Utilization Review Nurse jobs in Phoenix, AZ

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Onsite Case Management Nurse
Health Choice 2 reviews - Phoenix, AZ
Request and review medical records. Review prior authorization/service requests with Medical Director for determination....
Sponsored by Miracle Workers - 29 days ago
Utilization Reivew Nurse
Health Choice 2 reviews - Phoenix, AZ
The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health Choice members, considering Interqual criteria and other national...
Sponsored by Miracle Workers - 19 days ago

Phoenix Utilization Review Nurse (RN) – Managed Care

CareNational Healthcare Services, LLC - Phoenix, AZ
$63,000 - $75,000 a year
The Utilization Review Nurse is responsible for utilization management and utilization review for prospective, concurrent, or retrospective review....
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15 days ago - save job - email - more...

Phoenix RN Manager of Quality Management - Managed Care

CareNational Healthcare Services, LLC - Phoenix, AZ
$85,000 - $90,000 a year
Minimum of 3-4 years Quality Improvement or Utilization Review experience (mix of both preferred). Valid, unrestricted state Registered Nurse (R.N.)....
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6 days ago - save job - email - more...

TRICARE Prior Authorization Nurse - Phoenix, AZ

UnitedHealth Group 1,727 reviews - Phoenix, AZ
RN, Nurse, Prior Authorization, Preservice, Utilization Management, Utilization Review, Case Management, Clinical Review, Milliman, MRG, Military and Veterans,...
30+ days ago - save job - email - more...

On-site Case Manager - Phoenix, AZ Banner Desert and Estrell...

UnitedHealth Group 1,727 reviews - Phoenix, AZ
Experience in utilization review, concurrent review and/or risk management. Case Manager, RN, Registered Nurse, hospital, acute care, telephonic, insurance,...
20 days ago - save job - email - more...

Nurse Manager Case Management

Clinical Management Consultants - Mesa, AZ
$94,250 - $121,500 a year
The Nurse Manager of Case Management will work closely with professionals in Utilization Management / Utilization Review to execute a complete Care Management...
11 days ago - save job - email - more...

Telephonic Utilization Management Nurse (RN) - Phoenix, AZ

Humana 784 reviews - Phoenix, AZ
Humana is seeking a Telephonic Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and...
30+ days ago - save job - email - more...

Registered Nurse Intensive Care Unit SWAT

Banner Health 353 reviews - Mesa, AZ
Reviews available information obtained by other health care team members. Reviews patient history and physical with patient/family and assures completion within...
12 days ago - save job - email - more...

RN – Case Manager – Case Management, Days, PRN

Chandler Regional Medical Center 458 reviews - Chandler, AZ 85224
The incumbent will consistently apply the utilization review process as required by the Code of Federal Regulations including the use of the Dignity Health...
Dignity Health - 5 days ago - save job - email - more...

Medical Director, Inpatient Care, Work at Home (Arizona)

UnitedHealth Group 1,727 reviews - Phoenix, AZ
Physician, Doctor, MD, DO, Medical Director, Inpatient Care, Utilization Review. Physician, Doctor, MD, DO, Inpatient Care, Utilization Review, Evidence Based...
26 days ago - save job - email - more...

RN Care Coordinator - Community Internal Medicine Job

Mayo Clinic 277 reviews - Scottsdale, AZ
$2,476.80 a week
Prior experience in case management, discharge and/or utilization review required or directly related experience....
13 days ago - save job - email - more...
Case Manager RN Arrowhead FT Days
Tenet Health 792 reviews - Glendale, AZ
Demonstrates knowledge of Age-Specific Criteria, American Nurses Association (ANA) Nursing Scope and Standards of Practice, ANA Code of Ethics for Nurses,...
Sponsored by Nurse.com - 9 days ago
RN Medical Case Manager - Workers Compensation
Travelers 59 reviews - Phoenix, AZ
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....
Sponsored by Miracle Workers - 24 days ago
Prior Authorization Nurse
Health Choice 2 reviews - Phoenix, AZ
The Prior Authorization Nurse reviews, authorizes, coordinates, and responds to requests for services for Health Choice members....
Sponsored by Miracle Workers - 19 days ago
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