Utilization Review Nurse $40,000 jobs in Phoenix, AZ

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Initial Clinical Reviewer II (RN)
Magellan Health - 503 reviews - Phoenix, AZ 85034
Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process....
UM Professional
Magellan Health - 503 reviews - Phoenix, AZ 85034
Collects and analyzes utilization information; If LPN, must work under the direct clinical supervision of a Registered Nurse (RN) Case Manager, Registered Nurse...
Registered Nurse Case Manager
American Health Group Inc - Mesa, AZ 85210
Nurse Case Manager:. The organization provides precertification, utilization review, case management, disease intervention and patient advocacy services....
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Skilled Inpatient Care Coordinator
When naviHealth is delegated for utilization management review refer requests that cannot. Active Registered Nurse (RN) licensure in the state in which the...
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Medical Review Nurse Auditor - Home-based - Phoenix

Qlarant - Phoenix, AZ
Qlarant has exciting opportunities for Medical Review Nurse Auditors to join our Cerritos, CA based Unified Program Integrity Contractors (UPIC) team....
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Quality Review Nurse- ZR

The CORE Institute - 72 reviews - Phoenix, AZ
Clinical review, utilization review, or quality assurance review experience preferred. Must be a licensed Registered Nurse (RN)....

Initial Clinical Reviewer II (RN)

Magellan Health - 503 reviews - Phoenix, AZ 85034 (Central City area)
Initial clinical reviewers are supported by Physician clinical review staff (MDs) in the utilization management determination process....

Clinical Trainer

Magellan Health - 503 reviews - Phoenix, AZ 85034 (Central City area)
3+ years of experience post degree in psychiatric and/or substance abuse health care setting, including utilization review....

UM Professional

Magellan Health - 503 reviews - Phoenix, AZ 85034 (Central City area)
Collects and analyzes utilization information; If LPN, must work under the direct clinical supervision of a Registered Nurse (RN) Case Manager, Registered Nurse...

Concurrent Review Nurse II

Bridgeway Health Solutions - 878 reviews - Tempe, AZ 85282 (Cyprus Southwest area)
Participate in utilization management committees and work on special projects related to utilization management as needed....

Adult and Children's Healthcare Administrator

Magellan Health - 503 reviews - Phoenix, AZ 85034 (Central City area)
Depending on SBU/product supported, supports goals, contracts, and accreditation requirements of health plan in conducting reviews of clinical interactions and...

Utilization Review/Management Coordinator FT and PRN

QUAIL RUN BEHAVIORAL HEALTH - 18 reviews - Phoenix, AZ 85050 (Desert View area)
Review assessment information. Assure tracking of insurance reviews, and that reviews are completed in a timely manner....

Utilization Review Nurse

Oscar Insurance - 17 reviews - Tempe, AZ
As a Utilization Review Nurse, you will determine the medical appropriateness of inpatient and outpatient services by reviewing clinical information and...

Onsite Nurse Reviewer - Mesa, AZ

Humana - 4,042 reviews - Phoenix, AZ
Conduct admission review, post-discharge calls and discharge planning. Previous experience in utilization management, discharge planning and/or home health or...
Clinical Trainer
Magellan Health - 503 reviews - Phoenix, AZ 85034
3+ years of experience post degree in psychiatric and/or substance abuse health care setting, including utilization review....
Travel Nurse (RN) - Utilization Review (Case Management)
Don't miss this exciting travel Registered Nurse job opportunity! This is a 13 week travel RN (Nurse)- Case Management (Utilization Review) assignment in...
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