Top 2608 Engineering Technologists and Technicians, Except Drafters, All Other Jobs in Yuma, AZ

RN Utilization Review Specialist | Case Management | Days
Onvida Health —Yuma, AZ
- $43.93 - $70.28 an hour
- Full-time
- Nursing
- RN License
- Hospital
1d
Engineering Assistant
News-Press & Gazette Company —Yuma, AZ
- Urgently hiring
- Clean driving record
- High school diploma or GED
- Driver's License
RN Utilization Review Specialist | Case Management | Nights
Onvida Health —Yuma, AZ
- $43.93 - $70.28 an hour
- Full-time
- Nursing
- RN License
- Hospital
1d
Veterans PSYCHIATRIST, PHYSIATRIST, or NEUROLOGIST for TBI Exams (Yuma, AZ)
Military Evaluation Services —Yuma, AZ
- Up to $1,560 a day
- Choose your own hours
- Background check
- Medicine
- Psychiatry
- Flexible schedule
Quick Apply
1d
Veterans PSYCHOLOGIST (Yuma, AZ)
Military Evaluation Services —Yuma, AZ
- $975 - $1,560 a day
- 8 hour shift
- Background check
- Private practice
- Mid-level
- Flexible schedule
Quick Apply
7d
RN - Case Manager - Yuma, AZ
NURSES Etc STAFFING —Yuma, AZ
- Full-time
- Nursing
- RN License
- 5 years
- Paid holidays
- Dental insurance
Quick Apply
Licensed Clinical Social Workers in Arizona
Marble Health —Arizona
- $85 an hour
- Contract
- Remote
- Licensed Clinical Social Worker
- LPC
- Mid-level
- Flexible schedule
Quick Apply
Head Start Teacher 2026-2027 School Year
Western Arizona Council of Governments —Yuma, AZ
- $18.23 - $19.23 an hour
- Full-time
- 18 years or older
- English
- High school diploma or GED
- Health savings account
- Health insurance
Quick Apply
Scopist, Certified Reporter
Esquire Deposition Solutions —Arizona
- $30 - $35 an hour
- Full-time
- Mid-level
- Quality control
- Communication skills
- Health savings account
- Paid holidays
Quick Apply
3d
Dentist
Naphcare, Inc. —San Luis, AZ
- $81 - $90 an hour
- Full-time
- CPR Certification
- Doctoral degree
- BLS Certification
- Paid holidays
- Health insurance
Quick Apply
5d
Occupational Therapist/COTA (Home Health)
All Into Therapy LLC —Yuma, AZ
- $90 - $100 an hour
- Contract
- Bilingual
- CPR Certification
- Driver's License
Quick Apply
Associate Therapist (LMSW), Arizona
Marble Health —Arizona
- $45 an hour
- Contract
- Remote
- Mid-level
- Continuous improvement
- Children
Quick Apply
Associate Clinical Therapist (LAC, LMSW, LAMFT)
Denova Collaborative Health —Arizona
- $65,000 - $71,000 a year
- Full-time
- Hybrid work
- BLS Certification
- Mid-level
- Outpatient experience
- Paid holidays
- Loan repayment program
Quick Apply
Remote Psychiatric Nurse Practitioner (PMHNP) - Outpatient Practice. W2 w/Benefits, PT & FT options
Talkiatry —Arizona
- $180,000 - $215,000 a year
- Part-time
- Remote
- Nursing
- Psychiatry
- Outpatient experience
- Health savings account
- Paid holidays
BCBA and BCaBA Career Opportunity at Team PBS in Arizona
Positive Behavior Supports Corporation —Yuma, AZ
- Up to $140,000 a year
- Part-time
- Management
- Mid-level
- Ability to lift 50 pounds
- Paid holidays
- Health insurance
Locum | Physician Hospitalist
CompHealth —Arizona
- $170 - $190 an hour
- Night shift
- Heavy lifting
- Hospital
- BLS Certification
Remote Outpatient Psychiatrist (MD/DO) – Flexible Schedule | $325K+
Talkiatry —Arizona
- $325,000 - $375,000 a year
- Part-time
- Medicine
- Doctoral degree
- Psychiatry
- Paid parental leave
- Health savings account
Quick Apply
Locum | Physician Hospitalist
CompHealth —Arizona
- $180 - $200 an hour
- PALS Certification
- Hospital
- BLS Certification
Mortgage Loan Originator
Dream Key Lending —Arizona
- $78,000 - $400,000 a year
- Full-time
- Remote
- Background check
- Customer service
- Computer literacy
Quick Apply
Personal Injury Litigation Attorney - Arizona
The Berman Law Group —Arizona
- From $120,000 a year
- Full-time
- Mid-level
- US work authorization
- In-person
- Health insurance
- Dental insurance
Quick Apply

