inventory, facilitates training, and supports QMS initiatives.
Regional Clinical Manager, Interventional Technologies, Mountain West Region Haemonetics CorpRegional Clinical Manager, Interventional Technologies, Mountain West RegionAZAdditionally, the RCM will facilitate the onboarding, training, ongoing clinical competency and professional development of the region's clinical team and will be a key stakeholder in the timely execution of new customer acquisition, clinical education and training. The Regional Clinical Manager (RCM) reports directly to the Regional Sales Director and takes the lead role in the management of the Clinical Specialist (CS) team for a given region.
Pharmacy Clinical Manager 10 John C. Lincoln Medical CenterPharmacy Clinical ManagerArizonaul> Eight (8) years clinical hospital pharmacy experience OR five (5) years clinical hospital pharmacy experience and one (1) year post-graduate year one (PGY1) pharmacy practice residency OR two (2) years clinical hospital pharmacy experience and one (1) year post-graduate year one (PGY1) pharmacy practice residency and (1) year post-graduate year two (PGY2) pharmacy residency - Required. The Pharmacy Clinical Manager is responsible for managing clinical pharmacy services, facilitates the development, implementation, and maintenance of systems that promote desirable patient outcomes through the use of safe, evidence-based, cost-effective medication therapies and monitors clinical pharmacy services and programs.
Clinical Risk Program Manager Phoenix Children's HospitalClinical Risk Program ManagerPhoenix, AZThe Clinical Risk Program Manager collaborates with senior leaders and key stakeholders or experts, (e.g., Clinical Operations, Patient Safety, Supply Chain, Legal, and Regulatory Services), throughout Phoenix Children's to investigate risk incidents and to develop system-wide responses to risk issues that impact specific groups or the entire organization with policies/procedures, guidelines, tools, forms, and education/training. Ensures the quality of legal services for HPL lawsuits and the efficient use of funds allocated for legal expenses by directing the activities of outside defense counsel, performing internal audits of defense legal services and continually evaluating strategic alternatives and opportunities for early mediation/resolution of claims and litigation.
Manager of Clinical Services Phoenix Children's HospitalManager of Clinical ServicesPhoenix, AZThe Manager, Clinical Service also serves as a liaison with other departments to plan, implement, communicate, evaluate and coordinate patient care operations across the enterprise, while also facilitating quick resolution of issues to ensure excellence in a family centered care environment. As needed, provides developmentally appropriate clinical care within professional domain to ensure delivery of quality integrated developmentally appropriate patient care; participates as appropriate in emergent situations.
Clinical Manager (Child and Family Services) Salt River Pima-Maricopa Indian CommunityClinical Manager (Child and Family Services)Scottsdale, AZ$91,772–$128,483 / yearp>Responsibilities include providing clinical and administrative leadership and supervision, managing daily operations and caseload distribution, ensuring culturally aligned services, collaborating with internally with Behavioral Health staff and externally with other departments and community partners, leading team meetings and case consultations, and supporting program development. In order to obtain preference, the following is required: 1) Qualified Community Member Veteran (DD-214) will be required at the time of application submission 2) Qualified Community Member (must provide Tribal I.D at time of application submission),3) Spouse of a Community Member (Marriage License/certificate and spouse Tribal ID or CIB is required at time of application submission), and 4) Native American (Tribal ID or CIB required at time of application submission).
Area Clinical Resource Manager Masimo CorpArea Clinical Resource ManagerPhoenix, AZ$80,000–$95,000 / yearPartner with Territory Managers to achieve sales quotas in all Alternate Care markets; Identify problem areas to implementation of Masimo technology and work to resolve these issues; Work with Territory Managers to coordinate Alternate Care customer installations in conversion to Masimo SET, Rainbow, SpHb and PSN; Manage or assist with the installation process and personnel; Coordinate clinical evaluations of Masimo technology for both clinical investigators, customers, and OEM partners; Support Trade Shows; Assist in the clinical education, follow up, and training needs of clinicians and sales force; Participate in continued evaluation of new products and assist in beta testing; Perform clinical evaluation of Masimo technology including customer research and focus groups, as required; Extensive domestic travel is a major job component; Performs other duties or special projects as requested; Minimum & Preferred Qualifications and Experience: Minimum Qualifications. Five or more years of experience in the clinical arena related to alternate care markets; Very strong, written, verbal communication and interpersonal skills; Must be results oriented with positive "can do" attitude with a sense of urgency to get things done; Comfortable in high visibility situations, exhibits strong self-confidence; Proven track record in persuading clinicians to consider and embrace new ideas, with an emphasis on new patient care processes based on clinical evidence and new, innovative technologies; Independent problem solver; Organized and detail oriented with a demonstrated ability to manage multiple projects simultaneously; Must be able to professionally communicate effectively with management, executives, physicians, staff, peers, sales reps and customers; Must be able to maintain an extensive domestic travel schedule; Preferred Qualifications.
