Utilization Review Nurse jobs in Phoenix, AZ

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LPN - Licensed Practical Nurse

Signature Performance, Inc - 4 reviews - Phoenix, AZ
Provides timely, descriptive feedback regarding utilization review issues. Licensed Practical Nurse. This Licensed Practical Nurse will provide utilization...

Licensed Practical Nurse

Acclivity Healthcare - 186 reviews - Phoenix, AZ
$27 an hour
Good candidates for this position might have previous experience in positions such as Case Manager, Utilization Review Nurse, Medical Review Nurse, Concurrent...
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Preservice Review Nurse RN - Air Ambulance and On Call

UnitedHealth Group - 6,323 reviews - Phoenix, AZ 85003 (Central City area)
UR / UM, previous air ambulance review flight nurse experience. Background involving utilization review for an insurance company or experience in case...

Medical Claims Review Nurse RN

UnitedHealth Group - 6,323 reviews - Phoenix, AZ 85003 (Central City area)
Background involving utilization review for an insurance company or experience in case management. Perform clinical coverage review services, which require...

BEHAVIORAL HEALTH NURSE

Arizona Health Care Cost Containment System - 5 reviews - Phoenix, AZ
$64,575 a year
Confers with Utilization Review Coordinators from the Peer Review Organization regarding concurrent review of length of stay, and appropriateness of services....

Health Plan Quality Director

Banner Health - 1,044 reviews - Phoenix, AZ
Required for successful performance in this position is a Bachelors degree in Nursing, with a current licensure as a registered nurse in the State of Arizona,...

Inpatient Case Management Medical Director

UnitedHealth Group - 6,323 reviews - Phoenix, AZ 85003 (Central City area)
UnitedHealthcare’s Inpatient Care Management Medical Directors work with groups of nurses and support staff to manage inpatient care utilization at a hospital,...

Clinical Coverage Review Medical Director - Virtual

UnitedHealth Group - 6,323 reviews - Phoenix, AZ 85003 (Central City area)
5+ years hands-on experience in utilization and coverage review in a health plan with Commercial membership. Clinical Coverage Review Medical Director....

Sr. Care Manager

Magellan Health - 425 reviews - Phoenix, AZ 85021 (North Mountain area)
Collects and analyzes utilization data. Authorizes and reviews utilization of mental health and substance abuse services provided in inpatient and intermediate...

Registered Nurse

Grand Canyon University - 481 reviews - Phoenix, AZ
All staff and faculty candidates will be asked to review GCU’s. Grand Canyon University is seeking a full time Registered Nurse to work in the Canyon Health and...
Concurrent Review Nurse I
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...
Revenue Integrity Nurse - Revenue Integrity
Experience in Utilization Review/ Case-management and compliance auditing preferred. The Revenue Integrity Nurse resolves problem accounts in accordance with...
Prior Authorization Nurse I
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...