Utilization Review Nurse jobs in Phoenix, AZ

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Telephonic RN Case Manager - Telecommute
UnitedHealth Group 2,113 reviews - Phoenix, AZ
Utilization review or managed care experience. Registered Nurse, RN, BSN, Case Manager, CCM, Home Health, Hospice, Utilization Review, Compact States, Licensure...
Sponsored by UnitedHealth Group
Utilization Review Nurse
Acclivity Healthcare 85 reviews - Phoenix, AZ
$35 an hour
Responsibilities of the Utilization Review Nurse. 2+ years of recent Utilization Review experience. They are currently seeking an experienced and Utilization...
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Sponsored by Acclivity Healthcare
Healthy First Steps Utilization Management RN - Telecommute...
UnitedHealth Group 2,113 reviews - Phoenix, AZ
Utilization Management, case management, Utilization Review, Concurrent Review, Milliman. Perform utilization and concurrent review using Milliman/InterQual...
Sponsored by UnitedHealth Group

Telephonic Case Manager (RN) - Phoenix, AZ

Humana 973 reviews - Phoenix, AZ
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...

Appeals Coordinator

Magellan Health Services 152 reviews - Phoenix, AZ 85034 (Central City area)
Coordinate appeals process as assigned, attends to risk management issues associated with case management and processes appeal requests.The Appeals Coordinator...

Appeals Nurse

Magellan Health Services 152 reviews - Phoenix, AZ 85034 (Central City area)
Documents communications with medical office staff and/or MD provider as required.- Refers cases to appropriate internal reviewers according to the business...

Prior Authorization Nurse

Conifer Value Based Care - Phoenix, AZ
Prior Authorization Nurse. Identification of referrals to the medical director for review. The purpose of the Prior Authorization Nurse is to provide patients,...

RN Medical Case Mgr - Workers Compensation

The Travelers Companies, Inc. 3 reviews - Phoenix, AZ
For nurses handling Workers Compensation Claims, perform Utilization Review according to established guidelines....

Telephonic Case Manager (RN) - Phoenix AZ

Humana Inc. 973 reviews - Phoenix, AZ
Conduct admission review, post-discharge calls and discharge planning QualificationsRole Essentials. Previous experience in utilization management discharge...

Telephonic Medicare Case Manager (RN) - Phoenix AZ

Humana Inc. 973 reviews - Phoenix, AZ
Conduct admission review, post-discharge calls and discharge planning QualificationsRole Essentials. Previous experience in case management utilization...

Care Manager II-Prior Auth - TELECOMMUTING OPTION! (AZ: Temp...

Health Net, Inc. 3 reviews - Tempe, AZ 85281
Develops and/or reviews appropriate documentation and correspondence reflecting determination. Reviews, triages and prioritizes cases to meet required...

Utilization Management Nurse (RN) - Phoenix/Tucson, AZ

Humana 973 reviews - Phoenix, AZ
Humana is seeking a Utilization Management Nurse who will collaborate with other health care givers in reviewing actual and proposed medical care and services...

Clinical Claims Reviewer

Veritage (BCBSAZ Advantage) - Phoenix, AZ 85021 (North Mountain area)
Certified Professional Coder/Certified Professional Utilization Reviewer. Participate in retrospective review related to authorization and claims....
Registered Nurse Case Manager- Prior Authorization
Banner Health 428 reviews - Phoenix, AZ
This RN Case Manager should have experience in Managed Care, Concurrent review, Utilization Review, Utilization Management or Prior authorization....
Sponsored by Banner Health
Preservice Review Nurse RN - Work in Phoenix office Cotton C...
UnitedHealth Group 2,113 reviews - Phoenix, AZ
RN, Registered Nurse, UR, UM, Pre-Authorization, Utilization Review, Utilization Management, Concurrent Review, Milliman, InterQual, Managed Care, Insurance,...
Sponsored by UnitedHealth Group

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