Top 64 Utilization review nurse Jobs in Phoenix, Az

RN Care Management Coordinator Pool
Valleywise Health System —Phoenix, AZ
- $49 an hour
- Day shift
- Nursing
- RN License
- Hospital
Quick Apply
Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- Surgery
- RN License
Quick Apply
Clinical Quality Reviewer - REMOTE - RN - US Citizen Required
TEEMA —Phoenix, AZ
- $41 - $44 an hour
- Full-time
- Remote
- Nursing
- RN License
- Writing skills
Quick Apply
Utilization Management Clinical Reviewer
TriWest Healthcare Alliance —Phoenix, AZ
- $88,000 - $93,000 a year
- Overtime
- Microsoft Excel
- Microsoft Outlook
- RN License
- AD&D insurance
- Disability insurance
14d
Supervisor, Utilization Review (TOC) - Hybrid
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Microsoft Word
- Nursing
- RN License
BH UM Clinical Reviewer- Remote AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Mid-level
- Organizational skills
- 1 year
Registered Nurse - Case Manager Inpatient - RN
Mayo Clinic —Phoenix, AZ
- $90,604.80 - $136,011.20 a year
- Weekends as needed
- Nursing
- RN License
- Hospital
- Health savings account
- Health insurance
Nurse Navigator
Arizona Specialty Hospital (11101) —Phoenix, AZ
- Full-time
- Nursing
- Surgery
- RN License
- Health savings account
- Paid holidays
5d
Registered Nurse RN Ortho Patient Navigator
Banner Health —Sun City West, AZ
- Full-time
- Nursing
- Surgery
- RN License
- Flexible schedule
14d
ABA Clinical Reviewer
TriWest Healthcare Alliance —Phoenix, AZ
- $79,000 - $93,000 a year
- Full-time
- Microsoft Outlook
- Customer service
- Computer literacy
- AD&D insurance
- Disability insurance
1d
TRICARE Clinical Quality Reviewer
TriWest Healthcare Alliance —Phoenix, AZ
- $79,000 - $93,000 a year
- Overtime
- Nursing
- Microsoft Excel
- Microsoft Outlook
- AD&D insurance
- Disability insurance
16h
Travel Nurse Patient Logistics
Dignity Health —Phoenix, AZ
- $20 - $80 an hour
- Full-time
- Nursing
- RN License
- Hospital
Case Manager Care Coordination
Banner Health —Sun City, AZ
- Full-time
- Acute care
- Master of Social Work
- Nursing
1d
RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Word processing
RN Care Manager - Phoenix Market
ArchWell Health —Phoenix, AZ
- Full-time
- Nursing
- RN License
- Mid-level
RN (Hospice Case Manager)
Wings of Hope Hospice and Palliative Care —Phoenix, AZ
- $75,000 - $85,000 a year
- Full-time
- Nursing
- RN License
- HIPAA
- Mileage reimbursement
- Health insurance
Quick Apply
RN Nurse Manager - Agave Grove Post Acute
Agave Grove Post Acute —Glendale, AZ
- $39 - $45 an hour
- 12 hour shift
- Nursing
- Medication administration
- OSHA
- Health savings account
- AD&D insurance
Quick Apply
Registered Nurse (Skilled Unit)
Agave Grove Post Acute —Glendale, AZ
- $39 - $45 an hour
- 12 hour shift
- Experience working with individuals with developmental disabilities
- Nursing
- Skilled nursing facility
- Health savings account
- Health insurance
Quick Apply
6d
Hospice Registered Nurse (Central)
Dignity Hospice —Phoenix, AZ
- Full-time
- Vital signs
- RN License
- HIPAA
- Health insurance
- Dental insurance
Quick Apply
High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)
Blue Cross Blue Shield of Arizona —Phoenix, AZ
- Full-time
- 5 years
- Analysis skills
- Travel

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utilization review nurse jobs near phoenix, az

RN Care Management Coordinator Pool

Valleywise Health System -
Phoenix, AZ

Quick Apply

Job Details

Per diem
$49 an hour

Qualifications

Utilization review
RN License
English
Managing patients as a nurse case manager
Acute care facility experience
Evidence-based practice
Utilization management
Medical treatment knowledge
Resource utilization in healthcare

Full Job Description

Under the direction of the Manager or Director of Care Management, the RN Care Management Coordinator is part of the interdisciplinary team and serves as the expert in discharge planning. This position is responsible for the assessment, identification of needs, and coordination of care and services to facilitate the patient’s progression through the continuum of care in a timely and cost-effective manner. The RN Care Management Coordinator assumes a leadership role and works collaboratively with the patient, family, interdisciplinary team internally and externally to identify desired outcomes and develop a safe plan of care.

Hourly POOL Pay Rate: $49.00 - Varied Day Shifts

Qualifications

Education:

Prefer a Bachelor’s Degree or higher in Nursing.

Experience:

Must have at least three (3) years of recent acute clinical hospital experience; preferably in Case Management and/or Utilization Management.

Specialized Training:

Trained in Epic, InterQual, Midas, and internally used software programs is strongly preferred.

Certification/Licensure:

Must possess a current, valid AZ RN license, a temporary AZ RN license, or a valid compact RN licensure for the current state of practice.
Must be in good standing with the issuing Board of Nursing.
Must possess American Heart Association BLS certification within 30 days of hire.

Knowledge, Skills & Abilities:

Must have a working knowledge of case management, hospital, community resources, and resource/utilization management.
The position requires excellent communication, clinical skills, and professional rapport with physicians.
Requires extensive knowledge of evidence-based clinical guidelines, best practice, workup, treatment, prognosis, and hospital procedures.
Critical thinking ability is essential.
Strong critical care skills, understanding of medical documentation, and pathophysiology.
Knowledge of acute care criteria sets and state and federal reimbursement programs.
Requires the ability to read, write, and speak effectively in English.

#NUR

Location: Valleywise Health System · Care Management
Schedule: Per Diem 4 Hours Per Week, Days

Quick Apply

Refine Your Search

utilization review nurse jobs in phoenix, az

RN Care Management Coordinator Pool

Clinical Quality Reviewer - REMOTE - LCSW OR RN - US Citizen Required

Clinical Quality Reviewer - REMOTE - RN - US Citizen Required

Utilization Management Clinical Reviewer

Supervisor, Utilization Review (TOC) - Hybrid

BH UM Clinical Reviewer- Remote AZ

Registered Nurse - Case Manager Inpatient - RN

Nurse Navigator

Registered Nurse RN Ortho Patient Navigator

ABA Clinical Reviewer

TRICARE Clinical Quality Reviewer

Travel Nurse Patient Logistics

Case Manager Care Coordination

RN Med Policy Development/Research Specialist (UM experience) - REMOTE-AZ

RN Care Manager - Phoenix Market

RN (Hospice Case Manager)

RN Nurse Manager - Agave Grove Post Acute

Registered Nurse (Skilled Unit)

Hospice Registered Nurse (Central)

High-Cost Claimant Review Unit Nurse Auditor (Remote in AZ)

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

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