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Utilization review nurse Jobs in Scottsdale, AZ

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Utilization review nurse • scottsdale az

Last updated: 2 days ago
  • Promoted
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocationsScottsdale, Arizona, United States
Full-time
A company is looking for a Utilization Review Nurse to evaluate treatment plans for medical necessity and efficiency.Key Responsibilities Perform pre-certification, concurrent, and retrospective ...Show moreLast updated: 3 days ago
Utilization Review RN

Utilization Review RN

St Joseph Hospital & Medical CenterPhoenix, AZ
Full-time +1
Under the general direction of the Director of Care Management, performs criteria-based concurrent and retrospective utilization review to support and encourage the efficient and effective use of r...Show moreLast updated: 2 days ago
Public Health Nursing Consultant - Prior Authorization and Utilization Review

Public Health Nursing Consultant - Prior Authorization and Utilization Review

MediabistroPhoenix, AZ, United States
Full-time
Why consider this job opportunity : - Salary up to $71,032 - Opportunity for career advancement and growth within the organization - Flexible remote work options available - Comprehensive benefits p...Show moreLast updated: 23 days ago
  • Promoted
Utilization Management Nurse

Utilization Management Nurse

ArchWell HealthPhoenix, AZ, United States
Full-time
Reporting to the Director of Utilization Management, the Utilization Management Nurse is responsible for ensuring that patients receive appropriate, cost-effective care by reviewing and evaluating ...Show moreLast updated: 13 days ago
  • Promoted
Medical Review Nurse

Medical Review Nurse

S R INTERNATIONAL INCPhoenix, AZ, US
Full-time
NEED LOCAL ARIZONA RESIDENTS ONLY.Candidate will go onsite for training 1-2 times for training once starting position.Active RN License in state of Arizona. Fingerprint Clearance Card - Needed befor...Show moreLast updated: 30+ days ago
SSA Review Analyst

SSA Review Analyst

SA Technologies, Inc.Phoenix, AZ, US
Full-time
This position is responsible for monitoring, screening, and processing Retirement, Survivor, Disability Insurance (RSDI) and Supplemental Security Insurance (SSI) Benefit application / claims for qua...Show moreLast updated: 30+ days ago
Utilization Review Coordinator

Utilization Review Coordinator

Valley HospitalPHOENIX, Arizona
Full-time
Valley Behavioral Health Hospital is seeking a dynamic and talented !.Utilization Review Coordinator.East Pinchot Avenue, Phoenix, AZ . Challenging and rewarding work environment .Competitive Compen...Show moreLast updated: 30+ days ago
Travel Nurse RN - Case Manager, Utilization Review - $2,337 per week

Travel Nurse RN - Case Manager, Utilization Review - $2,337 per week

Medical SolutionsPhoenix, AZ, USA
Full-time
Medical Solutions is seeking a travel nurse RN Case Manager, Utilization Review for a travel nursing job in Phoenix, Arizona. Job Description & Requirements.We’re seeking talented healthcare profess...Show moreLast updated: 30+ days ago
  • Promoted
Behavioral Care Advocate - Outpatient Utilization Review (AZ license preferred)

Behavioral Care Advocate - Outpatient Utilization Review (AZ license preferred)

OptumPhoenix, AZ, US
Full-time
The Optum family of businesses, is seeking a.As a member of the Optum Behavioral Care team, you’ll be an integral part of our vision to make healthcare better for everyone.At OptumHealth, you...Show moreLast updated: 7 days ago
Public Health Nursing Consultant - Prior Authorization and Utilization Review

Public Health Nursing Consultant - Prior Authorization and Utilization Review

State of ArizonaPhoenix, AZ, United States
Full-time
Why consider this job opportunity : - Salary up to $71,032 - Opportunity for career advancement and growth within the organization - Flexible remote work options available - Comprehensive benefits p...Show moreLast updated: 19 days ago
Behavioral Care Advocate - Outpatient Utilization Review (AZ license preferred)

Behavioral Care Advocate - Outpatient Utilization Review (AZ license preferred)

UnitedHealth GroupPhoenix, AZ, US
Full-time
The Optum family of businesses, is seeking a.As a member of the Optum Behavioral Care team, you’ll be an integral part of our vision to make healthcare better for everyone.At OptumHealth, you will ...Show moreLast updated: 13 days ago
Public Health Nursing Consultant - Prior Authorization and Utilization Review

