Utilization Review Nurse jobs in Tucson, AZ

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Clinical Services Coordinator
Nurse Practitioner/Registered Nurse (RN). Licensed Practical Nurse (LPN). Under general direction, the incumbent is responsible for coordinating clinical...
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Medical Director
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....
RN/LPN - Compliance Coding Nurse
The Nurse Review medical records to ensure billing is consistent with medical record for appeals, adjustments and miscellaneous/unlisted code review....

Medical Claims Review RN

UnitedHealth Group - 5,392 reviews - Tucson, AZ 85718
Review of electronic professional and hospital claims documentation determining nurse level approval outcome or need for Medical Director Review....

Medical - Clinical Manager

MHC Healthcare - 3 reviews - Tucson, AZ 85709
Registered Nurse with current state license. Five years of experience as a Registered Nurse; Ensures maximum utilization of resources and tools to achieve full...
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Professional Coder Sr TMC One

Tucson Medical Center - 125 reviews - Tucson, AZ 85712 (Glenn Heights area)
Provide training sessions for internal subject matter experts including coders, Physicians, Nurse Practitioners....

Case Manager- Registered Nurse (RN) - Full Time (FT) - Days

Cornerstone Healthcare Group - 36 reviews - Tucson, AZ
Coordinates discharge planning to ensure continuity of care, performing utilization review, and facilitating the patient satisfaction survey process....

Director for SACASA (Southern Arizona Center Against Sexual...

CODAC Behavioral Health Services inc. - Tucson, AZ 85719 (North University area)
Meets with treatment providers to review utilization and medical necessity. Extensive knowledge in quality management, utilization review, and its relationship...

RN Manager of Clinical Practice and Quality Assurance

Kindred At Home - 109 reviews - Tucson, AZ
Current Registered Nurse. RN, Registered Nurse, Nurse, nursing, homecare, home care, home health, home healthcare, OASIS, RN case manager, Medicare, visit nurse...

Psychologist

University of Arizona - 306 reviews - Tucson, AZ
$60,000 - $63,000 a year
In the 2017 Princeton Review. The University of Arizona (UA), Campus Health Service’s ( CHS ) Counseling & Psych Services ( CAPS ) department seeks a...

Medical Director

U.S. HealthWorks Medical Group - 244 reviews - Tucson, AZ
Provide utilization review of medical charts, especially those corresponding to patients seen by part-time staff....

Physician (Hospitalist)

Corizon Health - 454 reviews - Tucson, AZ
Interacts regularly, as determined by need, with the Corizon Health Utilization Review Nurse. Reports variances for quality review and tracking in designated...

RN CASE MANAGER PRN

Carondelet St. Mary's Hospital - 6 reviews - Tucson, AZ
Current practices, issues, regulations involved in utilization management; 1.15 Maintain cost effective utilization of care continuum resources....
Case Manager- Registered Nurse (RN) - Full Time (FT) - Days
Coordinates discharge planning to ensure continuity of care, performing utilization review, and facilitating the patient satisfaction survey process....
Prior Authorization Nurse
Prior Authorization Nurse. Complete medical necessity and level of care reviews for requested services using clinical judgment and refer to Medical Directors...

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