Payer STARS/Quality Clinical Consultant, Senior Manager PricewaterhouseCoopers LLPPayer STARS/Quality Clinical Consultant, Senior ManagerPhoenix, AZ$124,000–$280,000 / yearExamples of the skills, knowledge, and experiences you need to lead and deliver value at this level include but are not limited to: • Craft and convey clear, impactful and engaging messages that tell a holistic story. PwC does not intend to hire experienced or entry level job seekers who will need, now or in the future, PwC sponsorship through the H-1B lottery, except as set forth within the following policy: https://pwc.to/H-1B-Lottery-Policy.
Clinical Manager - Mobile Crisis - Phoenix (8082) Terros HealthClinical Manager - Mobile Crisis - Phoenix (8082)Phoenix, AZli>Required - must possess a behavioral health license - LAC, LPC, LAMFT, LMFT, LASAC, LISAC, LMSW, LCSW- in accordance with the Arizona Board of Behavioral Health guidelines and meet all current rules for performing clinical supervision as outlined by the ADHA guidelines. The use of data will be critical to evaluate the effectiveness and efficiency of crisis teams to identify ways to improve clinical services, patient care and stakeholder value.
Clinical Management Manager Accenture PlcClinical Management ManagerScottsdale, AZLead with the Best: Join an industry-recognized healthcare consulting leader with a global team of over 20,000 professionals, collaborating to drive large-scale healthcare transformation across the globe. Continuous Learning & Growth: Take advantage of unmatched professional development opportunities, including interactive courses, real-world client simulations, and ongoing mentoring, to expand your healthcare consulting expertise.
MDS & Clinical Reimbursement, Nurse Manager SplendidoMDS & Clinical Reimbursement, Nurse ManagerTucson, ArizonaWorking closely with an interdisciplinary team, this leader evaluates resident conditions, develops comprehensive, person-centered care plans, supports ICD-10 coding accuracy, and guides nursing staff in delivering high-quality care. An exciting full-time opportunity awaits at Splendido—an award-winning, wellness-focused luxury senior living community—for a nurse leader who brings together clinical expertise, operational insight, and a passion for improving resident outcomes.RN Clinical Risk & Compliance Manager HiredFirstRN Clinical Risk & Compliance ManagerSan Carlos, AZp>Seeking an Registered Nurse with at least 5 years experience, with at least 3yrs within Risk & Compliance Management to lead risk mitigation, compliance operations, and quality management. CPHRM (Certified Professional in Healthcare Risk Management) or CHC (Certified in Healthcare Compliance) certification preferred (must obtain within 1 year if not already held).Clinical Manager, Behavioral Health - Flagstaff, AZ Northern Arizona Healthcare CorporationClinical Manager, Behavioral Health - Flagstaff, AZFlagstaff, ArizonaManages time to accommodate own education.
RN Clinical Risk & Compliance Manager HiredFirstRN Clinical Risk & Compliance ManagerSan Carlos, AZp>Seeking an Registered Nurse with at least 5 years experience, with at least 3yrs within Risk & Compliance Management to lead risk mitigation, compliance operations, and quality management. CPHRM (Certified Professional in Healthcare Risk Management) or CHC (Certified in Healthcare Compliance) certification preferred (must obtain within 1 year if not already held).
Clinical Manager, Behavioral Health - Flagstaff, AZ Northern Arizona Healthcare CorporationClinical Manager, Behavioral Health - Flagstaff, AZFlagstaff, ArizonaManages time to accommodate own education.
