Top 44 Utilization review Jobs in Tucson, Az

MDS Coordinator & RN Manager
LeaderStat —Tucson, AZ
- $90,000 - $105,000 a year
- On call
- Nursing
- Skilled nursing facility
- RN License
- AD&D insurance
- Health insurance
Quick Apply
Utilization Review Specialist
El Dorado Springs —Tucson, AZ
- Overtime
- CPR Certification
- Psychiatry
- Mid-level
- Disability insurance
- Health insurance
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Manager Utilization Management
P3 Health Partners —Tucson, AZ
- $100,000 - $140,000 a year
- Hybrid work
- Nursing
- Microsoft Excel
- Microsoft Outlook
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5d
Public Health Registered Nurse - Theresa Lee Public Health Clinic
Pima County —Tucson, AZ
- $34.62 - $48.47 an hour
- Part-time
- Background check
- Nursing
- Current TB test
CSP Utilization Review Specialist/Quality Manager
Pascua Yaqui Tribe —Tucson, AZ
- $71,956.82 a year
- Weekends as needed
- Spanish
- Psychiatry
- English
- Profit sharing
- Paid holidays
Yoeme Managed Care Utilization Manager
Pascua Yaqui Tribe —Tucson, AZ
- Weekends as needed
- Customer service
- Urgent Care
- Research
- Profit sharing
- Paid holidays
Social Worker II - Case Management
Carondelet St. Marys Hospital —Tucson, AZ
- PRN
- Acute care
- Surgery
- Hospital
- Health savings account
- Health insurance
5d
Physical Therapist- Part time in-patient and outpatient.
Pueblo Springs Rehabilitation Center —Tucson, AZ
- $35 - $50 an hour
- Part-time
- CPR Certification
- Management
- Writing skills
- Health insurance
- Dental insurance
Quick Apply
Case Management Nurse Manager
Green Key Resources —Tucson, AZ
- $100,000 - $150,000 a year
- Full-time
- Nursing
- RN License
- Bachelor of Science
- Health insurance
- Dental insurance
Quick Apply
Public Health Registered Nurse - Family Planning
Pima County —Tucson, AZ
- $34.62 - $48.47 an hour
- Full-time
- Background check
- Nursing
- Current TB test
Care Manager RN FT
Northwest Medical Center Tucson —Tucson, AZ
- Full-time
- Nursing
- RN License
- BLS Certification
- Health insurance
- Tuition reimbursement
Quick Apply
Medical Biller
Tohono O'odham Nation —Tucson, AZ
- From $18.75 an hour
- Full-time
- Clean driving record
- Anatomy knowledge
- Surgery
- Paid holidays
- Disability insurance
Quick Apply
Registered Nurse Case Manager (RN)
Carondelet St. Marys Hospital —Tucson, AZ
- Full-time
- Nursing
- Surgery
- RN License
- Health savings account
- Health insurance
Registered Nurse RN Patient Navigator NE Per Diem
Banner Health —Tucson, AZ
- Part-time
- Background check
- Nursing
- RN License
- Wellness program
- Employee assistance program
Nurse Care Manager
Suvida Healthcare —Tucson, AZ
- Full-time
- Hybrid work
- Spanish
- Nursing
- RN License
- Paid parental leave
- Paid holidays
Quick Apply
RN Supervisor, Care Management
Northwest Medical Center Tucson —Tucson, AZ
- Full-time
- Nursing
- RN License
- Computer skills
- Health insurance
- Tuition reimbursement
Quick Apply
Pharmacist Clinical Coordinator
Tucson Medical Center —Tucson, AZ
- Full-time
- Hospital
- BLS Certification
- ACLS Certification
Centered Spirit Psychiatrist
Pascua Yaqui Tribe —Tucson, AZ
- Full-time
- Medicine
- Doctoral degree
- Psychiatry
- Profit sharing
- Paid holidays
Psychiatric Mental Health Nurse Practitioner
Leading MD's —Tucson, AZ
- $1,099 a month
- Contract
- CPR Certification
- Nursing
- Skilled nursing facility
Quick Apply
Rehab Director
tmc —Tucson, AZ
- $38 - $58 an hour
- Full-time
- Physical & Rehabilitation Medicine
- In-person
- Senior level
- Continuing education credits
- Paid holidays
Quick Apply

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utilization review jobs near tucson, az

MDS Coordinator & RN Manager

LeaderStat -
Tucson, AZ

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Job Details

$90,000 - $105,000 a year

Benefits

AD&D insurance
Health insurance
Dental insurance
Paid time off
On-the-job training
Employee assistance program
Vision insurance
Retirement plan

Qualifications

Nursing
Long-term care regulations
RN License
CMS
CMS regulatory compliance
Medicare regulations
Medicaid regulations
Nursing

Full Job Description

Outrageously beautiful Senior Housing and Healthcare campus in southern Arizona seeks Registered Nurse with background in MDS Coordination for their permanent MDS Coordinator & RN Manager job.

