Utilization Review Nurse $40,000 jobs in Phoenix, AZ

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Clinical Nurse Specialist
Reviews systems and processes for effectiveness and facilitates changes based on evidence-based practice that will promote quality patient care and outcomes.*....
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....
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LPN/RN Utilization Review Nurse
Professional Health Care Network - Phoenix, AZ
This position is an office position (Monday - Friday 8am to 5pm) for an experienced nurse. The position requires review of medical records and documentation in...
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Medicare Medical Review Nurse

NCI Information Systems, Inc. - 5 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...

Medical Review Nurse Auditor - Home-based - Phoenix

Quality Health Strategies - 9 reviews - Phoenix, AZ
Experience that demonstrates expertise in conducting utilization reviews, ICD-9/10 coding, CPT coding, and knowledge of Medicare and/or Medicaid regulations...
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Utilization Review Nurse

Health Choice - 8 reviews - Phoenix, AZ
The Utilization Review Nurse completes inpatient admission and concurrent reviews for Health Choice members, considering Interqual criteria and other national...

UM Clinical Consultant

Aetna - 2,154 reviews - Phoenix, AZ
Nursing/Registered Nurse is required. Managed care/utilization review experience preferred. Click here to review the benefits associated with this position....

Concurrent Review Nurse I

Bridgeway Health Solutions - 4 reviews - Tempe, AZ 85282 (Cyprus Southwest area)
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 Management Nurse Clinician - Behavioral Health

Aetna - 2,154 reviews - Phoenix, AZ
Ability to multi-task between telephonic reviews and data entry of clinical information.The nurse uses clinical skills to coordinate, document and communicate...

Case Manager

WellCare - 656 reviews - Phoenix, AZ 85016 (Camelback East area)
Licensed Registered Nurse (RN). Promotes effective utilization and monitors health care resources. Some states and/or locations may require nurses to...

Case Manager (RN or LCSW Required)

TriWest Healthcare Alliance - 228 reviews - Phoenix, AZ
Reviews and processes authorization and referral requests according to policy. O Prepares and presents cases involving high-profile or sensitive issues to the...

RN CASE MANAGER

Life Care Centers of America - 1,283 reviews - Phoenix, AZ 85016 (Camelback East area)
Prior case management, utilization review, and discharge planning experience preferred. Must maintain an active Registered Nurse (RN) license in good standing...

RN Traveler - Utilization Review - Full Time

IASIS Healthcare - St. Luke's Medical Center - 69 reviews - Phoenix, AZ
The Utilization Review staff assumes primary responsibility of communicating with payors to obtain authorization....
Registered Nurse- Renal Clinic
Veterans Affairs, Veterans Health Administration - 2,675 reviews - Phoenix, AZ
$62,365 - $111,517 a year
Practice, ethics and resource utilization, Professional Development:. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience;...
Registered Nurse- Mental Health (Jade/Opal Outpatient Clinic...
Veterans Affairs, Veterans Health Administration - 2,675 reviews - Phoenix, AZ
$62,365 - $111,517 a year
Practice, ethics and resource utilization, Professional Development:. Nurse II - A BSN with approximately 2-3 years of nursing practice/experience;...

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