Clinical Manager, Behavioral Health Flagstaff, AZ Northern Arizona HealthcareClinical Manager, Behavioral Health Flagstaff, AZFlagstaff, AZCompliance/Safety Responsible for reporting any safety-related incident in a timely fashion through the Midas/RDE tool; attends all safety-related training programs; performs work in a safe manner; monitors work environment for possible safety issues and ensures others are also performing work in a safe manner. This is accomplished through staff retention, setting clear expectations, ensuring the provision of exceptional patient experience, and identifying improvement processes to achieve objectives and implementation of action plans.
Sr. Clinical Trials Manager Agilent Technologies IncSr. Clinical Trials ManagerAZMonitor and review study budget and data management activities, such as PRF development, training, and facilitating query resolution with proper documentation • Support monitoring efforts by setting quality and compliance goals by overseeing and approving study monitoring plans, may review, suggest edits and approve monitoring trip reports • Contribute to contract review and negotiations with outside vendors and study sites or laboratories • Mentor CTMs and CRAs • Demonstrate an ability to influence others to achieve positive results and collaboration through diplomacy and respect for others, appropriate prioritization and facilitation of the decision-making process Qualifications Qualifications: • Bachelors degree or higher, or equivalent credentials • Knowledge of GCP, ICH guidelines, and other clinical regulatory requirements • Strong interpersonal skills (verbal and written), organizational, and prioritization skills, able to communicate at multiple levels of an organization and with sponsors/clients. Primary Responsibilities (all levels): • Manage, design and implement all clinical operational aspects of IVD clinical trials from inception through close-out • Serve as main point of contact for internal and external study stakeholders; effectively communicating, collaborating, managing escalation of issues, where necessary, as well as participating and leading internal and external study meetings • Identify, evaluate, and oversee qualification and contracting for study investigators, study sites, CRO and/or vendor management for the study, where applicable • Develop or assist in the development of study-related plans and documents including protocols, informed consent forms, monitoring plans, case report forms, training plans and engagement materials • Ensure trial master file (TMF/eTMF) is established, current, and maintained per ICH E6.
NewProgram Manager Clinical Research CommonSpirit HealthProgram Manager Clinical ResearchPhoenix, AZServes as the primary liaison for internal and external project sponsors, routinely informing key stakeholders of project plans, status updates, milestones (including subject enrollment metrics, timely data collection and submission and related contract and/or grant goals) through regular reporting and coordinated discussions. As our Program Manager of Clinical Research, you will be responsible for the administration, oversight, management, implementation and accountability of clinical research, data collection activities and clinical operations for assigned research program.
Clinical Education and Partnership Program Manager Creighton UniversityClinical Education and Partnership Program ManagerPhoenix, AZli>Serve as the primary liaison for operational coordination across Alliance member sites, facilitating resolution of cross-functional issues, supporting learner onboarding, tracking academic affiliation agreements, and ensuring alignment of clinical education processes. Serves as the subject matter expert for clinical rotations across Alliance member sites, supporting physician assistant students, medical students, residents, and fellows.
NewManager, Clinical Pharmacist ArchWell Health LLCManager, Clinical PharmacistTucson, AZThe Clinical Pharmacy Manager will be responsible for delivering virtual direct patient care for various initiatives around STARS pharmacy measures, overseeing the Central Pharmacy Refill Service, and assisting with other clinical initiatives as needed. Job Summary: Reporting to the Senior Director of Clinical Pharmacy, the Manager, Clinical Pharmacy will be managing clinical programs, providing patient care, and collaborating cross-functionally in a virtual environment to optimize the pharmaceutical care for our members.
Clinical Manager Tohono O'odham NationClinical ManagerSells, AZFull timeli>Maintains professional knowledge by conducting research, attending seminars, educational workshops, classes and conferences; reviewing professional publications; establishing networks; participating in professional societies; conferring with representatives of contracting agencies and related organizations. Provides advice and consults with medical and nursing staff, counselors, psychologists, social workers, teachers, and other appropriate staff and personnel on mental health matters or specific cases; directs the clinical staff on issues arising during patient treatment and provides diagnostic information.
NewManager Clinical Research - TMCH Cancer Center Tucson Medical CenterManager Clinical Research - TMCH Cancer CenterPhoenix, AZp>Manage departmental processes, including prioritizing, scheduling, reviewing work, prepping, assigning tasks, educating staff, quality assurance, productivity monitoring, research documentation, medical records, research billing, regulatory compliance, and auditing. Oversee documentation and credentialing for all departmental staff, including initiation and renewal notices, maintenance of records (CVs, GCP, COI, Financial Disclosures, Human Subject Research, and other required certifications).