This property is highly rated and has a strong history of excellence including strong staffing ratios. The skilled nursing facility (SNF) primarily serves the long-term care needs of residents of the campus, with just a handful of skilled rehab patients in the mix.

In conjunction with the primary responsibilities of MDS Coordination, this RN will act as a member of the clinical leadership team, supervising clinical and care staff and sharing on-call responsibilities with three other leaders within the campus.

What is MDS?
The MDS (Minimum Data Set) is gathered via the Resident Assessment Instrument (RAI) process, which assesses a resident’s behavioral, psychological, clinical, nutritional, and physical strengths and needs to create an individualized cared plan that considers the resident holistically. The MDS Coordinator, also known as a MDS Nurse, then works with nursing, PT, nutrition, etc., to ensure care plan guidelines for each resident are followed, and compliant with ethical standards and Medicare requirements.

MDS is also the key driver for Medicare payment and many Medicaid reimbursement systems, and is especially critical for long-term care providers. Care payment level categories, or Resource Utilization Groups (RUGs) are determined by MDS assessments. Small adjustments in the case mix score can result in a significant increase (or decrease) in revenue for which the facility is entitled. MDS Coordinators are responsible for setting RUG levels for each resident and ensuring the facility is getting accurate, and maximum, reimbursement.

MDS Coordinator Requirements

This MDS Coordinator must be a Registered Nurse (RN) in Arizona who has already received on-the-job training, or completed an MDS-training program.
Candidates must be familiar with MDS 3.0, and have an in-depth working knowledge of the RAI user manual and RUG categories.
Attention to detail is a must as there are dozens of RUG categories. Even small inaccuracies can result in significant reimbursement deficits.

MDS Coordinator training is extremely important and candidates must have knowledge of current state, federal, and CMS regulations, and be able to relate professionally, positively, and cooperatively with staff, residents and family members.

Ideal candidates will enjoy:

Pay in the $90K to $105K range, with the top end being reserved for those with stable tenure in previous jobs and a track record of success improving reimbursement rates as MDS nurse
Generous benefits including Health/ Dental/ Vision insurance, retirement savings plan with a company match, generous PTO days plus sick time and holidays, Life and AD&D insurance EAP and more! *The above pay package is an estimate, please contact our team to put together your personalized pay package, as a variety of factors can influence your total pay.*
Joining a successful and supportive team who puts their residents first every day

Ideal candidates will bring:

Registered Nurse license in Arizona (RN in AZ) or Compact license
Prior background in MDS Coordination with stable tenure and measurable success in the role
RAC-CT certification a plus
PDPM savvy
Clear communication skills interacting with all walks of life
Team oriented mindset

Does this job strike you as something you'd excel at? Has your previous experience as an MDS Coordinator been building you up for this job?

Then APPLY TODAY for immediate consideration!

Questions? Reach out to Michelle Koch at LeaderStat, [email protected] or 480-769-7871.

LeaderStat is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, national origin, genetics, disability, age, or veteran status.

#IND100PA

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Refine Your Search

utilization review jobs in tucson, az

MDS Coordinator & RN Manager

Utilization Review Specialist

Manager Utilization Management

Public Health Registered Nurse - Theresa Lee Public Health Clinic

CSP Utilization Review Specialist/Quality Manager

Yoeme Managed Care Utilization Manager

Social Worker II - Case Management

Physical Therapist- Part time in-patient and outpatient.

Case Management Nurse Manager

Public Health Registered Nurse - Family Planning

Care Manager RN FT

Medical Biller

Registered Nurse Case Manager (RN)

Registered Nurse RN Patient Navigator NE Per Diem

Nurse Care Manager

RN Supervisor, Care Management

Pharmacist Clinical Coordinator

Centered Spirit Psychiatrist

Psychiatric Mental Health Nurse Practitioner

Rehab Director

I want to receive the latest job alert for utilization review in tucson, az

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