I want to receive the latest job alert for Engineering Technologists and Technicians, Except Drafters, All Other in Yuma, AZ

By signing in to your account, you agree to SimplyHired's Terms of Service and consent to our Cookie and Privacy Policy.

Explore jobs in more locations

Engineering Technologists and Technicians, Except Drafters, All Other jobs near Yuma, AZ

RN Utilization Review Specialist | Case Management | Days

Onvida Health -
Yuma, AZ

Apply Now

Job Details

Full-time
$43.93 - $70.28 an hour
1 day ago

Qualifications

Nursing
RN License
BLS Certification
Associate's degree
Nursing

Full Job Description

Work Status Details: REGULAR FULL TIME | 80.00 Hours Every Two Weeks
Shift: Days
Pay Rate Type: Hourly
Location: Yuma Medical Center

Listed is the base hiring salary range offered for this position. Actual salaries may vary depending on factors, including but not limited to skills and experience. The salary range listed is just one component of the total rewards/compensation package offered to candidates.
Min = $43.93
Mid = $57.10
Max = $70.28

Summary:
The RN Utilization Review Specialist is responsible for conducting prospective and concurrent medical record review to determine medical necessity and appropriate level of care in accordance with nationally recognized criteria, CMS regulations, payer contractual requirements, and organizational policy. This role focuses exclusively on utilization management functions including admission review, continued stay review, payer communication, denial prevention, and regulatory compliance. The Utilization Review Specialist serves as a clinical resource to physicians and interdisciplinary teams regarding level of care determinations, documentation requirements, and medical necessity standards to support appropriate reimbursement and optimal resource utilization.

Responsibilities:

Performs admission and continued stay reviews using approved evidence-based criteria and CMS 2MN rule. This includes reviewing admitting orders, history and physical documentation, clinical progress notes, and transfer requests to determine appropriate inpatient or observation status. The Specialist monitors length of stay and identifies cases at risk for medical necessity denial. All determinations are documented accurately and timely in designated utilization management systems in accordance with departmental standards.

Ensures compliance with CMS Conditions of Participation, Medicare regulations, and payer-specific policies. This includes understanding and appropriately applying federal notification requirements such as the Hospital Issued Notice of Non-Coverage (HINN), Advanced Beneficiary Notice (ABN), Medicare Outpatient Observation Notice (MOON), Important Message from Medicare (IMM), and Condition Code 44 (CC44) when applicable. The Specialist ensures physician orders and status determinations align with regulatory requirements and remains current on reimbursement and compliance updates impacting acute care services.

Communicates clear, concise, and timely clinical information to third-party payers to secure initial and continued stay authorizations. This includes submitting required documentation, responding to payer inquiries, and tracking authorization status. When cases do not meet medical necessity criteria, the Specialist facilitates peer-to-peer discussions in collaboration with the Physician Advisor and supports denial prevention efforts. The role also includes assisting with appeals as needed, communicating discharge notifications to payers, and closing authorizations appropriately upon completion of services.

