Utilization Review Nurse $60,000 jobs in Phoenix, AZ

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Utilization Review Nurse
Solterra - Phoenix, AZ 85013
\* Responsible for identifying high risk patients for case management intervention and coordinating the delivery of cost-effective, quality-based health care
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RN Care Coordinator
MedProVidex - 611 reviews - Phoenix, AZ 85012
Current Registered Nurse License in Arizona. The Embedded Care Registered Nurse (ECRN) is an individual. Concurrently reviews patient’s records to collect data...
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RN / Registered Nurse Job in Avondale, Arizona / Hospital /...
Genesis HealthCare - 1,458 reviews - Avondale, AZ 85392
Reviews and revises service plan as indicated; Actively participates in Utilization Management or Interdisciplinary Care Management Meeting to facilitate...
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Medical Claims Review Nurse

Care1st Health Plan Arizona - Phoenix, AZ 85016 (Camelback East area)
The Medical Claims Review Nurse performs comprehensive medical record and claims review on retrospective, prior period coverage, DRG and outlier claims to make...

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 Nurse Consultant

Aetna - 1,860 reviews - Scottsdale, AZ
Nursing/Registered Nurse (RN) is desired. Functional - Clinical / Medical/Concurrent review / discharge planning/1-3 Years....

UM Clinical Consultant

Aetna - 1,860 reviews - Phoenix, AZ
Utilizes clinical skills to coordinate, document and communicate all aspects of the utilization/benefit management program focused on utilization review of...

Clinical Care Manager - RN

Aetna - 1,860 reviews - Phoenix, AZ
Nursing/Registered Nurse (RN) is required. Click here to review the benefits associated with this position....

Utilization Review Nurse

Healthcare Scouts - Phoenix, AZ
$72,000 a year
The ideal Utilization Review / Concurrent Review Nurse will have:. 2+ years of Utilization / Clinical / Concurrent Review....
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Utilization Review RN - Managed Care

CareNational Healthcare Services - Gilbert, AZ
$80,000 a year
The Diabetes Case Management & Utilization Management RN will also utilize clinical skills to provide and facilitate utilization review, continued stay reviews,...
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Utilization Review RN

CareNational - Phoenix, AZ
$72,000 a year
Health Plan Utilization Review:. Must have recent Health Plan Utilization Review Experience. Registered Nurse (RN). Work from home after training....
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Clinical Care Manager

Aetna - 1,860 reviews - Phoenix, AZ
Nursing/Registered Nurse is required. Click here to review the benefits associated with this position. Identifies opportunities to promote quality effectiveness...

Case Mgr/Care Spec II-Non CA

California Health & Wellness - Tempe, AZ
Valid Registered Nurse License. Performs prospective, concurrent and retrospective reviews and first level determination approvals for assigned members, as...
Quality Manager
MedProVidex - 611 reviews - Phoenix, AZ 85012
Attend local quality and utilization management committee. Perform patient chart reviews to reconcile quality reporting....
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Utilization Review Nurse
HealthCare Scouts, Inc. - Phoenix, AZ 85003
$72,000 a year
As a Utilization Review Nurse, you will respond to healthcare member requests, answering a high volume of health insurance related inquiries....
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