Utilization Review Nurse jobs in Phoenix, AZ

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Prior Authorization Nurse
Prior Authorization Nurse. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...
Utilization Review Nurse
Red Rock Treatment Center - Scottsdale, AZ
Utilization Review Nurse*. The Utilization Review Nurse is responsible for concurrent and retrospective medical record review activities on all inpatients....
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Case Manager - Inpatient Rehab

Select Medical Corporation - 121 reviews - Scottsdale, AZ
Pre-Admissions, Admissions, Patient Accounts, Utilization Review, PPS Coordinator, etc., to assure positive fiscal management outcomes for the patient....

Manager, UM & Care Coord - Tempe

TriWest Healthcare Alliance - 256 reviews - Tempe, AZ
O Registered Nurse with current, unrestricted license for appropriate state (RN. Manages corporate prospective and concurrent Utilization Management (UM)...

Director of Operations (Wickenburg, AZ)

Rosewood Ranch - Surprise, AZ
Oversees centralization of intake and utilization review for facility and all affiliated company programs. Assists the Clinical Director to ensure timely and...
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Banner Staffing - LPN Clinical Reimbursement Specialist - AZ

Banner Health - 906 reviews - Mesa, AZ
Reviews audit results and presents summary information for management utilization and review. Requires current Licensed Practical Nurse (LPN) licensure in state...

Director, Clinical Quality (RN Required)

TriWest Healthcare Alliance - 256 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...

Clinical Program Manager HF/Chest Pain

Banner Health - 906 reviews - Sun City, AZ 85351
Oversees resource utilization regarding staff, fiscal management, and quality patient care. Registered Nurse state license AZ or RRT Certified 3 - 5 years of...

Senior Care Manager

Magellan Health - 379 reviews - Phoenix, AZ 85034 (Central City area)
Experience to include utilization review Minimum 3 years. Knowledge of utilization. Experience to include utilization review., Licensure is required for this...

Registered Nurse- Electrophysiology (EP)/ Heart Failure

Tri-City Cardiology - 17 reviews - Mesa, AZ 85206 (Southeast area)
The Cardiac Device Department is currently seeking an EP/HF Registered Nurse. Primary care provider, urgent care facility or emergency care facility.Ability to...

Intake Department Coordinator Behavioral Health Hospital- FT

Quail Run Behavioral Health - 9 reviews - Phoenix, AZ 85027
Interfaces closely with the Director, utilization review staff, Quail. Distributes to the receptionist, nurse and the Director....

Registered Nurse

Guardian Angel Home Health - 42 reviews - Phoenix, AZ
Participates in quarterly utilization review and chart audits (peer and self) for OBQI/OBQM as requested by Agency....
Utilization Review RN
Randstad Healthcare - Phoenix, AZ
$28 an hour
Registered Nurse (RN). Top national managed care organization looking for Utilization Review RN's in Phoenix, AZ! Great opportunity, please call us today!...
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Utilization Review Nurse
Red Rock Recovery Center - Fountain Hills, AZ
Utilization Review Nurse*. Protects confidentiality of utilization review, quality management information and beneficiary identification....
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Registered Nurse- Interventional Pain Clinic
Veterans Affairs, Veterans Health Administration - 2,806 reviews - Phoenix, AZ
$62,989 - $112,631 a year
RN- Primary Care Staff Nurse. Practice, ethics and resource utilization, Professional Development:. Charge nurse experience with evidence of good clinical...
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