Serves as a clinical resource to physicians and interdisciplinary team members regarding medical necessity, documentation standards, and level-of-care determinations. The Specialist collaborates with the Physician Advisor to address cases not meeting criteria and participates in escalation processes as necessary. Education is provided to providers regarding documentation improvements to support medical necessity and reimbursement integrity, while maintaining professional and solution-focused communication.

Identifies and documents avoidable days or delays related to medical necessity or payer requirements and participates in performance improvement initiatives aimed at reducing denials and optimizing resource utilization. The role supports tracking and reporting of utilization metrics such as denials, peer-to-peer outcomes, length-of-stay variances, and observation-to-inpatient conversions. Participation in UR team meetings and committee work may be required to support continuous improvement efforts.

Other duties as assigned,

Credentials:
Essential:

BASIC LIFE SUPPORT (BLS)
REGISTERED NURSE (RN)

Education:
Essential:

ASSOCIATE'S DEGREE

Other information:

Minimum Requirements:

Associates Degree

3 years related experience

AZ RN License

BLS (AHA)

Join us at Yuma Regional Medical Center dba Onvida Health

A career at Onvida Health is more than just a job. It’s a place to have a long and rewarding career, making a difference in the lives of those in our shared community. When you join our team, you become an integral part of a thriving community committed to improving the health and well-being of everyone in southwestern Arizona.

At Onvida Health, we believe in progress with purpose. Our commitment to innovation is matched by our dedication to kindness and integrity. We take our values seriously because we know they lead to better outcomes for our patients and a better experience for all of us. We’re looking for people who approach each day with a sense of possibility, a drive to make things better, and a commitment to kindness. If that sounds like you, you’re our kind of people.

If you’re looking for a career where innovation meets compassion, where you can grow and contribute to building a healthier tomorrow, Onvida Health is the place for you.

Life in Yuma, Arizona
Yuma, recognized by Guinness World Records as the Sunniest City on Earth, offers more than just sunshine. It’s a place where the great outdoors meets a welcoming, tight-knit community. Hike scenic trails, explore the Colorado River, or immerse yourself in local cultural festivals – all while embracing the beauty of this desert oasis. With easy access to larger cities and popular destinations, Yuma makes it easy to balance a fulfilling career with time for personal adventures and relaxation.

https://www.visityuma.com/

https://www.yumachamber.org/

Physical Requirements and working conditions for this position will be provided to you up on interview.

Job Details

Career area

Case Mgt/Social Work

Position Type

Full Time

Date Posted

08/14/2026

Location

Yuma, AZ 85364, United States

Job ID

13753

Apply Now

Refine Your Search

Engineering Technologists and Technicians, Except Drafters, All Other jobs in Yuma, AZ

RN Utilization Review Specialist | Case Management | Days

Engineering Assistant

RN Utilization Review Specialist | Case Management | Nights

Veterans PSYCHIATRIST, PHYSIATRIST, or NEUROLOGIST for TBI Exams (Yuma, AZ)

Veterans PSYCHOLOGIST (Yuma, AZ)

RN - Case Manager - Yuma, AZ

Licensed Clinical Social Workers in Arizona

Head Start Teacher 2026-2027 School Year

Scopist, Certified Reporter

Dentist

Occupational Therapist/COTA (Home Health)

Associate Therapist (LMSW), Arizona

Associate Clinical Therapist (LAC, LMSW, LAMFT)

Remote Psychiatric Nurse Practitioner (PMHNP) - Outpatient Practice. W2 w/Benefits, PT & FT options

BCBA and BCaBA Career Opportunity at Team PBS in Arizona

Locum | Physician Hospitalist

Remote Outpatient Psychiatrist (MD/DO) – Flexible Schedule | $325K+

Locum | Physician Hospitalist

Mortgage Loan Originator

Personal Injury Litigation Attorney - Arizona

I want to receive the latest job alert for Engineering Technologists and Technicians, Except Drafters, All Other in Yuma, AZ

Related Searches

Explore jobs in more locations

Job Details

Job Seeker Tools

Employer Tools

Browse

Stay Connected