Bridgeway Health Solutions jobs in Tempe, AZ

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Prior Authorization Nurse I
Tempe, AZ 85285 (Brentwood-Cavalier area)
Position Purpose: Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and...
Concurrent Review Nurse I (RN) - Tempe
Tempe, AZ 85285 (Brentwood-Cavalier area)
Be a part of the future of integrated healthcare at Arizona Complete Health as we build upon a tradition of excellence started by Health Net of Arizona and...
Senior Director, Case Management
Tempe, AZ 85285 (Brentwood-Cavalier area)
Oversee case management operations for the health plan. Define and direct the case management program for the plan in conjunction with corporate goals and...

Referral Specialist I

Tempe, AZ 85282 (Cyprus Southwest area)
Assist in monitoring utilization of medical services to assure cost effective use of medical resources through processing prior authorizations. Initiate...

Provider Network Specialist II

Tempe, AZ 85282 (Cyprus Southwest area)
Educate providers regarding policies and procedures related to referrals, claims submission, credentialing documentation, web site education, Electronic Health...

Compliance Specialist

Tempe, AZ 85282 (Cyprus Southwest area)
Oversee the day-to-day health plan policies and procedures to ensure federal and state regulatory compliance....

Grievance & Appeals Coordinator I

Tempe, AZ 85282 (Cyprus Southwest area)
Analyze and resolve verbal and written claims and authorization appeals from providers and pursue resolution of formal grievances from members. Gather,...

Cinical Quality Improvement Specialist

Tempe, AZ 85282 (Cyprus Southwest area)
1+ years of quality improvement experience in a physical health setting or completion of Cenpatico Physical Health Workforce Development modules within 6 months...

Prior Authorization Nurse I

Tempe, AZ 85282 (Cyprus Southwest area)
Promote the quality and cost effectiveness of medical care by applying clinical acumen and the appropriate application of policies and guidelines to prior...

Concurrent Review Nurse I (RN) - Tempe

Tempe, AZ 85282 (Cyprus Southwest area)
Perform onsite review of emergent/urgent and continued stay requests for appropriate care and setting, following guidelines and policies, and approve services...

Care Manager I (RN)

Tempe, AZ 85282 (Cyprus Southwest area)
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment...

Senior Director, Case Management

Tempe, AZ 85282 (Cyprus Southwest area)
Oversee case management operations for the health plan. Define and direct the case management program for the plan in conjunction with corporate goals and...

Medical Director (Family Medicine/Primary Care)

Tempe, AZ 85282 (Cyprus Southwest area)
Course work in the areas of Health Administration, Health Financing, Insurance, and/or Personnel Management is preferred....
Care Manager I (RN)
Tempe, AZ 85285 (Brentwood-Cavalier area)
Assess the member's current health status, resource utilization, past and present treatment plan and services, prognosis, short and long term goals, treatment...

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