Utilization Review Jobs in Mesa
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Search Results - Utilization Review Jobs in Mesa
HealthOp Solutions-Glendale, 21 mi from Mesa
Overview of the Position
Job Title: Utilization Review Specialist
Location: Glendale, AZ (Hybrid)
Hours & Schedule: Full-Time
Work Environment: Behavioral Health Treatment Facility (Hybrid – Remote & Onsite)
Salary / Hourly Rate: $70,000...
resume-library.com -
Gilbert, 6 mi from Mesa
Interface with managed care organizations, external reviews, and other payers.
• Other duties as assigned.
Qualifications:
Qualifications:
• Bachelor’s degree required. Master’s degree preferred.
• Previous utilization review experience in a psychiatric...
icims.com -
Scottsdale, 7 mi from Mesa
as a Registered Nurse in an acute care setting Required
1 year experience in UR/UM or Case Management Required
Licenses and Certifications
Registered Nurse (RN) State And/Or Compact State Licensure Required
Responsibilities: Job Summary
The Utilization Review RN...
honorhealth.com -
Phoenix, 13 mi from Mesa
Psychiatric Hospital is looking for a Utilization Review Coordinator to coordinate patients’ services across the continuum of care by promoting effective utilization, monitoring health resources and elaborating with multidisciplinary teams.
Benefits...
icims.com -
HealthOp Solutions-Glendale, 21 mi from Mesa
Overview of the Position
• Job Title: Utilization Review Specialist
• Location: Glendale, AZ (Hybrid)
• Hours & Schedule: Full-Time
• Work Environment: Behavioral Health Treatment Facility (Hybrid – Remote & Onsite)
• Salary / Hourly Rate: $70,000...
workable.com -
CenterWell Home Health-Phoenix, 13 mi from Mesa
documentation in addition to feedback and recommendations by Utilization Review staff. Upon completion of the assessment, creates and conducts regular staff education as needed.
• Analyzes situations, identifies problems, identifies and evaluates alternative...
HR Recruiting Services-Phoenix, 13 mi from Mesa
The overall goal of the position is to enhance the quality of patient management and satisfaction, to promote continuity of care and cost effectiveness through the integrating and functions of case management, utilization review and management of discharge...
Scottsdale, 7 mi from Mesa
in an acute care setting. Required
1 year experience in UR/UM or Case Management Required
Licenses and Certifications
Registered Nurse (RN) State And/Or Compact State Licensure Required
Responsibilities:
Job Summary
The Utilization Review RN Specialist...
honorhealth.com -
Phoenix, 13 mi from Mesa
and processes concurrent denials that require medical necessity
determinations; processes appeals and reconsiderations. Act as a working manager within Utilization Management, performing
essential duties and responsibilities (utilization reviews, denials...
icims.com -
Oscar Health-Tempe, 6 mi from Mesa
3. 3 years utilization review experience at a medicare/medicare advantage plan
4. 2 years of case management or discharge planning experience in an acute care setting, home health, or home hospice
5. Must be comfortable with technology and open...
jobvertise.com -
Encompass Health-Scottsdale, 7 mi from Mesa
fiscal management. The CM I performs ongoing utilization review and acts as a liaison to the payor while assuring that cost effective treatment is provided by the team. The case manager assures that regulations regarding patient's rights are fulfilled...
Gilbert, 6 mi from Mesa
Overview:
PURPOSE STATEMENT:
Proactively monitor utilization of services for patients to optimize reimbursement for the facility.
Responsibilities:
ESSENTIAL FUNCTIONS:
• Act as liaison between managed care organizations and the facility...
icims.com -
La Frontera Center Inc.-Tempe, 6 mi from Mesa
Quality Assurance, and Utilization Review.
What you’ll provide:
• Master's degree in behavioral health related field required.
• Independent licensure through AzBBHE is required.
• Prior supervisory experience is preferred.
• Five years of prior community...
Scottsdale, 7 mi from Mesa
review of patient treatment plans in accordance with the hospital policies and third party reimbursement systems.
• Assists in the maintenance of department logs and databases, department statistics, and utilization review documents according to hospital...
honorhealth.com -
La Frontera Center Inc.-Glendale, 21 mi from Mesa
Quality Assurance, and Utilization Review.
What you’ll provide:
• Master's degree in behavioral health related field required.
• Independent licensure through AzBBHE is required.
• Prior supervisory experience is preferred.
• Five years of prior community...
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