Utilization Review Nurse 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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Registered Nurse- Mental Health (Jade/Opal Outpatient Clinic...
Veterans Affairs, Veterans Health Administration - 2,668 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;...

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...

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....

Utilization Management Nurse Clinician - Behavioral Health

Aetna - 2,148 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...

RN Traveler - Utilization Review - Full Time

St. Luke's Medical Center, LP - Phoenix, AZ
The Utilization Review staff assumes primary responsibility of communicating with payors to obtain authorization....

UM Clinical Consultant

Aetna - 2,148 reviews - Phoenix, AZ
Nursing/Registered Nurse is required. Managed care/utilization review experience preferred. Click here to review the benefits associated with this position....
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Admission Nurse

Rapid Recovery Center - Phoenix, AZ  +1 location
This includes assessment, planning, implementation, evaluation, resource utilization, and care intervention. Nursing degree with current state licensure Three...

Prior Authorization Nurse

Health Choice - 8 reviews - Phoenix, AZ
The Prior Authorization Nurse reviews, authorizes, coordinates, and responds to requests for services for Health Choice members....

Registered Nurse - Utilization Review - Full Time

St. Luke's Medical Center, LP - Phoenix, AZ
The Utilization Review staff assumes primary responsibility of communicating with payors to obtain authorization....

Registered Nurse - 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....

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...
Nurse Reviewer Specialty (Utilization Review/Oncology) - AIM...
Anthem, Inc. - 2,048 reviews - Glendale, AZ 85301
Experienced Nurses join AIM as Nurse Reviewers I. Nurse Reviewer I or Nurse Reviewer Associate. AIM is certified by the National Committee for Quality Assurance...
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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