Utilization Review Nurse jobs in Phoenix, AZ

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Clinical Resource Coordinator / Case Manager - Registered Nu...
John C. Lincoln Health Network 59 reviews - Phoenix, AZ
Performs other duties as assigned, including but not limited to Utilization Review activities. Facilitates the delivery of services to patients and families...
Sponsored by John C. Lincoln Health Network - 28 days ago
Registered Nurse - RN - Pre-Admissions
John C. Lincoln Health Network 59 reviews - Phoenix, AZ
This position also provides the day-to-day review in accordance with the Quality Assurance/Utilization Review Plan....
Sponsored by John C. Lincoln Health Network - 26 days ago

RN Case and Disease Manager

Care1st Health Plan Arizona - Phoenix, AZ
The nurse is responsible for coordination of members’ medical needs and information exchange with the UM Concurrent Review Nurses, as well as several other...
14 days ago - save job - block - email - more...

TRICARE Prior Authorization Nurse - Phoenix, AZ

UnitedHealth Group 1,550 reviews - Phoenix, AZ
RN, Nurse, Prior Authorization, Preservice, Utilization Management, Utilization Review, Case Management, Clinical Review, Milliman, MRG, Military and Veterans,...
6 days ago - save job - block - email - more...

Clinical Reviewer, LPN

TriWest Healthcare Alliance 84 reviews - Phoenix, AZ
O Licensed Practical Nurse or Licensed Vocational Nurse, with current unrestricted license in appropriate state....
5 days ago - save job - block - email - more...

Utilization Review/Discharge Planning Nurse

Medix Staffing Solutions Inc. - Phoenix, AZ
$70,000 - $80,000 a year
2+ years Utilization Review experience within managed care. Registered nurse, RN, R.N., utilization review, utilization management, managed care, Medicaid,...
1 day ago - save job - block - email - more...

TRICARE Complex Clinical Manager - Phoenix, AZ

UnitedHealth Group 1,550 reviews - Phoenix, AZ
Experience in utilization review, concurrent review and/or risk management. RN, registered nurse, nurse, Clinical Manager, Manager, Supervisor, Case Manager,...
5 days ago - save job - block - email - more...

Psychiatrists

Southwest Network, Inc. - Phoenix, AZ
Participates in utilization management and quality improvement activities. Provides necessary information to clinical team regarding inpatient utilization....
11 days ago - save job - block - email - more...

Registered Nurse (RN) - Utilization Management Nurse Consult...

Aetna 365 reviews - Scottsdale, AZ 85251 (South Scottsdale area)
Nursing/Registered Nurse is required. Functional - Utilization Review/Utilization Management/1-3 Years. Encourages utilization of clinical experience and skills...
25 days ago - save job - block - email - more...

Nurse Reviewer Case Management - Evening/Night Shift

Banner Health 317 reviews - Phoenix, AZ
Requires Registered Nurse (R.N.). Provides education by collaborating with Care Coordination at company facilities or other staff of non-company locations on...
4 days ago - save job - block - email - more...

Registered Nurse - RN - Pre-Admissions

John C. Lincoln Health Network 59 reviews - Phoenix, AZ
This position also provides the day-to-day review in accordance with the Quality Assurance/Utilization Review Plan....
26 days ago - save job - block - email - more...

Outpatient Registered Nurse

Universal Health Services - Phoenix, AZ
Reviews as indicated. Treatment planning, utilization management, and/or case. Valley Hospital is a private....
13 days ago - save job - block - email - more...
Preservice Review Nurse RN, Telecommute (Arizona or Tennesse...
UnitedHealth Group 1,550 reviews - Phoenix, AZ
The Pre-Service Review Nurse primary responsibilities:. RN, Registered Nurse, Prior Authorizations, Concurrent Review, Managed Care, Utilization, Utilization...
Sponsored by UnitedHealth Group - 6 days ago
RN Cancer Care Case Mgmt. Eventual work from home in Phoenix...
UnitedHealth Group 1,550 reviews - Phoenix, AZ
Experience in utilization review, concurrent review and/or risk management. Oncology Nurse Certification (OCN) and Case Management Certification (CCM) is...
Sponsored by UnitedHealth Group - 1 day ago
Phoenix WORK FROM HOME Utilization Review Nurse (RN or LPN)...
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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Sponsored by CareNational Healthcare Services, LLC - 9 days ago

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1,550 reviews
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