Utilization Review Nurse jobs in Phoenix, AZ

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Utilization Review Specialist
Red Rock Addiction & Treatment Company - Phoenix, AZ
Utilization Review Specialist*. Communicate daily/or as required with the Utilization Review Director. On an ongoing basis, identify potential review problems...
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Clinical Documentation Improvement Specialist - $5K Sign on...
UnitedHealth Group - 4,636 reviews - Phoenix, AZ 85022
Provides expert level review of inpatient clinical records within 24-48 hours of admit; Ensures effective utilization of Midas or Optum ® CDI 3D Technology to...
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Intake Clinician - PRN
Acadia Healthcare Facilities - Chandler, AZ
Receiving Unit, Utilization Review, and the Business Office to ensure. Assists with ongoing utilization as requested by Utilization Management....
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OASIS Review Nurse

Covenant Home Health - Phoenix, AZ
OASIS Review Nurse. Reviews visit utilization for appropriateness of care guidelines and patient condition. Registered Nurse (RN)....
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Utilization Management Nurse (RN)

Blue Cross Blue Shield of Arizona Advantage - 3,642 reviews - Phoenix, AZ 85029 (North Mountain area)
Managed care or equivalent experience in the areas of utilization management, concurrent review, discharge planning, care coordination and case management, and...

UTILIZATION REV SPEC-RN - Case Mgmt

HonorHealth - 141 reviews - Scottsdale, AZ 85255 (North Scottsdale area)
Reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care....

Registered Nurse - Utilization Review - Full Time

IASIS Healthcare - St. Luke's Medical Center - 65 reviews - Phoenix, AZ
The Utilization Review staff assumes primary responsibility of communicating with payors to obtain authorization....

Retro Review Nurse

Health Choice - 8 reviews - Phoenix, AZ
The Utilization Claims Review Nurse reviews and analyzes. Provide assistance to Utilization Review Nurses:. Review clinical information for accuracy....

Concurrent Review Nurse

WellCare - 598 reviews - Phoenix, AZ 85016 (Camelback East area)
Reviews member in-patient medical records and conducts concurrent review to assess the appropriateness of the hospital setting....

Medicare Medical Review Nurse

NCI Information Systems, Inc. - 2 reviews - Phoenix, AZ
As the Medicare Medical Review Nurse ( Medical Reviewer ), you will primarily responsible for conducting clinical reviews of medical records during the course...

Registered Nurse Medical Appeals and Grievance Specialist

Blue Cross Blue Shield of Arizona - 3,642 reviews - Phoenix, AZ
Managed care experience with a focus in Utilization Management (UM), Prior Authorization (PA), Claims, Case Management and/or Medical Appeals and Grievance (MAG...

Concurrent Review Nurse I

MED-Medical Management - Tempe, AZ
Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors for review depending on case...

Utilization Review Nurse

Catapult Consultants, LLC - 3 reviews - Peoria, AZ
2 years utilization/quality assurance review. Active license as a Registered Nurse (RN). 5 years clinical experience or equivalent experience in the medical...
RN Clinical Supervisor-Home Health
Covenant Home Health - Phoenix, AZ
Reviews visit utilization , reports potential financial losses and/or underutilization to the clinical manger....
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OASIS Review Nurse
Covenant Home Health - Phoenix, AZ
OASIS Review Nurse. Reviews visit utilization for appropriateness of care guidelines and patient condition. Registered Nurse (RN)....
Easily apply
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