Public Health Nursing Consultant - Prior Authorization and Utilization Review

Arizona Official Website of State of ArizonaPHOENIX
Full-time +1
The position is responsible for monitoring, evaluating and approving or denying payment of medical and / or behavioral healthcare services through prospective, concurrent, and retrospective review fo...Show moreLast updated: 23 days ago
Title : Public Health Nursing Consultant - Prior Authorization and Utilization Review

Title : Public Health Nursing Consultant - Prior Authorization and Utilization Review

Arizona Health Care Cost Containment SystemPhoenix, AZ
Full-time +1
The position is responsible for monitoring, evaluating and approving or denying payment of medical and / or behavioral healthcare services through prospective, concurrent, and retrospective review fo...Show moreLast updated: 24 days ago
SSA Review Analyst

SSA Review Analyst

SA Technologies Inc. - AsiaPhoenix, AZ, United States
Full-time
Role : SSA Review Analyst Duration : 4+ months Location : Phoenix, AZ Position Description This position is responsible for monitoring, screening, and processing Retirement, Survivor, Disability Insu...Show moreLast updated: 30+ days ago
Utilization Management Nurse - Behavioral Health Focus (Remote)

Utilization Management Nurse - Behavioral Health Focus (Remote)

Morgan StephensPhoenix, AZ, US
Remote
Permanent +1
Utilization Management Nurse - Behavioral Health Focus (Remote).Pacific or Mountain Time Zone is preferred.Tuesday through Saturday, 8 : 00 AM - 5 : 00 PM PST. A Managed Care Organization is seeking a U...Show moreLast updated: 30+ days ago
Registered Nurse (Utilization Review)

Registered Nurse (Utilization Review)

Salt River Pima-Maricopa Indian CommunityScottsdale, AZ, United States
Full-time
IF YOU PREVIOUSLY APPLIED FOR THIS POSITION, YOU DO NOT NEED TO RE-SUBMIT YOUR APPLICATION • •.Under general supervision of the Senior Nurse Manager, Case Management (SNMCM).The Utilization Review Re...Show moreLast updated: 30+ days ago
Utilization Review Coordinator

Utilization Review Coordinator

Southwest Healthcare SystemPHOENIX, Arizona, US
Full-time
Responsibilities Valley Behavioral Health Hospital is seeking a dynamic and talented Utilization Review Coordinator! The Utilization Review Coordinator facilitates a continuum of service while prom...Show moreLast updated: 30+ days ago
Public Health Nursing Consultant - Prior Authorization and Utilization Review

Public Health Nursing Consultant - Prior Authorization and Utilization Review

Arizona Department of AdministrationPhoenix, AZ, US
Full-time +1
Public Health Nursing Consultant - Prior Authorization and Utilization Review.Healthcare / Medical Professional Level, Healthcare / Medical Support Level, Healthcare / Nursing / Investigations / Compliance.A...Show moreLast updated: 21 days ago
Senior Clinical Review Nurse - Correspondence

Senior Clinical Review Nurse - Correspondence

Centene CorporationPhoenix, 2355 E Camelback Road, US
Remote
Full-time +1
You could be the one who changes everything for our 28 million members as a clinical professional on our Medical Management / Health Services team. Centene is a diversified, national organization offe...Show moreLast updated: 4 days ago
People also ask
State Licensed Utilization Review Nurse

State Licensed Utilization Review Nurse

VirtualVocationsScottsdale, Arizona, United States
3 days ago
Job type
  • Full-time
Job description

A company is looking for a Utilization Review Nurse to evaluate treatment plans for medical necessity and efficiency. Key Responsibilities Perform pre-certification, concurrent, and retrospective reviews of treatment plans Utilize critical thinking to assess coverage for medically necessary healthcare services Document and communicate utilization review activities and outcomes effectively Required Qualifications Registered Nurse with a current license to practice in the state of employment 2+ years of experience in managed care, Utilization Review, or Case Management Knowledge of medical terminology, ICD-9 / ICD-10, and CPT Proficiency with Microsoft Office applications Current compact RN licensure to practice in applicable states