Utilization Review Nurse jobs in Phoenix, AZ

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Clinical Care Manager - RN, LCSW, LPC, LMFT
Aetna - 1,977 reviews - Phoenix, AZ 85040
LICENSES AND CERTIFICATIONS Nursing/Registerd Nurse (RN) or. Click here to review the benefits associated with this position....
Care Management Associate
Aetna - 1,977 reviews - Phoenix, AZ 85040
Responsible for initial review and triage of Care Team tasks. Implementation of care plans to promote effective utilization of healthcare services....
Covenant Home Health - Phoenix, AZ
OASIS Review Nurse. Reviews visit utilization for appropriateness of care guidelines and patient condition....
Easily apply

Tempe RN Supervisor of Utilization Management - Managed Care

CareNational Healthcare Services (CNHS) - Tempe, AZ 85282 (Cyprus Southwest area)
$82,000 a year
Performs daily oversight of Utilization Management/Review nurse caseloads and makes adjustments as needed for effective utilization....
Easily apply

(RN) Oncology Nurse Case Manager

Cigna - 2,000 reviews - Phoenix, AZ
(RN) Oncology Nurse Case Manager (Arizona). Delivers utilization review services for all inpatient, outpatient, and home services throughout the duration of...

Director, Clinical Quality RN Required

TriWest Healthcare Alliance - 210 reviews - Phoenix, AZ
O Assists staff in identifying and conducting focused reviews. Registered Nurse with current unrestricted license • Bachelor’s degree in nursing or related...

Case Manager - Inpatient Rehab

HonorHealth Rehabilitation Hospital - Scottsdale, AZ 85258 (North Scottsdale area)
Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient....

Endoscopy Support Specialist

Olympus America Inc - 12 reviews - Phoenix, AZ
Obtain instruction and understanding of customer repair cost utilization analyses reports and learn how to review service contract performance and cost...

Admissions Nurse (RN) (full-time) - N. Scottsdale

Sante - 18 reviews - Scottsdale, AZ
Must have charge nurse experience. Additionally, the Nurse accepts responsibility and accountability for ethical/legal functioning, provides supervision for...

Case Manager (RN)

Aetna - 1,977 reviews - Phoenix, AZ
-Active and unrestricted Nursing/Registered Nurse (RN) License. AZ Nursing/Active and Unrestricted Registered Nurse (RN) is required....

UM Clinical Consultant

Aetna - 1,977 reviews - Phoenix, AZ
Nursing/Registered Nurse is required. Managed care/utilization review experience preferred. Functional - Nursing/Clinical claim review and coding/1-3 Years....

Health Services Nurse 1 (Business Performance Services)

McKesson - 1,691 reviews - Phoenix, AZ
McKesson is in the business of better health and we touch the lives of patients in virtually every aspect of healthcare. McKesson Business Performance

Clinical Supervisor RN- Home Health

Covenant Home Health - Phoenix, AZ
$70,000 a year
Reviews visit utilization , reports potential financial losses and/or underutilization to the clinical manger....
Easily apply
Concurrent Review Nurse
WellCare - 615 reviews - Phoenix, AZ 85016
Reviews member in-patient medical records and conducts concurrent review to assess the appropriateness of the hospital setting....
UM Nurse Consultant - RN
Aetna - 1,977 reviews - Phoenix, AZ 85040
The nurse uses clinical skills to coordinate, document and communicate all aspects of the utilization management program....
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