Utilization Review Nurse jobs in Phoenix, AZ

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Utilization Review Nurse
Hospice of the Valley - Phoenix - www.hov.org - Phoenix, AZ
Minimum one (1) year of quality utilization review experience. Coordinates utilization management activities....
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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...

MANAGER - UTILIZATION & TRANSITIONAL CARE MANAGEMENT - ICP

HonorHealth - 211 reviews - Phoenix, AZ
Active, current and valid State of Arizona Registered Nurse Licensure. One (1) year experience in Utilization Review, Case Management, or health plan related...

MEDICAL MANAGEMENT OPIOID SPECIALIST

Arizona Health Care Cost Containment System - 6 reviews - Phoenix, AZ
$64,272 - $71,000 a year
Current, active Arizona registered nurse license. Responsible for the technical support and oversight of the Operational reviews for assigned Contractors...

Registered Nurse- Surgical Case Manager

Veterans Affairs, Veterans Health Administration - 3,376 reviews - Phoenix, AZ
$62,989 - $112,631 a year
Practice, ethics and resource utilization, Professional Development:. The Case Manager RN ensures proper utilization of services and resources....

Registered Nurse Case Manager

Banner Health - 1,077 reviews - Phoenix, AZ   +3 locations
Previous case management and utilization review is highly preferred. Registered Nurse Case Manager. Requires current Registered Nurse (R.N.)....

Case Management Registered Nurse - Phoenix, AZ

AmeriBen - 16 reviews - Phoenix, AZ 85018 (Camelback East area)
2 years of clinical or utilization review experience. Case Management Registered Nurse, Healthcare Insurance. Work closely with providers to ensure appropriate...

Utilization Review Nurse (PT)

All About People - 30 reviews - Phoenix, AZ 85012 (Alhambra area)
$33 an hour
Registered Nurse (RN). Considerable knowledge of pediatric healthcare, service authorizations, utilization review and coordination of health services....
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Registered Nurse- Utilization Review/Manager

Veterans Affairs, Veterans Health Administration - 3,376 reviews - Phoenix, AZ
$62,989 - $112,631 a year
The Registered Nurse will complete clinical patient care and provider reviews, utilization reviews and written reports as assigned....

RN - Clinical Outreach Specialist

Matrix Medical Network - 113 reviews - Scottsdale, AZ
Current unrestricted licensure to practice as a Registered Nurse (RN) or Licensed Practical Nurse (LPN) in the state(s) to which the candidate is assigned....

Care Manager - BH

Magellan Health - 429 reviews - Phoenix, AZ 85034 (Central City area)
Collects and analyzes utilization data. Under general supervision, and in collaboration with other members of the clinical team, authorizes and reviews...

Registered Nurse (RN) -Triage

Tri-City Cardiology - 17 reviews - Mesa, AZ 85206 (Southeast area)
Primary care provider, urgent care facility or emergency care facility.Review and report on critical lab results to the provider and/or patient.Assists in...
Utilization Review LVN/RN
HealthCare Support Staffing - 113 reviews - Phoenix, AZ
$30 - $35 an hour
LVN Utilization Review Nurse. Reviews medical records against PLP guidelines and recommends a case disposition. Company Job Description/Day to Day Duties....
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Registered Nurse- Utilization Review/Manager
Veterans Affairs, Veterans Health Administration - 3,376 reviews - Phoenix, AZ
$62,989 - $112,631 a year
The Registered Nurse will complete clinical patient care and provider reviews, utilization reviews and written reports as assigned....
RN Utilization REview - Per Diem
HonorHealth - 211 reviews - Phoenix, AZ
Reviews and monitors utilization of health care services with the goal of maintaining high quality cost-effective care....