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1 - 10 of 18 matches in 0.011 seconds
Appeals Coordinator (3509907)
Last Updated: 2019-06-21
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions.

ESSENTIAL FUNCTIONS:
- Maintains a caseload and monitors day to day compliance of appeal decision time frames.
- Reviews clinical and…

Utilization Management Professional (3507962)
Last Updated: 2019-06-20
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with…

Utilization Management Professional (3505350)
Last Updated: 2019-06-18
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

Under general supervision, and in collaboration with Medical Directors and other members of the clinical team, gathers and synthesizes clinical information in order to authorize services. Reviews health care services to determine consistency with contract requirements, coverage policies and evidence-based medical necessity criteria; collects and analyzes utilization information; assists with…

Appeals Coordinator (3504421)
Last Updated: 2019-06-17
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

Coordinates appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests. In some cases may be combined with Grievance Coordinator functions.


  • Maintains a caseload and monitors day to day compliance of appeal decision time frames.?

  • Reviews clinical and medical records for completeness and…
Care Worker (3498628)
Last Updated: 2019-06-12
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

Facilitates department workflow by supporting clinical team with various care coordination workflows. Locates community services and other referral locations for enrollees, arranges access to care, supports communication with hospitals, and providers.


  • Provides non-clinical support to workflows involving utilization management, case management, disease management, and health promotion.

  • Troubleshoots when an appropriate…
Grievance Coordinator (3498627)
Last Updated: 2019-06-12
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

Coordinates grievance process as assigned, attends to risk management issues associated with case management and processes grievance requests.


  • Performs outreach contact and written notification with members with resolution to Grievances.

  • Consults with internal departments, to ensure Grievances resolutions meet all guidelines and result in customer satisfaction.

  • Responsible for preparation of…
Part Time Victim Advocate, ADAVA (3496646)
Last Updated: 2019-06-10
Employer: Magellan Health Services, Inc.
Location: Fort Huachuca, AZ

Provides services in support of the advocacy, intervention, prevention, education and training to address domestic violence. Provides comprehensive services 24 hours a day, 7 days per week, to assist and advocate for victims of domestic abuse and to ensure a victim’s easy transition to community resources.


  • Provides crisis intervention and…
Military & Family Life Counselor, Rheinland-Pflaz, Baumholde (3496645)
Last Updated: 2019-06-10
Employer: Magellan Health Services, Inc.
Location: Scottsdale, AZ

Primary responsibility of providing the full breadth of MFLC (military family life counseling) counseling services to military service members and their families at military installations. Services include non-medical, short term, walk around counseling, training/health and wellness presentations, provision of health fairs, and consultation to installation command regarding behavioral health issues…

Licensed Care Coordinator (3496644)
Last Updated: 2019-06-10
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

CANDIDATES MUST BE LPN OR RN WITH CURRENT AZ LICENSE
Independently coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties performed are either during face-to-face home visits or facility based depending on the…

Licensed Care Coordinator (3492532)
Last Updated: 2019-06-06
Employer: Magellan Health Services, Inc.
Location: Phoenix, AZ

CANDIDATES MUST BE LPN OR RN WITH CURRENT AZ LICENSE
Independently coordinates care of individual clients with application to identified populations using assessment, care planning, implementations, coordination, monitoring and evaluation for cost effective and quality outcomes. Duties performed are either during face-to-face home visits or facility based depending on the…

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