Utilization Review Jobs in Phoenix
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Search Results - Utilization Review Jobs in Phoenix
HealthOp Solutions-Glendale, 9 mi from Phoenix
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, 16 mi from Phoenix
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, 11 mi from Phoenix
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
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, 9 mi from Phoenix
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
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...
Oscar Health-Tempe, 8 mi from Phoenix
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 -
Scottsdale, 11 mi from Phoenix
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
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 -
Scottsdale, 11 mi from Phoenix
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 -
Gilbert, 16 mi from Phoenix
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 -
Scottsdale, 11 mi from Phoenix
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 -
Chandler, 14 mi from Phoenix
Overview:
PURPOSE STATEMENT:
Clinical professional responsible for facilitating admissions, clinical intake assessments and utilization review processes to assure continuity for the most appropriate level of care for patients and their benefit...
icims.com -
Phoenix
to the recruitment and retention of talented staff through positive role-modeling and fostering peer relationships. Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, and student preceptor...
honorhealth.com -
Phoenix
to the recruitment and retention of talented staff through positive role-modeling and fostering peer relationships. Participates in departmental and interdepartmental staff meetings, in-services, utilization review programs, committees, and student preceptor...
honorhealth.com -
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