Clinical Manager Oncology Hematology BMT Phoenix Children's HospitalClinical Manager Oncology Hematology BMTPhoenix, AZThe Manager, Clinical Service also serves as a liaison with other departments to plan, implement, communicate, evaluate and coordinate patient care operations across the enterprise, while also facilitating quick resolution of issues to ensure excellence in a family centered care environment. As needed, provides developmentally appropriate clinical care within professional domain to ensure delivery of quality integrated developmentally appropriate patient care; participates as appropriate in emergent situations.
Mgr Clinical Appeals and Grievances HealthfirstMgr Clinical Appeals and GrievancesAZ$103,400–$149,430 / yearp>Preferred Qualifications: • Experience in clinical practice with a focus in appeals & grievances, claims processing, utilization review or utilization management/case management • Demonstrated understanding of Utilization Review Guidelines (NYS ART 44 and 49 PHL), InterQual, Milliman or Medicare local coverage guidelines • Extensive experience in healthcare appeals • MBA or master's degree from an accredited institution with focus in training & development, education, business, or healthcare administration • Management experience in an operational department within the healthcare industry focused on clinical leadership • Leadership experience in a focus area of operational excellence or audit • Experience developing strategy and processes for a department or function • Experience managing vendors as an extension of a core team • Familiar with creating accountable ownership of a vendor team. Minimum Qualifications: • Bachelor's degree from an accredited institution or equivalent work experience • RN • Experience with utilization management or appeals and grievance processing and compliance • Working experience in a fast-paced environment overseeing multiple priorities, tasks and/or teams • Proven track record of exercising independent thinking, ability to problem solve, understand process flows and correlating platforms to recommend and implement solutions • Experience preparing and delivering written and verbal information to multiple types of audiences • Demonstrated ability to build and foster effective relationships.
Registered Nurse Case Manager (RN) – Non-Clinical Case Management CetechsRegistered Nurse Case Manager (RN) – Non-Clinical Case ManagementPhoenix, Arizonap>The RN Case Manager serves as a liaison among Soldiers, military medical providers, unit leadership, and government stakeholders to resolve medical readiness issues and maintain deployable force readiness. The Registered Nurse Case Manager provides non-clinical medical readiness and case management support for Arizona Army National Guard Soldiers.
Clinical Manager Emergency Department Verde Valley Medical Center Northern Arizona Healthcare CorporationClinical Manager Emergency Department Verde Valley Medical CenterCottonwood, ArizonaManages time to accommodate own education.
Clinical Application Manager, Ancillary Applications- AZ/IL Midwestern UniversityClinical Application Manager, Ancillary Applications- AZ/ILGlendale, AZp>The Clinical Application Manager, Ancillary Applications reports to the Director of Clinical Applications and is responsible for providing technical leadership and guidance to a team of Clinical Specialists and Analysts that support the outpatient clinical workflows for current PM/EHR applications, as well as our supporting clinical application workflows throughout Midwestern University clinics. More than 6,000 full-time students are enrolled in graduate programs in osteopathic medicine, dentistry, pharmacy, physician assistant studies, physical therapy, occupational therapy, nurse anesthesia, cardiovascular perfusion, podiatry, optometry, clinical psychology, speech language pathology, biomedical sciences and veterinary medicine.
CLINICAL LAB AR Manager IMS Care CenterCLINICAL LAB AR ManagerPhoenix, Arizonap>IMS Care Center is seeking a Clinical Lab AR Manager to oversee the strategic and operational execution of the laboratory including revenue cycle, billing operations, and outstanding collections for the medical diagnostic laboratory. Manage revenue cycle by identifying insurance companies rejecting laboratory claims (e.g., incorrect diagnosis coding or lack of medical necessity) and leading teams to correct and appeal the claims.
Clinical Training Manager PHI HealthClinical Training ManagerPhoenix, ArizonaBy integrating education, systems oversight, compliance, and project management, this position fosters professional development, drives innovation in training, and ensures alignment of clinical programs with organizational goals and priorities. We transport more than 22,000 patients each year from our more than 80 bases across the country, all while offering services and outreach education to local communities and leading healthcare systems.